"Baseline incision characteristics and early scar maturation indices fo" by Nishaki K. Mehta, Katerina Morgaenko et al.
 

Baseline incision characteristics and early scar maturation indices following cardiac device implantation.

Document Type

Article

Publication Date

1-19-2021

Publication Title

Journal of arrhythmia

Abstract

Aims: Dermatologic evaluation for cardiac implantable electronic devices (CIEDs) has not been established. We sought to ascertain baseline wound scar features using quantifiable surgical tools and scar scales on post-CIED patients.

Methods: A single-center, prospective observational case-control study was performed where 92 study subjects (40 healthy volunteers and 52 post-CIED patients) completed the study. Durometer was used to quantify skin pliability before CIED placement, postprocedure, and 2 weeks postprocedure. Higher durometer readings signified reduced skin pliability. Durometer readings were compared to the patients' contralateral pectoral skin and to a healthy volunteer's cohort skin within the prepectoral region. Patient wounds were observed and graded using the Patient Observer Scar Assessment Scale (POSAS) and Manchester Scar Scale (MSS).

Results: Baseline pectoral skin pliability readings were similar in healthy volunteers and CIED patient population. In comparison to preprocedural measurements, surgical site skin pliability decreased in postprocedural and 2 weeks follow-up time points (

Conclusions: Serial measurements could be of value for development of new strategies for cosmesis and improved wound healing.

Volume

37

Issue

2

First Page

400

Last Page

406

DOI

10.1002/joa3.12464

ISSN

1880-4276

PubMed ID

33850582

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