How to Make a Submuscular Pocket

摘要

Today, most devices are placed in the prepectoral location in a procedure that has evolved to become safe, fast, and routine. However, at times patients will be encountered who require placement of a pulse generator below the muscle. Such patients may be identified by a low body mass index, depleted fat stores, and lack of adequate subcutaneous tissue to adequately cover the device. These patients are at high risk for device erosion. Another candidate for submusclar device placement would be a young muscular patient or very elderly patient devoid of subcutaneous fat.