How are pacemakers placed?

Minor surgical proce: Pacemakers are placed in a cardiac cath or surgical suite with the visual guidance of fluoroscopy (x-ray visualization). A pacing lead is placed into the heart after access to a vein in the arm, groin, neck, chest is obtained. Specific electrical parameters of the lead are checked, then the lead attached to a pacemaker often embedded in the upper chest wall, where small incision is made.

Pacemaker: The wire is introduced through a large vein and passed to the heart position under fluoroscopic guidance. After lead position is verified, a skin pocket for the pulse generator is made the system is connected, placed in the pocket and the pocket is closed.