Electrophysiologists or specially trained cardiologists perform pacemaker implantation procedure. They are adequately experienced and elaborately trained to perform such procedures. The implantation procedure can be carried out under general or local anaesthesia. Fluoroscopy imaging guidance is required for the implantation. The type of implant used dictates the duration of the surgery.
During the procedure, the skin of the chest area is cut and then the device is implanted into the soft tissues in the subclavicular area. This type of procedure is known as pre-pectoral implantation, which is done just above the pectoral muscles.
A cardiologist or electrophysiologist uses fluoroscopy imaging for implanting the pacemaker device at the designated location inside the heart. The leads are threaded through a vein, which is then guided to the right position into the heart muscles is reached. Once done, the pulse generator is connected to the pulse generator unit, which is implanted in the chest. The implantation procedure may take up to a maximum of one hour, or it can take up to several hours depending on the type of device used.
After the cardiologist connects the leads to the pacemaker and the heart, he tests the device to ensure that the electrical impulses are carried to the heart from the pacemaker. He finally makes sure that the patient’s heart rhythm and heart rate is being read accurately and goes on normally.