pacemaker implantation technique waleed roshdy

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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

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