A subpectoral pocket in the management of a patient with impending extrusion of a pulse generator.

A new method of management of the extruding cardiac pacemaker is proposed. The technique involves placement of the pacemaker and its leads in a subpectoral pocket. The technique has been studied in 13 patients with a success rate of 84.6 percent, perioperative complication rate of 7.7 percent, and late extrusion rate of 7.7 percent.