Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket
Breast implants whether used for cosmetic or reconstructive purposes can be placed in pockets either above or below the pectoralis major muscle, depending on clinical circumstances such as subcutaneous tissue volume, history of radiation, and patient preference. Likewise, cardiac implantable electro...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2023-03-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2015-8803 |
| _version_ | 1797858214191038464 |
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| author | Peyton Terry Kenneth Bilchick Chris A. Campbell |
| author_facet | Peyton Terry Kenneth Bilchick Chris A. Campbell |
| author_sort | Peyton Terry |
| collection | DOAJ |
| description | Breast implants whether used for cosmetic or reconstructive purposes can be placed in pockets either above or below the pectoralis major muscle, depending on clinical circumstances such as subcutaneous tissue volume, history of radiation, and patient preference. Likewise, cardiac implantable electronic devices (CIEDs) can be placed above or below the pectoralis major muscle. When a patient has both devices, knowledge of the pocket location is important for procedural planning and for durability of device placement and performance. Here, we report a patient who previously failed subcutaneous CIED placement due to incision manipulation with prior threatened device exposure requiring plane change to subpectoral pocket. Her course was complicated by submuscular migration of the CIED into her breast implant periprosthetic pocket. With subcutaneous plane change being inadvisable due to patient noncompliance, soft tissue support of subpectoral CIED placement with an acellular biologic matrix (ABM) was performed. Similar to soft tissue support used for breast implants, submuscular CIED neo-pocket creation with ABM was performed with durable CIED device positioning confirmed at 9 months postprocedure. |
| first_indexed | 2024-04-09T21:09:42Z |
| format | Article |
| id | doaj.art-56da35a6f8434801964d450e0f7712d7 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-09T21:09:42Z |
| publishDate | 2023-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-56da35a6f8434801964d450e0f7712d72023-03-28T22:41:38ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-03-01500215615910.1055/a-2015-8803Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant PocketPeyton Terry0Kenneth Bilchick1Chris A. Campbell2Department of Plastic Surgery, University of Virginia, Charlottesville, VirginiaDepartment of Internal Medicine, University of Virginia, Charlottesville, VirginiaDepartment of Plastic Surgery, University of Virginia, Charlottesville, VirginiaBreast implants whether used for cosmetic or reconstructive purposes can be placed in pockets either above or below the pectoralis major muscle, depending on clinical circumstances such as subcutaneous tissue volume, history of radiation, and patient preference. Likewise, cardiac implantable electronic devices (CIEDs) can be placed above or below the pectoralis major muscle. When a patient has both devices, knowledge of the pocket location is important for procedural planning and for durability of device placement and performance. Here, we report a patient who previously failed subcutaneous CIED placement due to incision manipulation with prior threatened device exposure requiring plane change to subpectoral pocket. Her course was complicated by submuscular migration of the CIED into her breast implant periprosthetic pocket. With subcutaneous plane change being inadvisable due to patient noncompliance, soft tissue support of subpectoral CIED placement with an acellular biologic matrix (ABM) was performed. Similar to soft tissue support used for breast implants, submuscular CIED neo-pocket creation with ABM was performed with durable CIED device positioning confirmed at 9 months postprocedure.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2015-8803breast implantacellular dermal matrixcardiac device |
| spellingShingle | Peyton Terry Kenneth Bilchick Chris A. Campbell Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket Archives of Plastic Surgery breast implant acellular dermal matrix cardiac device |
| title | Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket |
| title_full | Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket |
| title_fullStr | Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket |
| title_full_unstemmed | Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket |
| title_short | Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket |
| title_sort | use of acellular biologic matrix envelope for cardiac implantable electronic device placement to correct migration into submuscular breast implant pocket |
| topic | breast implant acellular dermal matrix cardiac device |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2015-8803 |
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