Procedure code: Pacemaker dual chamber K60.6
Admitted with
EF
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Intravenous antibiotics were given pre-procedure.
I located the axillary vein with radiographic guidance and used it for venous access.
Active right atrial appendage and active right ventricular apical leads placed with good parameters
Dual chamber (DR) pacemaker placed in pre-pectoral pocket
The wound was closed with absorbable sutures subcutaneously and to the skin.
Set up DDD 50 bpm
AVDs 150/200
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To minimize risk of lead displacement the patient has been advised to minimise movement of the relevant arm for two days and to avoid raising the arm above the horizontal for 4 weeks.
A PA and lateral chest X-Ray is to be performed in 3-4 hours to exclude pneumothorax or lead displacement. Please call me on 26539/ bleep 6911 to check the result. If x-ray done out of hours please bleep cardiology registrar on 4205 to check the X-ray.
A magnet check will be performed later today
May not drive for at least one week . Follow up has been arranged in pacemaker clinic in 6-10 weeks
Suitable for nurse-led discharge
I dissected down to the cephalic vein and used it for venous access.
pacing check will be performed tomorrow morning