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How to Make a Submuscular Pocket

“…Based on available published data, no difference in implantation or total procedure time, implant parameters, defibrillator threshold testing, or long-term complications have been found comparing submuscular to subpectoral pocked device replacement. 2,3 In our experience over the last 10 years with this technique, we have found no increased risk of complications, such as hematoma formation or pain postdevice implantation. We have heard anecdotally of an increased risk of lead Figure 3.…”