Temp/Perm Guide

The Temp/Perm pacemaker setup is used when a short term pacemaker is needed for heart block in the setting of Alcohol Septal Ablation or TAVI. It uses a standard passive fixation pacemaker lead placed through the subclavian vein. A permanent pacemaker unit is connected to the lead outside the body to provide stimulation.

Programmer setup

• Take blue medtronic bag from TAVR cart
• Plug in white wand base
• Boot up iPad, password: Medtronic
• Select SmartSync app on main screen
• Follow prompts to connect wireless wand
• Once connected, place wand over pacemaker
• If testing capture of the lead make sure fresh set of alligator cables are on the table, they will connect to the lead and the white wand base
• Program device according to MD preference

Warning: ***WHEN DEVICE RETURNED TO LAB PLEASE REPROGRAM TO "OVO"*** this will make sure it stops pacing while not in use by a patient, and preserve battery life!

Note: Rep is available for FaceTime during case if in need of assistance! Justin - 408-781-9997

PPM Pre-Programing Once Out of Box

• Connect device to programmer
• Select "PARAMETERS" under top right drop down icon
• Click on box that says "PACING..."
• Change "Pace Polarity AND Sense Polarity" from unipolar to bipolar
• Next click on "ADDITIONAL FEATURES..." in lower right corner
• Under "IMPLANT DETECTION" make sure you turn in OFF

Equipment

Open

• US probe cover
• Micropuncture set
• 6fr. Peel away sheath
• Pacemaker lead
• Single chamber PPM
• Alligator clip pacing cable
• 2-0 Ethibond suture pack from ECMO cart
• 1 x 2-0 Prolene suture
• Screwdriver
• 3 x Medium Tegaderms
• Biopatch

Procedure

1. Prep and drape right shoulder area
2. Ultrasound guided access to R Subclavian vein
3. Insert peel-away sheath
4. Insert lead and test
5. Suture lead in place at skin
6. Biopatch and place dressing
7. Attach external PPM, secure with tegaderm