Cargando…
Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique
A 65-year-old man presented with chronic pain due to frequent movement of a dual chamber pacemaker (PPM) within the device pocket despite being secured to the underlying muscle. Due to chronic pain and possible indolent infection, the PPM was removed and a new device was implanted on the contralater...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935260/ https://www.ncbi.nlm.nih.gov/pubmed/33728128 http://dx.doi.org/10.7759/cureus.13108 |
_version_ | 1783660970657185792 |
---|---|
author | Pothineni, Naga Venkata K Kumareswaran, Ramanan Schaller, Robert D |
author_facet | Pothineni, Naga Venkata K Kumareswaran, Ramanan Schaller, Robert D |
author_sort | Pothineni, Naga Venkata K |
collection | PubMed |
description | A 65-year-old man presented with chronic pain due to frequent movement of a dual chamber pacemaker (PPM) within the device pocket despite being secured to the underlying muscle. Due to chronic pain and possible indolent infection, the PPM was removed and a new device was implanted on the contralateral side via a persistent left superior vena cava. To prevent device movement, it was placed within a CanGaroo® envelope (Aziyo Biologics Inc., Silver Spring, MD, USA), which was secured to the underlying muscle with a silk suture along three of its corners. The envelope, which becomes incorporated into the surrounding tissue forming a vascularized tissue pocket, should further reinforce device stability over time. The patient’s left-sided symptoms abated immediately and he remains free of symptoms on the right side over a six-week follow-up period. |
format | Online Article Text |
id | pubmed-7935260 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-79352602021-03-15 Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique Pothineni, Naga Venkata K Kumareswaran, Ramanan Schaller, Robert D Cureus Cardiology A 65-year-old man presented with chronic pain due to frequent movement of a dual chamber pacemaker (PPM) within the device pocket despite being secured to the underlying muscle. Due to chronic pain and possible indolent infection, the PPM was removed and a new device was implanted on the contralateral side via a persistent left superior vena cava. To prevent device movement, it was placed within a CanGaroo® envelope (Aziyo Biologics Inc., Silver Spring, MD, USA), which was secured to the underlying muscle with a silk suture along three of its corners. The envelope, which becomes incorporated into the surrounding tissue forming a vascularized tissue pocket, should further reinforce device stability over time. The patient’s left-sided symptoms abated immediately and he remains free of symptoms on the right side over a six-week follow-up period. Cureus 2021-02-03 /pmc/articles/PMC7935260/ /pubmed/33728128 http://dx.doi.org/10.7759/cureus.13108 Text en Copyright © 2021, Pothineni et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Pothineni, Naga Venkata K Kumareswaran, Ramanan Schaller, Robert D Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title | Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title_full | Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title_fullStr | Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title_full_unstemmed | Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title_short | Pacemaker Pocket Stabilization Utilizing a Novel Envelope and a Three-Point Anchoring Technique |
title_sort | pacemaker pocket stabilization utilizing a novel envelope and a three-point anchoring technique |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935260/ https://www.ncbi.nlm.nih.gov/pubmed/33728128 http://dx.doi.org/10.7759/cureus.13108 |
work_keys_str_mv | AT pothineninagavenkatak pacemakerpocketstabilizationutilizinganovelenvelopeandathreepointanchoringtechnique AT kumareswaranramanan pacemakerpocketstabilizationutilizinganovelenvelopeandathreepointanchoringtechnique AT schallerrobertd pacemakerpocketstabilizationutilizinganovelenvelopeandathreepointanchoringtechnique |