Aesthetic Subpectoral Placement of Implantable Cardioverter Defibrillators

被引：16

作者：

Persichetti, Paolo ^{[1
]}

Brunetti, Beniamino ^{[1
]}

Cagli, Barbara ^{[1
]}

Manzo, Matteo Jacopo ^{[1
]}

Pignalberi, Carlo ^{[2
]}

Ansalone, Gerardo ^{[2
]}

机构：

[1] Campus Biomed Univ Rome, Div Plast & Reconstruct Surg, Rome, Italy

[2] Hosp MG Vannini, Div Cardiol, Rome, Italy

来源：

ANNALS OF PLASTIC SURGERY | 2014年 / 72卷 / 02期

关键词：

implantable cardioverter defibrillator; subpectoral implantation; aesthetic approach;

D O I：

10.1097/SAP.0b013e3182590a0f

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The implantable cardioverter defibrillator (ICD) is the treatment of choice for life-threatening arrhythmias. Usually, the device is placed, by a subclavian access, on the upper portion of the pectoralis major muscle. As a result, the visibility of the device and the wide subclavian scar create an important aesthetic deformity, especially in young women, evolving in a relevant psychosocial distress. The authors report their experience with subpectoral ICD implantation. Between January 2001 and December 2011, approximately 30 consecutive female patients underwent submuscular ICD implantation or substitution, performed in collaboration with the cardiology team. No significant complications, except 1 case of wound dehiscence and 2 cases of caudal dislocation of the device, were observed. At 6 and 12 months' follow-up, no significant difference between preoperative and postoperative breast symmetry and volume was noticed. The combined approach aims at reducing the visible signs of the procedure and improving the psychological outcomes.

引用

页码：188 / 192

页数：5

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