Tamenishi Akinori, Usui Akihiko, Oshima Hideki, Ueda Yuichi
Department of Cardiothoracic Surgery, Nagoya University Hospital, P.O. Box 466-0065, 65 Tsurumai-cho, Syouwa, Nagoya, Aichi, Japan.
Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):275-7. doi: 10.1510/icvts.2007.169714. Epub 2007 Dec 6.
A 63-year-old man underwent pacemaker implantation for complete atrio-ventricular block. The patient repeated admissions for skin necrosis, and generator or pacemaker system was re-implanted each time. The patient was admitted with skin necrosis of the generator pocket three years after re-implantation. A skin patch test was positive on almost all components of the pacemaker system. The patient underwent pacemaker system removal and re-implantation of polytetrafluoroethylene (PTFE) sheets coating pericardium leads and generator. There has been no recurrence. PTFE sheet coating is effective to treat pacemaker system contact dermatitis.
一名63岁男性因完全性房室传导阻滞接受起搏器植入术。患者多次因皮肤坏死入院,每次均重新植入发生器或起搏器系统。再次植入三年后,患者因发生器囊袋皮肤坏死入院。皮肤斑贴试验显示起搏器系统的几乎所有组件均呈阳性。患者接受了起搏器系统移除,并重新植入了涂覆心包导线和发生器的聚四氟乙烯(PTFE)片。此后未再复发。PTFE片涂层对治疗起搏器系统接触性皮炎有效。