Permanent Transfemoral Pacemaker: A Single‐Center Series Performed with an Easier and Safer Surgical Technique

Abstract

We believe that the permanent femoral implant utilizing the technical modifications described in this article, offers an alternative to epicardial lead placement when the usual upper venous tree access is not available.

Direct Left Ventricular Endocardial Pacing: An Alternative When Traditional Resynchronization Via Coronary Sinus Is Not Feasible or Effective

“…A 5‐cm incision was then made at the level of the cutaneous puncture and a pocket for the device was created over the quadriceps fascia in the anterior right thigh using a previously described technique (Fig. ) …”

“…Direct LV endocardial pacing under local anesthesia may be less risky and more effective . This article describes the technique and outcomes of transseptal LV endocardial pacing in which the lead is connected to a generator situated in a pocket created in the anterior thigh quadriceps fascia, as previously described …”

Supraspinatus pocket: An alternative pacemaker location for patients with no prepectoral access

“…In these cases, alternative techniques have been reported. The permanent transfemoral approach with quadricipital pocket has been proposed in patients with no venous access in the upper thoracic area or with local skin problems but this technique could be associated with a higher risk of infections 1 . Transaxillary retropectoral pacemaker implantation has been proposed for underweight patients, in cases of local skin problems, or for aesthetic purposes, but this approach was not possible in the present case, because of the complete removal of pectoral muscles and extensive skin damage in this area 2 .…”

Permanent pacing in patients without upper limb venous access: a review of current techniques

“…Garcia Guerrero et al 25 described a similar technique except that the pulse generator was implanted in the thigh instead of the abdominal wall. Placing the pulse generator in the abdomen above the inguinal crease avoids stress placed on the leads due to hip flexion but necessitates placing the leads through in a sharp U-turn as they exit from the iliac vein.…”