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To the Editor.—
The interesting article of Kim et al (228:74, 1974) concerns the late displacement of cardiac pacemaker electrodes due to heavyweight pulse generator. In one of our recent cases, the same situation occurred, and the electrode pacemaker had to be repositioned as in Dr. Kim's cases. However, instead of going to an extensive procedure, a simple loop was made inside the subcutaneous pocket, suturing the lead to the fascia of the pectoral muscle or the upper part of the posterior wall of the old subcutaneous pocket (Figure). The patient has done well, and we have used this as a routine procedure in all our elderly patients, or when the electrode displacement has occurred late in the course of the life of the pacemaker.I hope that this suggestion would avoid other lengthy procedures and that it will be as successful in other hands as it is in ours.
Azzam FG. Handling Pacemaker Electrode Displacement. JAMA. 1974;228(11):1368. doi:10.1001/jama.1974.03230360016004
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