Ufuk ÇİLOĞLU, N Sinem ÇİLOĞLU, Nesrin GÜMÜŞ, Teoman ERASLAN

Ekspoze olmuş kalp pillerinin cep değişikliği ve lokal flep yardımı ile kurtarılması

Amaç: Bu çalışmada kalp pili takılan hastalarda ekspoze olmuş kalp pillerinin cep değişikliği ve lokal flep yardımı ile kurtarılmasının etkinliği araştırıldı.Çalışma planı: Ocak 2011 - Ocak 2013 tarihleri arasında kalp pili ekspozisyonu nedeni ile tedavi edilen 11 hasta (7 kadın, 4 erkek; ort. yaş 53 yıl; dağılım 28-65 yıl) retrospektif olarak incelendi. Ekspoze kalp pili ve kabloları dikkatlice diseke edilerek cihaz ön kas lifleri arasından subpektoral olarak yeniden yerleştirildi.Bul gu lar: Yalnızca bir hastada erken dönemde hematom görüldü ve revizyon yapıldı. Hastaların tümü başarılı bir şekilde tedavi edildi. Takip döneminde herhangi bir komplikasyon gözlenmedi.So nuç: Yeniden cep oluşturulması ve kalp pilinin yerinden çıkarılarak bu cebe yerleştirilmesi ve lokal fleplerle onarımı, ekspose olmuş kalp pili olgularında kullanılan etkin bir tedavi yöntemidir

Salvage of the exposed cardiac pacemakers with pocket change and local flaps

Background: This study aims to investigate the efficacy of salvage of the exposed cardiac pacemakers with pocket change and local flaps in patients undergoing pacemaker implantation. Methods: Between January 2011 and January 2013, 11 patients (7 females, 4 males; mean age 53 years; range 28 to 65 years) who were treated due to pacemaker exposition were retrospectively analyzed. Exposed pacemaker and the wires were dissected carefully and subpectoral repositioning of the device through anterior muscle fibers was performed. Results: Only one patient had hematoma formation at early stage and revision was performed. All patients were treated successfully. No complication was observed during the follow-up period. Conclusion: Formation of a new pocket, replacing the pacemaker in that pocket and reconstruction with local flaps is an effective treatment modality in case of cardiac pacemaker expositions

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