Why the study?
Pacemaker pocket erosion with exposure is a significant complication of cardiac implantable electronic devices, particularly in elderly patients with limited subcutaneous tissue.
A surgical rotational flap combined with generator replacement and antibiotics can successfully manage pacemaker pocket erosion and extrusion in fragile elderly patients.
Rotation flap coverage may aid pacemaker extrusion repair in frail elderly patients; single case leaves open need for prospective validation before wider use.
Pacemaker pocket erosion with exposure is a significant complication of cardiac implantable electronic devices, particularly in elderly patients with limited subcutaneous tissue. This case report details the successful management of a 93-year-old woman presenting with pacemaker extrusion, treated through antibiotic therapy, generator replacement, and covering with a rotation flap. This case underlines the importance of interdisciplinary collaboration and careful approaches in addressing dangerous device-related complications in fragile patients.
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Sarai et al. (2025) studied this question.
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