A subpectoral pocket in the management of a patient with impending extrusion of a pulse generator.
A new method of management of the extruding cardiac pacemaker is proposed. The technique involves placement of the pacemaker and its leads in a subpectoral pocket. The technique has been studied in 13 patients with a success rate of 84.6 percent, perioperative complication rate of 7.7 percent, and late extrusion rate of 7.7 percent.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects; D010369:Pectoralis Muscles / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology