Collins Kathryn K, Runciman Martin, Rausch Christopher M, Schaffer Michael S
The Children's Hospital, University of Colorado, Aurora, CO 80045, USA.
Pediatr Cardiol. 2009 Nov;30(8):1157-60. doi: 10.1007/s00246-009-9492-4. Epub 2009 Jul 30.
Surgical scars secondary to the placement of pacemakers or internal cardioverter/defibrillators in the infraclavicular area can be unsightly. This report describes a novel cosmetic approach for the placement of pacemakers or internal cardioverter/defibrillators. The approach involves a small infraclavicular incision for placement of the leads and then a larger incision hidden high up in the axilla. The theoretical advantages of this approach are improved cosmetic outcome, ease of subsequent surgeries for device generator changes, and potentially improved defibrillation thresholds.
因在锁骨下区域植入起搏器或体内除颤器而形成的手术疤痕可能会影响美观。本报告描述了一种用于植入起搏器或体内除颤器的新型美容方法。该方法包括在锁骨下做一个小切口用于放置导线,然后在腋窝较高位置做一个更大的隐藏切口。这种方法的理论优势在于美容效果更佳、便于后续更换设备发生器的手术,以及可能改善除颤阈值。