Pacemaker Implantation - Process

The implantation of a pacemaker is generally carried out using local anesthesia; in exceptional cases, general anesthesia may be necessary. Upon request, a light sleep medication can be administered. The procedure is performed under sterile conditions in a cardiac catheter laboratory.⁴

The operating doctor makes a 4-6 (1.5-2.4in) incision under the left or right clavicle. A small recess is prepared in the same spot under the skin into which the impulse generator will later be installed.
The electrode is then inserted into a vein situated underneath the clavicle and is guided into the right ventricle (and/or into the right atrium) using fluoroscopic monitoring. The electrode(s) are then fixed to the interior cardiac wall. The electrodes are sensitive to all movement, bending, and twisting of the body due to their high degree of flexibility. The electrodes are then connected to the impulse generator and their functionality is tested. If the electrodes are in a good position, the impulse generator, along with the electrode outlets, will finally be embedded into the pouch. The wound is then sewn shut and sterilized. The operation lasts about an hour.^1,5

Please speak about the treatment procedure in greater detail with the doctor who is treating you.