Breast cancer and pacemakers.
| Autor: | Mazzetti HA; Cardiology department, Hospital Fernandez, Santiago del Estero 1620, Lanus - Buenos Aires CP 1824, Argentina., Tentori MC |
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| Jazyk: | angličtina |
| Zdroj: | Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2014 Feb; Vol. 16 (2), pp. 303-5. Date of Electronic Publication: 2013 Jul 14. |
| DOI: | 10.1093/europace/eut218 |
| Abstrakt: | Aims: The combination of breast cancer and the need for a pacemaker is infrequent, and device implantation under these circumstances may be a technical challenge with several treatment options, most of them complex. Methods and Results: Eight patients, all women, with an average age of 69.62 ± 11.4 years. We present a technique for patients with bilateral breast cancer who need a pacemaker or those who had already implanted a device and developed a homolateral breast cancer. All the pacemakers were implanted in a neck pocket, as a first implantation or if they were moved from a prepectoral pocket to the neck. Seven patients had a good outcome and one had an infection. Conclusion: We suggest a simple alternative to lead extraction or epicardial approach in patients with coexisting breast cancer and the need for a rhythm control device consisting in placing the device in a neck pocket and preserving the existing leads by tunnelling them either above or below the clavicle. |
| Databáze: | MEDLINE |
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