Ask Dr. Z

"Patient was brought into the EP lab one week status post dual chamber pacemaker insertion with leads due to lead dislodgement. The generator was explanted, the leads were removed, and the wound was closed. A new incision was made superior to the previous one, and a new subcutaneous pocket was formed. Through a percutaneous stick, axillary vein access, an 8 French shealth peel-away sheath was inserted. The two previously explanted bipolar screw in leads were then positioned in the right ventricular septum and right atrium successfully. The generator was connected to the leads and then placed in the pocket with the leads positioned beneath it." The physician wants to call this a pocket revision with a lead repositioning. Since the leads were explanted from the body and reimplanted, does this qualify as a repositioning?