Here's a video with some general info on first placement. You'll note the placement of the lead thru the tricuspit valve. They don't show what the end of the leads look like! Does Sheet metal screw sound familiar?? It's covered until it's in position then with a twist it exposes. However your newer leads are coated and will not bind to the vein surface. If he's having all these problems with it, this is the way to go. Their more then likely also going to replace the pacer which should be a blessing. I personally like the newer St. Judes there like mini lap-tops in your chest. It's unreal the amount of info you can get from them and the transfer system has to make contact with the body to get your info so there pretty secure also.
As far as removing the old leads it's kind of a pain in the B--T but can be done ok if the screw cover returns to it's covered position. If not, it's time consuming. The electrophysioligist's are usually pretty good at this. Providing he's not totally dependent on the pacer. That's another story!!!
He might have to spend the night after the procedure but he'll be better off in the long run. Wish him luck!! http://heart.emedtv.com/pacemaker-place ... video.html
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