Conduction System Pacemaker

What to Expect During the Procedure

• The procedure is performed under local anesthesia with sedation, meaning you will be awake but comfortable.
• A small incision will be made near the collarbone to create a pocket for the device.
• A lead is carefully positioned deep into the septum to directly stimulate the heart's conduction system for a more natural contraction.
• The device will be tested to ensure proper function before the incision is closed.
• The procedure typically takes 1 to 2 hours.

Risks Involved

While conduction system pacing is a well-tolerated procedure, potential risks include:

• Bleeding or bruising at the insertion site.
• Infection at the device site, which may require antibiotics or, in rare cases, removal of the device.
• Lead displacement, which may require repositioning in a follow-up procedure.
• Pneumothorax (collapsed lung), a rare complication due to accidental lung puncture during lead placement.
• Cardiac perforation, a rare complication that may require a drain. In extremely rare cases, open heart surgery may be required.

What to Expect After the Procedure

• Mild pain, swelling, or bruising at the incision site, which should improve over several days.
• Restricted arm movement on the side of the device for 4-6 weeks to allow proper healing.
• Follow-up appointment will be scheduled within a few weeks to check device function and incision healing.

When to Seek Medical Attention

Go to the Emergency Room if you experience:

• Severe pain, redness, swelling, or discharge at the device site.
• Persistent dizziness, shortness of breath, or extreme fatigue.
• Sudden swelling of the arm on the side of the device.
• Palpitations or an irregular heartbeat.

Follow-Up Care

• You will have a follow-up visit within 2-6 weeks to check device function.
• Routine checks are needed every 6-12 months to monitor battery life and performance.
• If you have any concerns or unusual symptoms, contact our office for further evaluation.