Techniques of Pacemaker Implantation and Removal

Preventing Shoulder Pain after Cardiac Rhythm Management Device Implantation: A Randomized, Controlled Study

“…We suspect that, due to pain, postoperative instruction, and fear of potential complications, many patients limit the use of the ipsilateral arm. The shoulder mobility restrictions we gave to patients in the control group are widespread and used commonly in the community, as they have been part of formal pacemaker implant education 7 . Although we encourage our patients to avoid excess shoulder inactivity and advise against the use of slings, it is nevertheless possible that these commonly used instructions might encourage patients to limit arm mobility on the ipsilateral side to a more significant degree than is desirable.…”

Patient-specific prediction of intrinsic mechanical loadings on sub-muscular pectoral pacemaker implants based on an inter-species transfer function

“…The position of the IPM implant in the baboon is indicated with white arrows (a, c). For human (b, d), the estimated position (Brinker and Midei, 2005) is indicated.…”

“…In VHM images, the position of a pectoral sub-muscular pacemaker implant was estimated according to Brinker and Midei (2005). Comparative anterior-posterior and lateral measurements for baboon and human were obtained from axial views.…”

Axillary/Subclavian Vein Puncture Using Navigation by Parallax with an Imaginary Target

“…If needle puncture is used to provide venous access for transvenous lead placement, it is desirable to have the venous entry site in either the axillary vein (lateral to the external border of the first rib) or the extra‐thoracic portion of the subclavian vein (over the superior surface of and lateral to the internal border of the first rib) in order to minimize the risk of subclavian crush 3–6 . Many techniques for achieving this aim have been described, and they all require some means (generally based on tactile sensation, 7–10 fluoroscopy, 1,11,12 or ultrasound 13–15 ) to guide the puncture process. An alternative to venous puncture is cut down to the cephalic vein, which will enable venous access to be achieved under direct vision and also minimize the risk of subclavian crush and pneumothorax 3 .…”