Original Article: PDF OnlyA Subpectoral Pocket in the Management of a Patient with Impending Extrusion of a Pulse GeneratorFayman, M S M.D., L. A. Chait, F.R.C.S.; Orak, F M.D. Author Information From the Department of Surgery, Division of Plastic and Reconstructive Surgery, at the University of the Witwatersrand Plastic and Reconstructive Surgery: August 1986 - Volume 78 - Issue 2 - p 182-185 Buy Abstract A new method of management of the extruding cardiac pacemaker is proposed. The technique involves placement ol the pacemaker and its leads in a subpectoral pocket. The technique has been studied in 13 patients with a success rate of 84.6 percent, perioperative complication rate of 7.7 percent, and late extrusion rate of 7.7 percent. ©1986American Society of Plastic Surgeons