Key result
Fasciocutaneous local flaps achieve ~100% salvage success for exposed cardiac pacemakers.
Why the study?
Mechanical exposure of cardiac pacemakers in elderly patients is a challenging complication with limited data on the efficacy of salvage using fasciocutaneous local flaps.
Does salvage with fasciocutaneous local flaps improve treatment success in elderly patients with exposed pacemakers?
Observational (n=10)
Does salvage with fasciocutaneous local flaps improve treatment success in elderly patients with exposed pacemakers?
Fasciocutaneous local flaps offer a safe and durable reconstructive option for salvaging mechanically exposed cardiac pacemakers in elderly patients, avoiding the need to relocate the device.
Should not yet change practice for exposed pacemaker salvage; leaves open the role of fasciocutaneous flaps pending larger studies.
OBJECTIVES: This study aims to investigate the efficacy of salvage of the mechanically exposed cardiac pacemakers with fasciocutaneous local flaps in elderly patients. METHODS: Between January 2014 and January 2018, ten patients (six females, four males; mean age 66.2 years) who were treated due to pacemaker exposition were retrospectively analyzed in this study. Exposed pacemaker and the wires were dissected, and capsulectomy was performed. The expose pacemaker was covered with the fascioutaneous flap. 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: Reconstruction with fasciocutaneous local flaps is an effective treatment modality in case of mechanically cardiac pacemaker expositions in elderly patients.
No takes yet. Share an insight, caveat, or question.
Alper Aksoy (2018) conducted an observational in Mechanically exposed cardiac pacemaker (n=10). Fasciocutaneous local flaps was evaluated on Successful treatment (reconstruction of the exposed pacemaker). Salvage of exposed cardiac pacemakers using fasciocutaneous local flaps achieved 100% successful treatment with only one case of early hematoma requiring revision.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: