Mancini M C, Grubb B P
Division of Cardiothoracic Surgery, Medical College of Ohio, Toledo 43699.
Pacing Clin Electrophysiol. 1990 Jul;13(7):946-7. doi: 10.1111/j.1540-8159.1990.tb02132.x.
In order to prevent AICD generator migration in nine patients and correct chronic painful generator migration in three patients, we placed the AICD generator in an absorbable microfibrillar collagen pouch at the time of implant to facilitate fibrous capsule formation. Over a mean follow-up period of 14 +/- 2 months for the new implants, there have been no episodes of generator erosion, migration or infection. The three patients who suffered from generator migration have been symptom free for 12 +/- 2 months. We conclude that use of a microfibrillar collagen pouch at the time of AICD implant is a safe, inexpensive, and effective method for preventing generator migration.
为防止9例患者的植入式心律转复除颤器（AICD）发生器移位，并纠正3例患者慢性疼痛性发生器移位，我们在植入时将AICD发生器置于可吸收微纤维胶原囊中，以促进纤维囊形成。新植入患者的平均随访期为14±2个月，未发生发生器侵蚀、移位或感染事件。3例发生器移位患者已12±2个月无症状。我们得出结论，在AICD植入时使用微纤维胶原囊是预防发生器移位的一种安全、廉价且有效的方法。
