Clinical Insights and Expert Opinions.

Observations from Leaders in Electrophysiology

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Pacemaker Pocket Stabilization Utilizing a Novel Envelope and Three-Point Anchoring Technique


Insufficient anchoring of a cardiac implantable electronic device (CIED) can result in chronic discomfort or lead displacement. In this case study, a patient who experienced recurring pain due to device movement was implanted with a device surrounded by a CanGaroo® Envelope at the time of changeout, which allows for multi-point suture fixation and minimizes device migration. 

Expert Editorial Opinion

Sunil Kapur, MD
Brigham and Women’s Hospital, Heart and Vascular Center & Instructor of Medicine, Harvard Medical School
Headshot of Benjamin A. D’Souza MD, FACC, FHRS

Patient Profiles in the Utilization of the CanGaroo® Envelope


​​In a nine-month study, three distinct profiles of CIED patients who could potentially benefit from the use of the CanGaroo Envelope were identified by the implanting physicians. These included elderly patients with poor tissue turgor, patients with a high risk of infection, or a history of previous device infection. At a mean follow-up of 18 ± 3 months, no CIED pocket erosion, dehiscence, or infection was noted.

Expert Editorial Opinion

Benjamin A. D’Souza MD, FACC, FHRS
Assistant Professor of Clinical Medicine at Penn Presbyterian Medical Center, Cardiac Electrophysiology at Perelman School of Medicine at the University of Pennsylvania
Headshot of Antonio Navarrete, MD, FACC, FESC, FHRS, CCDS

Device Pocket Challenges in Elderly and Thin Individuals


When implanting CIEDs in elderly, emaciated, or thin-skinned patients, specific techniques can be utilized to avoid device migration, skin erosion, and other complications. Acellular matrix materials like CanGaroo Envelope have become valuable implantation tools, as demonstrated by the experience of these 24 patients.

Expert Editorial Opinion

Antonio Navarrete, MD, FACC, FESC, FHRS, CCDS
Associate Professor of Clinical Medicine at Indiana University, Clinical Cardiac Electrophysiology, IU Health


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