Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No 100, Haining Road, 200080, Shanghai, China.
Department of Cardiology, Shanghai Songjiang District Center Hospital, 201600, Shanghai, China.
Herz. 2022 Feb;47(1):63-66. doi: 10.1007/s00059-021-05037-y. Epub 2021 Apr 22.
Pocket hematoma is a common complication associated with cardiac device implantation, but there are limited strategies to deal with this problem. We aimed to evaluate the effectiveness of sub-pocket small-hole drainage (SSD) as a new way to manage severe pocket hematoma.
A total of 11 patients with severe pocket hematoma were selected for this case series study. The SSD procedure was performed and wound healing was monitored.
The SSD procedure was successfully performed on all 11 patients. The time window for SSD was 10-14 days (mean 12.0 ± 1.3 days) after cardiac device implantation. On average, 18.3 ± 2.3 ml of hematoma was drained , with a mean procedural time of 21.3 ± 2.6 min. The patients were followed up for 4-12 months and all pockets healed well, without any complications such as pocket infection, bleeding, device exposure, and electrode fracture.
Sub-pocket small-hole drainage is an alternative approach for dealing with severe pocket hematoma after cardiac device implantation.
口袋血肿是与心脏装置植入相关的常见并发症，但处理这个问题的策略有限。我们旨在评估亚口袋小孔引流（SSD）作为处理严重口袋血肿的新方法的有效性。
共选择了 11 名患有严重口袋血肿的患者进行这项病例系列研究。进行了 SSD 手术，并监测了伤口愈合情况。
SSD 手术在所有 11 名患者中均成功进行。SSD 的时间窗口为心脏装置植入后 10-14 天（平均 12.0±1.3 天）。平均引流血肿量为 18.3±2.3ml，手术时间平均为 21.3±2.6 分钟。患者随访 4-12 个月，所有口袋均愈合良好，无口袋感染、出血、装置暴露和电极断裂等并发症。
亚口袋小孔引流是处理心脏装置植入后严重口袋血肿的一种替代方法。
