Transvenous Pacemakers

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The Transvenous Pacemaker insertion is a medical procedure performed to help regulate abnormal heart rhythms. This procedure involves implanting a small electronic device, known as a pacemaker, into the patient’s chest. The pacemaker sends electrical impulses to the heart to maintain a regular heart rhythm and ensure the heart beats as it should.

The procedure typically begins with the administration of a local anesthetic to numb the area where the pacemaker will be inserted, usually in the upper chest. The physician then makes a small incision in the chest and inserts a lead (a flexible, insulated wire) into a vein. This lead is guided through the vein, using real-time imaging technology, until it reaches the heart.

The lead has an electrode at its tip, which will deliver the electrical impulses from the pacemaker to the heart. Once the lead is in the correct position, the other end is connected to the pacemaker device. The pacemaker is then inserted into a small pocket created by the physician under the skin in the chest.

The whole procedure usually takes about one to two hours. After the procedure, the pacemaker’s settings can be adjusted as necessary to ensure the heart is beating at the right pace. The patient’s heart rhythm and the function of the pacemaker are regularly monitored to ensure it is working correctly.