Baseline incision characteristics and early scar maturation indices following cardiac device implantation.
Journal of arrhythmia
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.
Mehta NK, Morgaenko K, Haines D, Rojas-Pena E, Heard B, Malhotra R, Darby A, Mangrum JM, Mason P, Campbell C, Bilchick K. Baseline incision characteristics and early scar maturation indices following cardiac device implantation. J Arrhythm. 2021 Jan 19;37(2):400-406. doi: 10.1002/joa3.12464. PMID: 33850582; PMCID: PMC8021997.