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Experience with a cosmetic approach to device implantation
1Division of Cardiology, Genesis Medical Center, Davenport, Iowa 52803, USA. giudici@cvmedpc.com
Pacing and Clinical Electrophysiology : PACE
|January 31, 2002
Summary
A novel two-incision technique for pacemaker and defibrillator implantation in women leaves no visible chest scars, improving cosmetic outcomes for patients concerned about appearance.
Area of Science:
- Cardiology
- Medical Devices
- Surgical Innovation
Background:
- Increasing numbers of young patients require cardiac device implantations.
- Aesthetic concerns are becoming more prominent for patients undergoing these procedures.
- Traditional implantation techniques can result in visible scarring.
Purpose of the Study:
- To evaluate a novel two-incision technique for cardiac device implantation.
- To assess the cosmetic and functional outcomes of this technique.
- To address patient concerns regarding visible scarring after pacemaker and defibrillator implantation.
Main Methods:
- A cohort of 14 women (mean age 49 years) underwent device implantation over 20 months.
- A specialized two-incision technique was employed.
- The technique was designed to avoid visible scarring on the chest.
Main Results:
- The two-incision technique successfully implanted pacemakers and defibrillators in all patients.
- No visible scars were reported on the chest post-implantation.
- The study focused on cosmetic outcomes, implying functional success.
Conclusions:
- The two-incision technique offers a viable alternative for cardiac device implantation in women.
- This method significantly improves cosmetic results by eliminating visible chest scars.
- It addresses the growing need for aesthetically pleasing outcomes in device therapy.

