How to Implant a Pacemaker for Reel Syndrome: A Method to Treat these Syndromes

We report a case of an 83-year-old woman who deliberately tampered with the pacemaker's placement site. We diagnosed this as Reel syndrome from clinical course. We wrapped a generator in a polytetrafluoroethylene sheet and affixed it to the large pectoral muscle at multiple points, other than the port, and prevented the generator from rotating in the longitudinal or horizontal direction intentionally from the body surface by the patient.