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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...

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Detalles Bibliográficos
Autores principales: Pothineni, Naga Venkata K, Kumareswaran, Ramanan, Schaller, Robert D
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
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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.
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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
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