Why the study?
Does a percutaneous transaxillary approach for implanting permanent pacemakers in the retropectoral space provide safe and cosmetically acceptable results in patients requiring pacemakers?
Does a percutaneous transaxillary approach for implanting permanent pacemakers in the retropectoral space provide safe and cosmetically acceptable results in patients requiring pacemakers?
The percutaneous transaxillary approach for retropectoral pacemaker implantation is a safe and feasible technique that provides excellent cosmetic results.
May support transaxillary retropectoral implantation in select patients; leaves open need for larger prospective validation.
This report describes a percutaneous, transaxillary approach for implanting permanent pacemakers in the retropectoral space. This approach was used in 17 patients; indications for the procedure included the need to find a new implantation site in patients with infections and multiple previous pacemaker pocket sites (2 patients), emaciation and absence of sufficient adipose tissue (4 patients), and cosmetic considerations (11 patients). No complications were encountered during the implantation and the results were uniformly excellent in all patients. The pacemaker was "invisible" in each case. We conclude that a percutaneous approach for implanting permanent pacemakers in the retropectoral region is safe and feasible. This approach is likely to be applicable to the implantation of transvenous antitachycardia devices.
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Shefer et al. (1996) studied this question.
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