Breast cancer and pacemakers
| Autor: | Héctor Mazzetti, Maria Cristina Tentori |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pacemaker
Artificial medicine.medical_specialty Breast Neoplasms Rhythm control Breast cancer Physiology (medical) Humans Medicine In patient Good outcome Aged Aged 80 and over business.industry Cardiac Pacing Artificial Treatment options Arrhythmias Cardiac Equipment Design Middle Aged medicine.disease Bilateral breast cancer Surgery Treatment Outcome medicine.anatomical_structure Clavicle Female Cardiology and Cardiovascular Medicine business Lead extraction |
| Zdroj: | Europace. 16:303-305 |
| ISSN: | 1532-2092 1099-5129 |
| Popis: | 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: | OpenAIRE |
| Externí odkaz: |
|