Pacemaker Relocation

My replacement pacemaker was done in April of this year.  There has been much discomfort since then.  I never knew I had the first one.  The doc said he could relocate it under the muscle.  Has anyone ever had to have their's removed and relocated?  Was it more comfortable after that?


9 Comments

Good Doctor

by doublehorn48 - 2018-12-14 21:50:02

My first pm was just under the skin.  It moved and so my Doctor then put it in the pectoral muscle.  I never had any pain from any of my pm's.  But I've always had experienced Doctors.  If, and when. I have a problem with pain I will blame the Doctor not myself.

I don't believe a person should be in pain from a pm.  Pacemakers 30 years ago were a lot bigger than they are today.  I would blame the Doctor and I would raise hell.

M. Scott

Good Doctor

by doublehorn48 - 2018-12-14 21:50:27

My first pm was just under the skin.  It moved and so my Doctor then put it in the pectoral muscle.  I never had any pain from any of my pm's.  But I've always had experienced Doctors.  If, and when. I have a problem with pain I will blame the Doctor not myself.

I don't believe a person should be in pain from a pm.  Pacemakers 30 years ago were a lot bigger than they are today.  I would blame the Doctor and I would raise hell.

M. Scott

I’m waiting until it needs replacing

by Shaun - 2018-12-15 07:34:54

Mine is under the skin and I find it can be difficult at night to find a comfortable position for sleeping. However I’d rather put up with it than risk infection by being opened up to have it relocated. When it comes to my next replacement I’ll discuss my options then.

Reburial

by Sibber - 2018-12-15 08:26:33

It's is fairly common to have pain and discomfort after PPM insertion, especially after generator change when going in the same pocket. Submuscular reburial (Or any early pocket re-exlploration) comes with a significant infection risk. This often helps symptoms but is not guaranteed and can acyually male it worse in some cases. It is therefore a balance between your quality of life and the risk of doing another procedure.

Same problem

by Benjijohn - 2018-12-15 10:35:12

I have the exact same problem. It has been a little iver 3 months since my battery change. My first one was like a piece of me, never felt it, it was like personally taiolred for myself

this new one is very visible including the leads, there is pain especially on the lead knobs where the leads are connected to the battery, the lost goes on and on.

given my existing health problems, and the increased infection risk from another surgery, my doctors are advising me to wait a couple of months to make the final decision. But it is obvious that they do not want to do another surgery

you live and learn. My first one was so perfect that I assumed this new one would be the same. 

Atm, I am trying to forget about all the discomfort of the device, and concentrate on other things. I trust my doctors, and they clearly do not want to increase infection risk

Pacemaker relocation

by atiras - 2018-12-15 13:47:00

My very first PM was put in at the start of September 2018 -- the surgeon (part of a specialist cardiac devices team at the Bristol Heart Institute here in the UK) told me that they had had to put it "quite deep" because I didn't have a 'lot to cover it with' if they had put it in subcutaneously.  It wasn't visible at all.

Two weeks later it moved towards my armpit and was very painful as it was pinching the nerve. The surgeons agreed reluctantly to relocate it 'closer to the medial line' at the start of October although they were very worried about infection -- even triple checking with me when I was on the operating table that I really wanted go go ahead.  Which I did (and I said so very emphatically -- I needed to be able to use my arm!)

I was fortunate -- no infection.  Again, you can't see it and although I vaguely know where it is, I couldn't swear to it. Most important, there's no pain. If it had just been a matter of finding a comfortable sleeping position, I probably wouldn't have bothered, but I wasn't willing to put up with pain and numbness I couldn't avoid.

PM relocation

by Dave H - 2018-12-15 14:38:13

Does "burying" a PM deeper require more surgery (under general anesthesia) than what most EP's are trained for?

--Dave--

Reburial

by atiras - 2018-12-16 12:46:33

Dave H, my 'reburial' (their wording) was done in exactly the same way as the original implantation -- but I was in the hands of a specialist tream of 'device surgeons'. No general anaesthetic.

Move

by jennk - 2018-12-20 00:23:38

I had my first one just under the skin and dealt with the pain until replacement 8 weeks ago.   The recovery for under the muscle was more painful, but I feel so much better already.  Many days now I don’t even think about it.  This was not the case for almost eight years.  If I had known back then I could have had it under the muscle, I would have done it that way the first time.   I did have general anesthesia.

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My pacemaker was installed in 1998 and I have not felt better. The mental part is the toughest.