title: Feasibility of the inframammary location for insertable loop recorders in young women and girls.
abstract: The parasternal location for the insertable loop recorder (ILR) has potential for erosion in small patients, and can be aesthetically unappealing, especially for young women. We assessed the feasibility of the inframammary location in nine patients, utilizing a 2 cm transverse incision at the inferior and medial border of the left or right breast. Signal quality was adequate with clearly discernable atrial and ventricular electrograms. No complications involving the surgical site were observed. Cosmetically, placement of the scar in the natural breast crease has been favorably accepted. Inframammary implantation of the ILR is feasible, and is the preferred method in young women and girls at our center.
authors.affiliation: Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2572, USA. Prince.Kannankeril@Vanderbilt.edu
authors.forename: Prince J
authors.initials: PJ
authors.lastname: Kannankeril
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Bibeau
authors.forename: Frank A
authors.initials: FA
authors.lastname: Fish
mesh_terms: D000293:Adolescent; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D001940:Breast; D002648:Child; D004562:Electrocardiography / Q000295:instrumentation* / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D019919:Prosthesis Implantation; D013575:Syncope / Q000175:diagnosis*