Breast cancer and pacemakers

Area of Science:

• Cardiology
• Oncology
• Medical Devices

Background:

• Coexistence of breast cancer and pacemaker dependency is rare.
• Device implantation in such cases presents significant technical challenges.
• Existing treatment options are often complex and invasive.

Purpose of the Study:

• To present a simplified technique for pacemaker implantation in patients with breast cancer.
• To offer an alternative to complex procedures like lead extraction or epicardial pacing.
• To manage patients with bilateral breast cancer or new homolateral breast cancer post-device implantation.

Main Methods:

• Pacemaker implantation in a neck pocket was performed.
• This approach was used for initial implantations or repositioning from prepectoral pockets.
• Existing leads were preserved by tunnelling above or below the clavicle.

Main Results:

• Eight female patients (average age 69.62 ± 11.4 years) were included.
• Seven patients achieved a good outcome following the neck pocket implantation.
• One patient experienced a post-operative infection.

Conclusions:

• Neck pocket pacemaker placement is a viable and simpler alternative for patients with coexisting breast cancer.
• This method avoids the need for lead extraction or epicardial approaches.
• The technique facilitates rhythm control device management in this challenging patient population.