Document Detail

The management of soft tissue complications related to pacemaker implantations.
MedLine Citation:
PMID:  7775544     Owner:  NLM     Status:  MEDLINE    
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.
Y Har-Shai; S Amikam; M Bolous; I J Peled
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  35     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-07-10     Completed Date:  1995-07-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  211-7     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Anti-Infective Agents, Local / administration & dosage
Electrodes / adverse effects
Follow-Up Studies
Infection / drug therapy,  etiology
Pacemaker, Artificial / adverse effects*
Radiography, Thoracic
Skin Diseases / etiology,  prevention & control
Time Factors
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Infective Agents, Local; 0/Ointments

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