Related Experiment Videos
An alternate site for pacemaker placement when standard locations are not available
Victor Parsonnet1, Asad Cheema
1Division of Surgical Research and the Pacemaker Center Newark Beth Israel Medical Center, Newark, New Jersey 07112, USA. vpace@comcast.net
Pacing and Clinical Electrophysiology : PACE
|March 11, 2004
Summary
For patients needing venous access and pulse generator placement, a novel tunneling technique offers a viable solution when standard sites are unavailable. This method uses the jugular vein and latissimus dorsi muscle for improved device implantation.
Area of Science:
- Medical Devices
- Surgical Techniques
- Cardiovascular Interventions
Background:
- Standard venous access and pulse generator implantation sites may not always be suitable for all patients.
- Alternative strategies are crucial for successful device placement in complex cases.
Observation:
- The study explored an alternative approach for patients lacking conventional venous access and pulse generator locations.
- This involved tunneling leads from the jugular vein under the clavicle.
Findings:
- Tunneling leads from the jugular vein under the clavicle and implanting the pulse generator beneath the latissimus dorsi muscle proved to be a satisfactory alternative.
- This technique provides a viable option for challenging device implantations.
Implications:
- This alternative surgical technique expands options for pacemaker and defibrillator implantation in patients with unique anatomical challenges.
- It highlights the importance of adaptable approaches in cardiovascular device therapy.