pacemaker implantation technique waleed roshdy
TRANSCRIPT
PACEMAKER IMPLANTATION Waleed Roshdy , TRG
PRE-OPERATIVE CHECKLIST Written Consent Antibiotics Analgesic and sedative agents Surgical tools and operating room Stoppage af antiplatelets and anti-
coagulants ??? Pre-operative laborartory tests
STEPS OF IMPLANTATION 1- STERILIZATION (patient and surgical
tools )
CENTRAL VENOUS ACCESS TECHNIQUES
TARGET VEINS FOR ACCESS
3 -INCISION AND POCKET FORMATION
RV LEAD PLACEMENT Position and stability Techniques : # prolapsing # drop down # direct crossing
MESUREMENT (PACING THRESHOLD AND R WAVE MESUREMENT)
ATRIAL LEAD PLACEMENT
FINAL STEPS #closing the wound #Antibiotics #Covering the wound #Specific instructions
COMPLICATIONS