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Hi thanks for getting in touch, I'm really sorry to hear about what's been going on you've had it really hard. It really depends on why exactly you're having a pacemaker fitted (RV lead I mean). I'm guessing this is as an RA lead alone (assuming they're trying to dual chamber pace you) isn't sometimes enough particularly if there is conduction delay between the atrium and ventricle and so an RV lead almost always is needed. Are they doing anything differently to make sure another perforation risk is lower? (I'm sure they'll have a strategy for this, just wondering if you knew?) I hope that helps.
You're so welcome. I'm sure they'll have their expert operator do it and rightly so. I sincerely ***** ***** all goes well. Come back if you've further questions. All the very best :)