Pacemaker Implantation in Elderly Patients: Safety of Various Regimens of Anticoagulant Therapy

Risk Mitigation of Pacemaker Pocket Erosion in Thin Patients

“…On the other hand, generator fixation has been shown to be associated with increased risk of pocket hematomas in elderly patients on oral anticoagulation therapy. 4 Alternatively, a submuscular pocket should be considered in patients at risk for device erosion, particularly in underweight patients with a pectoral muscle that is itself thin and easily accessible. 3 Lastly, this patient might have benefited from the use of an absorbable antibacterial envelope in the prevention of pocket infection.…”