pacemaker implantation technique waleed roshdy

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PACEMAKER IMPLANTATION Waleed Roshdy , TRG

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Page 1: Pacemaker implantation technique waleed roshdy

PACEMAKER IMPLANTATION Waleed Roshdy , TRG

Page 2: Pacemaker implantation technique waleed roshdy

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

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STEPS OF IMPLANTATION 1- STERILIZATION (patient and surgical

tools )

Page 4: Pacemaker implantation technique waleed roshdy

CENTRAL VENOUS ACCESS TECHNIQUES

Page 5: Pacemaker implantation technique waleed roshdy

TARGET VEINS FOR ACCESS

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3 -INCISION AND POCKET FORMATION

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RV LEAD PLACEMENT Position and stability Techniques : # prolapsing # drop down # direct crossing

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MESUREMENT (PACING THRESHOLD AND R WAVE MESUREMENT)

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ATRIAL LEAD PLACEMENT

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FINAL STEPS #closing the wound #Antibiotics #Covering the wound #Specific instructions

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COMPLICATIONS

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