endocardium of the right atrium or ventricle (or both) by means of an electrode introduced into a central vein, such as the subclavian, femoral, brachial, internal jugular, or external jugular vein.
Complications include bleeding, infection, pneumothorax, cardiac dysrythmias, MI, lead discplacement, fracture of the pacing lead, hematoma at the insertion site, perforation of the right ventricle with or without pericardial tamponade, and perforation of the inferior vena cava, pulmonary artery, or coronary arteries because of improper placement of the pacing lead.
Basically the pacing electrode is advanced through a large vein into the R atrium or R ventricle or both. You can use a Swanz-Ganz pacing pulmonary artery catheter.
7th EditionJulie S Snyder, Linda Lilley, Shelly Collins
7th EditionJulie S Snyder, Mariann M Harding
2nd EditionAndrew Cavanagh, Steven Jones
8th EditionBarbara A. Gylys