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Devices: Difference between revisions
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If these tests are within limits, the pacemaker leads are properly positioned. Thereafter, the pacemaker pulse generator is implanted subcutaneously or subpectorally under the left or right clavicle. | If these tests are within limits, the pacemaker leads are properly positioned. Thereafter, the pacemaker pulse generator is implanted subcutaneously or subpectorally under the left or right clavicle. | ||
==Programming | ==Programming== | ||
===Pacemaker codes=== | ===Pacemaker codes=== | ||
Pacemakers can be categorized according to the NASPE coding system that usually consists of 3-5 letters. | Pacemakers can be categorized according to the NASPE coding system that usually consists of 3-5 letters. | ||
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[[Image:Ventricular oversensing.svg|right|thumb|300px]] | [[Image:Ventricular oversensing.svg|right|thumb|300px]] | ||
The pacemakers senses signals on the marker | The pacemakers senses signals on the marker channel that do not correspond to the ECG pattern. This can be physiologic (e.g. ventricular pulse or myopotentials) or non-physiologic (e.g. lead fracture or if the lead is loose from the pacemaker pulse generator or outside interference such as TENS therapy or surgical diathermy). | ||
channel that do not correspond to the ECG pattern. This can be | |||
physiologic (e.g. ventricular pulse or myopotentials) or | |||
non-physiologic (e.g. lead fracture or if the lead is loose from | |||
the pacemaker pulse generator or outside interference such as | |||
TENS therapy or surgical diathermy). | |||
===Non-capture:=== | ===Non-capture:=== | ||
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==Implantation== | ==Implantation== | ||
[[Image:ChestXray.jpg|right|thumb|Chest X-ray of a patient with an CRT device (in posteroanterior and lateral view) | [[Image:ChestXray.jpg|right|thumb|300px|Chest X-ray of a patient with an CRT device (in posteroanterior and lateral view)<br/>The red arrow is the right atrial lead<br/>The blue arrow is the right ventricular lead<br/>The green arrow is the coronary sinus lead]] | ||
The red arrow is the right atrial lead | |||
The blue arrow is the right ventricular lead | |||
The green arrow is the coronary sinus lead]] | |||
ICDs are implanted under local anaesthesia in a sterile operating room or catheterization laboratory. Transvenous ICD implantation starts, like pacemaker implantation, with inserting the ICD leads in the left or right cephalic vein. Fluoroscopy is used to ensure the appropriate location in the atrium or ventricle. Leads are often positioned in the auricle of the right atrium and/or the right ventricular apex. | ICDs are implanted under local anaesthesia in a sterile operating room or catheterization laboratory. Transvenous ICD implantation starts, like pacemaker implantation, with inserting the ICD leads in the left or right cephalic vein. Fluoroscopy is used to ensure the appropriate location in the atrium or ventricle. Leads are often positioned in the auricle of the right atrium and/or the right ventricular apex. | ||