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Submammary pacemaker implantation: a unique tunneling technique
M Roelke1, G Jackson, J W Harthorne
1Pacemaker Laboratory, Massachusetts General Hospital, Boston 02114.
Pacing and Clinical Electrophysiology : PACE
|November 1, 1994
Summary
Submammary pacemaker implantation provides a cosmetically superior option for women. This novel technique ensures patient comfort and excellent cosmetic outcomes with no lead dislodgments during follow-up.
Area of Science:
- Cardiology
- Medical Devices
- Surgical Techniques
Background:
- Standard pectoral pacemaker implantation can be cosmetically undesirable for female patients.
- Alternative implantation sites are sought to improve aesthetic outcomes.
- Submammary implantation presents a potential cosmetic solution.
Purpose of the Study:
- To present a novel technique for submammary pacemaker implantation in women.
- To evaluate the feasibility, safety, and cosmetic satisfaction of this approach.
Main Methods:
- A cohort of ten female patients (aged 13-54 years) underwent submammary pacemaker implantation.
- Lead electrodes were tunneled from the infraclavicular to the inframammary incision using specialized guidewire techniques.
- The procedure was primarily performed under local anesthesia.
Main Results:
- All ten patients tolerated the procedure well, with no acute complications.
- Follow-up (2-23 months) revealed no instances of lead dislodgment.
- Patients reported high satisfaction with the cosmetic results, with no mastitis or incisional complications.
Conclusions:
- Submammary pacemaker implantation is a safe and effective procedure for women.
- This technique offers minimal patient discomfort and optimal cosmetic results.
- It represents a cosmetically acceptable alternative to standard pectoral pacemaker placement.