Welcome to howtopace.com – a visual, hands on resource for cardiac pacemaker implantation. The content has been organized in three broad sections : Basics, Core Techniques and Video Library. Basics section will contain general topics necessary to provide background information on pacing. Core Techniques section will explore the integral steps of actual implantation procedure. Video library has all of the videos of this site and are ordered in logical sequences to progress in a given device implantation end to end.
How to Pace
Practical & Visual Guide to Cardiac Pacemaker Implantation
Hands on Videos of Actual Procedures
Highly detailed, step wise videos of procedures – Recorded from the operators point of view – showing exactly what to do.
Schematics
Descriptive diagrams for understanding key steps
Recent updates will be available here.
-
Anatomy and Pharmacology : Pocket Anatomy / Venous Anatomy
-
Physics of Pacing : Leads
-
Patient Preparation
-
Theatre Setup and Instruments
-
Safety : General Aspects of Safety / Pacing in Elderly
-
Anaestheisa and Sedation : Sedation / Local Anaesthesia
-
Venous Access for Pacing : Venography / Axillary Vein Technique / Subclavian Access / Multi – Access / Troubleshooting
-
Pocket : Technique of Pre-Pectoral Pocket
-
Guidewires and sheaths : Insertion of First Guidewire / Insertion of Sheaths / Insertion of Additional Wires
-
Lead Implantation : RV Septal Pacing Physiology / RV Lead Septal Placement / RV Apical Pacing / Atrial Lead Implantation
-
Intraoperative lead testing
-
Sleeves and anchoring of the Lead
-
Device attachment
-
Closure of Pocket
-
Closure of Skin
-
RV Single Chamber Pacing – The Sequence
-
Atrial Single Chamber Pacing – The Sequence
-
Dual Chamber Pacing – The Sequence