Key result
Inframammary loop recorder insertion provides adequate signal quality with zero surgical complications and favorable cosmetics.
Why the study?
The parasternal location for insertable loop recorders has potential for erosion in small patients and may be aesthetically unappealing for young women.
Observational (n=9)
No
Inframammary ILR placement appears feasible with adequate signals in small cohort; hypothesis-generating and requires larger prospective validation before practice change.
The parasternal location for the insertable loop recorder (ILR) has potential for erosion in small patients, and can be aesthetically unappealing, especially for young women. We assessed the feasibility of the inframammary location in nine patients, utilizing a 2 cm transverse incision at the inferior and medial border of the left or right breast. Signal quality was adequate with clearly discernable atrial and ventricular electrograms. No complications involving the surgical site were observed. Cosmetically, placement of the scar in the natural breast crease has been favorably accepted. Inframammary implantation of the ILR is feasible, and is the preferred method in young women and girls at our center.
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Kannankeril et al. (2004) conducted an observational in Arrhythmia or condition requiring cardiac monitoring (n=9). Inframammary implantation of insertable loop recorder was evaluated on Feasibility, signal quality, surgical complications, and cosmetic acceptance. Inframammary implantation of an insertable loop recorder yielded adequate signal quality with no surgical site complications and favorable cosmetic results in 9 patients.
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