Term
Surgeon inserts the electrode and advances it, under direct flouroscopic vision, into the right atrium, through the tricuspid valve, and into the right ventricle |
|
Definition
|
|
Term
If local anesthesia is to be used, the surgeon infiltrates the skin and subcutaneous tissues with local anesthetic solution of his/her choice |
|
Definition
|
|
Term
Surgeon attempts to lodge or entrap the electrode tip in the trabecula carnea of the right ventricular apex |
|
Definition
|
|
Term
Patient is prepped and draped |
|
Definition
|
|
Term
Surgeon encircles the vessel with heavy suture or umbilical tape |
|
Definition
|
|
Term
Surgeon places pulse generator in the pocket and irrigates the wound(s) with antibiotic solution |
|
Definition
|
|
Term
If the electrode has been placed through in the jugular vein, the surgeon creates a tunnel through the subcutaneous tissue to the pocket of the pacemaker and passes the electrode through the tunnel |
|
Definition
|
|
Term
Surgeon performs a venotomoy with a No. 11 blade or inserts an introducer into the vein |
|
Definition
|
|
Term
Surgeon closes the wound(s) |
|
Definition
|
|
Term
Surgeon performs a cutdown to isolate a cephalic or jugular vein |
|
Definition
|
|
Term
Patient is placed in supine position, and EKG monitor leads are placed in position |
|
Definition
|
|
Term
Surgeon creates a pocket for the implantable pacemaker (pulse generator or a pacing analyzer for testing) |
|
Definition
|
|
Term
The electrode is attached, by appropriate cables, to an external pulse generator or a pacing analyzer for testing |
|
Definition
|
|
Term
Surgeon attaches electrode to pulse generator |
|
Definition
|
|