Share this page

Health Library

The Implant Procedure

NOTE: This resource is designed to provide a concise introduction to a variety of screening, diagnostic, and treatment procedures. All animations in the Procedures InMotion resource are physician-reviewed and reflect the most up-to-date, evidence-based information. Relevant sources are provided for each animation.

The information provided here is intended to offer a general idea of what to expect when you undergo a particular procedure. Some details have been intentionally omitted to make the animation more accessible. Specific details, including length of the procedure, duration of the hospital stay, and the surgical techniques used can vary based on the severity of your condition, your doctor's experience, the hospital's protocol, and other factors. Be sure to thoroughly discuss the details of your procedure with your doctor beforehand.


Transcript

Although implanting a pacemaker is considered a minor procedure, you will have pre-operative guidelines to follow. Your doctor will provide specific instructions regarding eating and drinking prior to your procedure.

They may also recommend that you stop taking certain medications, like aspirin, which can thin the blood, several hours or days in advance.

Prior to the procedure you will be required to sign a consent form. As with any procedure, there are risks associated with implanting a pacemaker, including infection, severe bleeding, and a collapsed lung. Be sure to discuss these risks or any concerns you may have with your healthcare team.

When you arrive at the hospital, you will dress in a hospital gown and be asked to remove any jewelry or accessories, such as contact lenses or dentures. These will be given to a family member for safe-keeping.

Pacemakers are implanted on either the left or right side of the chest. You will have input as to where it will be best suited for you.

Prior to the procedure, you will be given medications to help relax you. Your chest will be shaved, cleaned, and prepared near the collarbone where the incision will be made.

Although pacemaker procedures may be performed in an operating room, it is not open heart surgery. The procedure is often performed in a cardiac catheterization lab.

You will be conscious during the procedure. However, a local anesthetic will be administered so you will not feel any discomfort. An IV will be started, and electrodes will be attached to monitor your heart rhythms during the procedure.

The doctor will make an incision about two-to-four inches long, right below the collarbone, to create a small pocket. The pacing lead will be threaded through a vein and into your heart.

X-ray monitors will guide your physician through the procedure. If a second lead is used, the doctor will repeat the process.

Leads will be tested for sensing and stimulation, and then sewn into the small pocket under the skin. The electrical pacing for your device is then programmed, and the incision closed.

Animation Copyright © Milner-Fenwick

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

Baptist Flame

Health Library

Find A Doctor

Services

Locations

Baptist Medical Clinic

Patients & Visitors

Learn

Contact Us

Physician Tools

Careers at Baptist

Employee Links

Online Services

At Baptist Health Systems

At Baptist Medical Center

close ×