Salvage of the exposed cardiac pacemakers with pocket change and local flaps

N. Sinem Çiloğlu; Nesrin Gümüş; Teoman Eraslan; Ufuk Çiloğlu

doi:10.5606/tgkdc.dergisi.2014.8939

N. Sinem Çiloğlu¹, Nesrin Gümüş¹, Teoman Eraslan¹, Ufuk Çiloğlu²

¹Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği, İstanbul, Türkiye
²Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2014.8939

Background: This study aims to investigate the efficacy of salvage of the exposed cardiac pacemakers with pocket change and local flaps in patients undergoing pacemaker implantation.

Methods: Between January 2011 and January 2013, 11 patients (7 females, 4 males; mean age 53 years; range 28 to 65 years) who were treated due to pacemaker exposition were retrospectively analyzed. Exposed pacemaker and the wires were dissected carefully and subpectoral repositioning of the device through anterior muscle fibers was performed.

Results: Only one patient had hematoma formation at early stage and revision was performed. All patients were treated successfully. No complication was observed during the follow-up period.

Conclusion: Formation of a new pocket, replacing the pacemaker in that pocket and reconstruction with local flaps is an effective treatment modality in case of cardiac pacemaker expositions.

Keywords : Exposed; local flap; pacemaker

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