ABSTRACT
Patient selection and preparation Pocket formation Vein access Lead placement Defibrillation threshold testing Interrogation and programming after implantation
PATIENT SELECTION AND PREPARATION Patients must have an indication for pacemaker or implantable cardioverter
defibrillator (ICD) according to ACC/AHA guidelines as discussed elsewhere.1,2 Patients must have informed consent before proceeding with implantation. This includes discussion of the reasons for implantation, the potential risks associated with the procedure, and alternatives to the procedure. Major risks include pneumothorax, cardiac perforation, pericardial effusion, and pulseless electrical activity associated with defibrillation testing. Minor risks include bleeding and infection. Patients should be aware of lifelong maintenance of the device and the need for generator replacements in the future.
