| The management of soft tissue complications related to pacemaker implantations. | |
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MedLine Citation:
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PMID: 7775544 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During the last six years (1988-1993) we have treated 15 patients suffering from soft tissue problems related to pacemaker implantations which included: skin erosions (2 patients), impending extrusion of the pacemaker pulse generator due to capsular contracture (4 patients), exposed pacemaker generator (6 patients), and exposed electrode (3 patients). This article describes a conservative approach to the treatment of these complications. Skin erosions are treated topically with antibacterial creams or solutions. Local infection is controlled by the administration of systemic antibiotics according to the antibiogram, as well as with local antibacterial dressings. Impending extrusion or exposure of the pacing system are treated by subcapsular relocation of the pacemaker generator or vertical-to-horizontal transposition of the exteriorized lead. These restricted local surgical interventions are designed to overcome the vertical force which tends to cause the extrusion of pacing hardware without using another implantation site which are already limited in number. This approach, which can be repeated, prevents the reintroduction of a new pacing system. The pre-operative evaluation, surgical techniques and a long term follow-up are presented. |
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Authors:
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Y Har-Shai; S Amikam; M Bolous; I J Peled |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 35 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 1994 Dec |
Date Detail:
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Created Date: 1995-07-10 Completed Date: 1995-07-10 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: ITALY |
Other Details:
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Languages: eng Pagination: 211-7 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Anti-Infective Agents, Local / administration & dosage Bandages Electrodes / adverse effects Follow-Up Studies Humans Infection / drug therapy, etiology Ointments Pacemaker, Artificial / adverse effects* Radiography, Thoracic Skin Diseases / etiology, prevention & control Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anti-Infective Agents, Local; 0/Ointments |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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