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为了获得更好的美容效果:一种在年轻患者腋窝植入起搏器或体内除颤器发生器的新技术。

Toward improved cosmetic results: a novel technique for the placement of a pacemaker or internal cardioverter/defibrillator generators in the axilla of young patients.

作者信息

Collins Kathryn K, Runciman Martin, Rausch Christopher M, Schaffer Michael S

机构信息

The Children's Hospital, University of Colorado, Aurora, CO 80045, USA.

出版信息

Pediatr Cardiol. 2009 Nov;30(8):1157-60. doi: 10.1007/s00246-009-9492-4. Epub 2009 Jul 30.

DOI:10.1007/s00246-009-9492-4
PMID:19641841
Abstract

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.

摘要

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。

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1
Toward improved cosmetic results: a novel technique for the placement of a pacemaker or internal cardioverter/defibrillator generators in the axilla of young patients.为了获得更好的美容效果:一种在年轻患者腋窝植入起搏器或体内除颤器发生器的新技术。
Pediatr Cardiol. 2009 Nov;30(8):1157-60. doi: 10.1007/s00246-009-9492-4. Epub 2009 Jul 30.
2
Multicenter experience with a pectoral unipolar implantable cardioverter-defibrillator. Active Can Investigators.胸壁单极植入式心脏复律除颤器的多中心经验。主动除颤电极导线研究者。
J Am Coll Cardiol. 1996 Aug;28(2):400-10.
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Subglandular placement of an implantable cardioverter-defibrillator for an improved cosmetic outcome.将植入式心脏复律除颤器置于腺下以改善美容效果。
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[Transvenous subcutaneous implantation technique of the cardioverter/defibrillator].[心脏复律除颤器的经静脉皮下植入技术]
Herz. 1994 Oct;19(5):259-77.
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Pacing induced ventricular fibrillation in internal cardioverter defibrillator patients: a new form of proarrhythmia.植入式心脏复律除颤器患者中起搏诱发的心室颤动:一种新的致心律失常形式。
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Feasibility of left bundle branch area pacing with left axillary pacemaker implantation in a young female patient with heart failure.在一名年轻女性心力衰竭患者中植入左腋部起搏器进行左束支区域起搏的可行性。
J Arrhythm. 2025 Feb 7;41(1):e70022. doi: 10.1002/joa3.70022. eCollection 2025 Feb.
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In Search of Alternate Implantation Sites for Pacemakers and Defibrillators: Pacing Along Creativity and Innovation.寻找起搏器和除颤器的替代植入部位:沿着创造力和创新的方向进行起搏
J Innov Card Rhythm Manag. 2019 Apr 15;10(4):3601-3603. doi: 10.19102/icrm.2019.100406. eCollection 2019 Apr.

本文引用的文献

1
Psychological and quality-of-life issues in the young patient with an implantable cardioverter-defibrillator.植入式心脏复律除颤器年轻患者的心理及生活质量问题
Heart Rhythm. 2009 Jan;6(1):130-2. doi: 10.1016/j.hrthm.2008.07.022. Epub 2008 Jul 24.
2
The hidden cost of skin scars: quality of life after skin scarring.皮肤瘢痕的隐性代价:皮肤瘢痕形成后的生活质量
J Plast Reconstr Aesthet Surg. 2008 Sep;61(9):1049-58. doi: 10.1016/j.bjps.2008.03.020. Epub 2008 Jul 9.
3
Implantation of submammary implantable cardioverter defibrillators.
乳房下植入式心脏复律除颤器的植入
Pacing Clin Electrophysiol. 2004 Jun;27(6 Pt 1):779-82. doi: 10.1111/j.1540-8159.2004.00528.x.
4
Evaluation of safety and efficacy of pacemaker and defibrillator implantation by axillary incision in pediatric patients.
Pacing Clin Electrophysiol. 2004 Mar;27(3):304-7. doi: 10.1111/j.1540-8159.2004.00432.x.
5
Experience with a cosmetic approach to device implantation.器械植入的美容方法经验。
Pacing Clin Electrophysiol. 2001 Nov;24(11):1679-80. doi: 10.1046/j.1460-9592.2001.01679.x.
6
A cosmetic approach for pectoral pacemaker implantation in young girls.年轻女孩胸壁起搏器植入的美容方法。
Pacing Clin Electrophysiol. 2000 Sep;23(9):1397-400. doi: 10.1111/j.1540-8159.2000.tb00969.x.
7
The retropectoral transaxillary permanent pacemaker: description of a technique for percutaneous implantation of an "invisible" device.胸大肌后经腋窝永久起搏器:一种“隐形”装置经皮植入技术的描述
Pacing Clin Electrophysiol. 1996 Nov;19(11 Pt 1):1646-51. doi: 10.1111/j.1540-8159.1996.tb03194.x.
8
Quality-of-life in patients receiving implantable cardioverter defibrillators at or before age 40.40岁及40岁之前接受植入式心律转复除颤器治疗的患者的生活质量。
Pacing Clin Electrophysiol. 1996 Nov;19(11 Pt 1):1555-9. doi: 10.1111/j.1540-8159.1996.tb03180.x.
9
Submammary pacemaker implantation: a unique tunneling technique.乳房下起搏器植入术:一种独特的隧道技术。
Pacing Clin Electrophysiol. 1994 Nov;17(11 Pt 1):1793-6. doi: 10.1111/j.1540-8159.1994.tb03747.x.
10
Inframammary pulse generator placement for maximizing cosmetic effect.乳房下脉冲发生器放置以最大化美容效果。
Pacing Clin Electrophysiol. 1983 Nov;6(6):1241-4. doi: 10.1111/j.1540-8159.1983.tb04465.x.