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Pacemaker implantation

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Pacemaker implantation

Pacemaker implantation

A pacemaker is a battery-powered device placed under the skin or the muscle (usually on the anterior chest) connected to different heart chambers with leads (cables). An electrical impulse sent through the leads will cause the heart to beat whenever is needed.



What is it

A pacemaker is a battery-powered device placed under the skin or the muscle (usually on the anterior chest) connected to different heart chambers with leads (cables). An electrical impulse sent through the leads will cause the heart to beat whenever is needed. Single chamber pacemakers have one lead, dual chamber pacemakers have two, and biventricular pacemakers have three leads (Fig 1). In addition, the Micra® and Nanostim® single chamber pacemaker have only recently
become available and are made of a capsule slightly bigger than the size of the coin (Fig. 2). The capsule contains the whole pacemaker “head” and battery, is implanted from the femoral vein (a large vein in the groin) into the right ventricle (the chamber that pumps blood into the lung), and does not require surgical incision of the chest or placement of any leads in the heart (Fig. 2). Patients are usually discharged 2 days after the operation.

Why a patient needs a pacemaker

The heart is a pump controlled by electrical signals. If the sino-atrial (the main pacer of the heart) or the atrio-ventricular node (which transmits electrical impulse from the collecting to the pumping heart chambers) are not functioning properly, a profound bradycardia (slow heart beat) can occur, resulting in shortness of breath, inability to exercise and fainting. Further deterioration up to a complete absence of any cardiac beat can happen. Biventricular pacemakers, where leads are implanted in the right and left ventricle (the 2 pumping chamber of the heart) are implanted in selected patients with heart failure, to support and improve heart functioning.

What we perform

Coronary angiography, angioplasty and stenting is performed with the newest angiography equipment (machine that visualize catheters and body structures with X-Ray), therefore reducing the amount of XRay dose and contrast media. All available Stent with (Drug-Eluting-Stent, DES) and without (Bare-Metal-Stent, BMS) drugs are available.
Non-polymeric and absorbable stent are also used. The selection of the stent type is made on the basis of coronary anatomy and specific patient risk profi le and additional diseases. Ablation in congenital heart disease

Category
Services
Type of service
Surgery


PRENOTA UN CONSULTO CON I NOSTRI MEDICI

Dott. Goran Arandjelovic
T. 340.9204779
Dr.ssa Fedra Gottardo
T. 3284017153




PRENOTA UN CONSULTO CON I NOSTRI MEDICI

Dott. Goran Arandjelovic T. 340.9204779
Dr.ssa Fedra Gottardo T. 3284017153




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