Baseline incision characteristics and early scar maturation indices following cardiac device implantation.
cardiac implantable devices
durometer measurements
incision characteristics
scar healing
skin thickness
wound complications
Journal
Journal of arrhythmia
ISSN: 1880-4276
Titre abrégé: J Arrhythm
Pays: Japan
ID NLM: 101263026
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
28
07
2020
revised:
30
09
2020
accepted:
29
10
2020
entrez:
14
4
2021
pubmed:
15
4
2021
medline:
15
4
2021
Statut:
epublish
Résumé
Dermatologic evaluation for cardiac implantable electronic devices (CIEDs) has not been established. We sought to ascertain baseline wound scar features using quantifiable surgical tools and scar scales on post-CIED patients. A single-center, prospective observational case-control study was performed where 92 study subjects (40 healthy volunteers and 52 post-CIED patients) completed the study. Durometer was used to quantify skin pliability before CIED placement, postprocedure, and 2 weeks postprocedure. Higher durometer readings signified reduced skin pliability. Durometer readings were compared to the patients' contralateral pectoral skin and to a healthy volunteer's cohort skin within the prepectoral region. Patient wounds were observed and graded using the Patient Observer Scar Assessment Scale (POSAS) and Manchester Scar Scale (MSS). Baseline pectoral skin pliability readings were similar in healthy volunteers and CIED patient population. In comparison to preprocedural measurements, surgical site skin pliability decreased in postprocedural and 2 weeks follow-up time points ( Serial measurements could be of value for development of new strategies for cosmesis and improved wound healing.
Identifiants
pubmed: 33850582
doi: 10.1002/joa3.12464
pii: JOA312464
pmc: PMC8021997
doi:
Types de publication
Journal Article
Langues
eng
Pagination
400-406Informations de copyright
© 2021 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest for this manuscript. Dr Mehta has received honoraria from Medtronic and Abbott Medical. Dr Mason is a consultant for Medtronic and receives research support from Medtronic, Boston Scientific, and Cook. Dr. Haines has received honoraria from Biosense Webster, Farapulse, and Sagentia, and is a consultant for Affera, Boston Scientific, Integer, Medtronic, Philips Healthcare, and Zoll corporations. Dr Bilchick has NIH and AHA research grants and industry grants from Medtronic and Siemens Healthineers.
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