A transvenous pacemaker generator pocket should be placed on the patient's nondominant side over the:

A. Anteromedial chest wall.

 DISCUSSION: Bipolar impulse generators can be placed either in the subcutaneous tissue or beneath the muscle. Migration of the impulse generator most commonly occurs in infraclavicular pacemakers pockets. Migration tends to follow the curvature of the chest wall, and the impulse generator tends to migrate laterally. This can be prevented by creating an anteromedial pocket large enough to contain the impulse generator and lead. In susceptible persons the impulse generator can be further secured to the chest wall to prevent migration.