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KMID : 1011920140150030035
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International Journal of Arrhythmia
2014 Volume.15 No. 3 p.35 ~ p.41
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Kim Jun-Soo
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Abstract
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The first artificial cardiac pacemaker implantation was reported in 1959. Cardiac pacemaker implantation procedures were performed exclusively by a cardiac surgeon. Early pacemaker implantation involved extensive surgery and required an open-chest procedure for the placement of epicardial pacing electrodes. From epicardial cardiac pacemaker implantation, the technique of pacemaker implantation has undergone dramatic changes. Transvenous cephalic cutdown was initially introduced. Then, subclavian vein access by the Seldinger technique and the introduction of the peel-away sheath allowed for easy transvenous pacing lead insertion. Since 1980, diminishing cardiac pacemaker size and the introduction of smaller and diverse types of pacing leads have contributed to the easier implantation of cardiac pacemakers by physicians in the cardiac catheterization room.
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KEYWORD
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pacemaker, artificial, implantation, technique
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