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A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar

OBJECTIVE: There are two most common incisions that are used during most pacemaker implantation procedures, with the first type of incision being inferior and parallel to the clavicle (Group C) and the second type of incision along the deltopectoral groove (Group D). We evaluated the scars resulting...

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Autores principales: Lokhandwala, Disha, Gupta, Aashna, Desai, Viral, Panicker, Gopi Krishna, Vora, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205012/
https://www.ncbi.nlm.nih.gov/pubmed/30392510
http://dx.doi.org/10.1016/j.ihj.2018.05.008
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author Lokhandwala, Disha
Gupta, Aashna
Desai, Viral
Panicker, Gopi Krishna
Vora, Amit
author_facet Lokhandwala, Disha
Gupta, Aashna
Desai, Viral
Panicker, Gopi Krishna
Vora, Amit
author_sort Lokhandwala, Disha
collection PubMed
description OBJECTIVE: There are two most common incisions that are used during most pacemaker implantation procedures, with the first type of incision being inferior and parallel to the clavicle (Group C) and the second type of incision along the deltopectoral groove (Group D). We evaluated the scars resulting from the two types of incision to objectively evaluate the degree of superiority in cosmetic outcomes, between these two types of incisions. METHODS: Seventy-six patients who underwent left pre-pectoral pacemaker insertion were evaluated, close to 6 months after the date of the pacemaker implantation, using a simple scoring system based on atrophy, contour and colour of the scar. The likelihood of reduced severity in scar scores were compared between the two groups and the number of patients with elevation or inversion of the scar and with keloid formation were quantified. RESULTS: Seventy-six patients, with 47 belonging to the ‘Group C’ and 29 belonging to the ‘Group D’ were evaluated. The average length (C: 25 ± 2 mm; D: 24 ± 3 mm) and thickness (C: 25 ± 3 mm; D: 26 ± 2 mm) of the scars were not significantly different. The mean cumulative total scores in ‘Group C’ (1.98 ± 1.50) and ‘Group D’ (1.93 ± 1.31) were comparable. The odds ratio (OR) estimate showed that outcomes for atrophy (OR:0.73), contour (OR:0.53) and the cumulative total scores (OR:0.72) were also comparable. CONCLUSION: This pilot study showed that the deltopectoral groove incision as a site of incision is comparable to the infraclavicular incision.
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spelling pubmed-62050122019-09-01 A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar Lokhandwala, Disha Gupta, Aashna Desai, Viral Panicker, Gopi Krishna Vora, Amit Indian Heart J Cardiac Electrophysiology OBJECTIVE: There are two most common incisions that are used during most pacemaker implantation procedures, with the first type of incision being inferior and parallel to the clavicle (Group C) and the second type of incision along the deltopectoral groove (Group D). We evaluated the scars resulting from the two types of incision to objectively evaluate the degree of superiority in cosmetic outcomes, between these two types of incisions. METHODS: Seventy-six patients who underwent left pre-pectoral pacemaker insertion were evaluated, close to 6 months after the date of the pacemaker implantation, using a simple scoring system based on atrophy, contour and colour of the scar. The likelihood of reduced severity in scar scores were compared between the two groups and the number of patients with elevation or inversion of the scar and with keloid formation were quantified. RESULTS: Seventy-six patients, with 47 belonging to the ‘Group C’ and 29 belonging to the ‘Group D’ were evaluated. The average length (C: 25 ± 2 mm; D: 24 ± 3 mm) and thickness (C: 25 ± 3 mm; D: 26 ± 2 mm) of the scars were not significantly different. The mean cumulative total scores in ‘Group C’ (1.98 ± 1.50) and ‘Group D’ (1.93 ± 1.31) were comparable. The odds ratio (OR) estimate showed that outcomes for atrophy (OR:0.73), contour (OR:0.53) and the cumulative total scores (OR:0.72) were also comparable. CONCLUSION: This pilot study showed that the deltopectoral groove incision as a site of incision is comparable to the infraclavicular incision. Elsevier 2018 2018-05-09 /pmc/articles/PMC6205012/ /pubmed/30392510 http://dx.doi.org/10.1016/j.ihj.2018.05.008 Text en © 2018 Published by Elsevier B.V. on behalf of Cardiological Society of India. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Cardiac Electrophysiology
Lokhandwala, Disha
Gupta, Aashna
Desai, Viral
Panicker, Gopi Krishna
Vora, Amit
A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title_full A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title_fullStr A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title_full_unstemmed A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title_short A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
title_sort pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar
topic Cardiac Electrophysiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205012/
https://www.ncbi.nlm.nih.gov/pubmed/30392510
http://dx.doi.org/10.1016/j.ihj.2018.05.008
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