Vandenberk Bert, Murray Kyle, Rizkallah Jacques
Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
CJC Open. 2022 Mar 9;4(6):585-587. doi: 10.1016/j.cjco.2022.03.002. eCollection 2022 Jun.
The aging population, particularly the thin and frail, has an increased risk of long-term cardiac implantable electronic device complications. This case is that of an elderly, thin-skinned patient who presented with a pacemaker pocket erosion 4 years after elective generator change, potentiated by a small pocket size with a superficial suture fixating the generator in the subcutaneous pocket. The risk for device erosion may have been mitigated during the generator change by increasing the size of the pocket, using a submuscular pocket, and potentially an absorbable antibacterial envelope. Fixation of the generator is considered optional.
老龄化人口，尤其是体型消瘦和身体虚弱者，长期发生心脏植入式电子设备并发症的风险增加。本病例为一名老年、皮肤薄的患者，在择期更换起搏器发生器4年后出现起搏器囊袋糜烂，原因是囊袋尺寸小且用浅缝合法将发生器固定在皮下囊袋中。在更换发生器时，可通过增大囊袋尺寸、采用肌下囊袋以及可能使用可吸收抗菌包膜来降低设备糜烂的风险。发生器的固定被认为是可选择的。
