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Pacemaker: Leadless: Pre-op

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Leadless Pacemaker Placement: Before Your Procedure

What is leadless pacemaker placement?

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A leadless pacemaker is a small, battery-powered device. It sends
mild electrical signals to your heart to keep it beating normally.
These signals are painless. The pacemaker can help stop the
dizziness, fainting, and shortness of breath caused by a slow heart
rate.

You will get medicine before the procedure. It helps you relax and
helps prevent pain.

Your doctor doesn't need to make any cuts to do the procedure.
Instead, your doctor uses a thin tube called a catheter. The
pacemaker is placed inside the catheter. The doctor puts the
catheter into a blood vessel in your groin. You will get a shot to
numb the skin where the catheter goes in.

Then the doctor moves the catheter through the blood vessel to your
heart. You may feel pressure when the doctor does this. Your doctor
may also have injected a dye into your blood vessel and heart. The
dye shows up on a screen. It helps your doctor see where to move the
catheter and pacemaker.

When the catheter is inside the lower right chamber of the heart
(right ventricle), the doctor moves the pacemaker out of the
catheter. Your doctor attaches the pacemaker to the heart tissue so
that it doesn't move. Flexible hooks may be used. Then the catheter
is removed from your body.

You may spend the night in the hospital, or you may go home the same
day. Your groin may have a bruise and feel sore for a few days.

If you are worried about having a pacemaker, it may help if you
learn about how the pacemaker helps your heart. Talk to your doctor
if you have concerns.

How do you prepare for the procedure?

Procedures can be stressful. This information will help you
understand what you can expect. And it will help you safely prepare
for your procedure.

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Preparing for the procedure

 

  • Be sure you have someone to take you home. Anesthesia and
    pain medicine will make it unsafe for you to drive or get
    home on your own.

 

  • Understand exactly what procedure is planned, along with
    the risks, benefits, and other options.

 

  • Tell your doctor ALL the medicines, vitamins, supplements,
    and herbal remedies you take. Some may increase the risk
    of problems during your procedure. Your doctor will tell
    you if you should stop taking any of them before the
    procedure and how soon to do it.

 

  • If you take a medicine that prevents blood clots, your
    doctor may tell you to stop taking it before your
    procedure. Or your doctor may tell you to keep taking it.
    (These medicines include aspirin and other blood
    thinners.) Make sure that you understand exactly what your
    doctor wants you to do.

 

  • Make sure your doctor and the hospital have a copy of your
    advance directive. If you don't have one, you may want to
    prepare one. It lets others know your health care wishes.
    It's a good thing to have before any type of surgery or
    procedure.

What happens on the day of the procedure?

 

  • Follow the instructions exactly about when to stop eating
    and drinking. If you don't, your procedure may be
    canceled. If your doctor told you to take your medicines
    on the day of the procedure, take them with only a sip of
    water.

 

  • Follow your doctor's instructions about when to bathe or
    shower before your procedure. Do not apply lotions,
    perfumes, deodorants, or nail polish.

 

  • Take off all jewelry and piercings. And take out contact
    lenses, if you wear them.

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At the hospital
or surgery center

 

  • Bring a picture ID.

 

  • You will be kept comfortable and safe by your anesthesia
    provider. You may get medicine that relaxes you or puts
    you in a light sleep. The area being worked on will be
    numb.

 

  • After the procedure, pressure may be applied to the area
    where the catheter was put into your blood vessel. This
    will help prevent bleeding. A small device may also be
    used to close the blood vessel. The area may be covered
    with a bandage or a compression device.

 

  • Nurses will check your heart rate and blood pressure. The
    nurse also will check the catheter site for bleeding.

 

  • You may have a bruise or a small lump where the catheter
    was put in your blood vessel. This is normal and will go
    away.

 

  • You will need to lie still and keep your leg straight for
    up to a few hours. The nurse may put a weighted bag on
    your leg to keep it still.

 

  • The procedure will take about 30 to 40 minutes.

When should you call your doctor?

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  • You have questions or concerns.

 

  • You don't understand how to prepare for your procedure.

 

  • You become ill before the procedure (such as fever, flu,
    or a cold).

 

  • You need to reschedule or have changed your mind about
    having the procedure.

Current as of: June 24, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare
professional. If you have questions about a medical condition or
this instruction, always ask your healthcare professional.
Healthwise, Incorporated disclaims any warranty or liability for
your use of this information.

© 2006-2025 Healthwise, Incorporated.
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