Implantation Site of a Pacemaker Generator

概要

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Background: We reported that as for the placement parts of generator, to place the generator at left axillary fossa with axillary vein puncture was thought to be useful from the mental, functional and cosmetic standpoint. But objective assessment was different. Purpose: The purpose of this study is to make comparative study of mental, functional and cosmetic situation by the generator planting part of pacemaker. Method and Patients: The questioner investigation concerning impact shock from out side of body, electromagnetic wave interference, cosmetic condition and satisfaction rating to present pacemaker planting part was performed to 10 patients at left axillary fossa (F) and 119 patients at the anterior chest (A). Result: 1) There were 66% worry in A for the impact shock to pacemaker planting part from the outside, and 90% in F had the sense of security. 2) 42.3% thought pacemaker to be remarkable and 57.1% was not satisfied in A but 90% was satisfied in F with the placement parts of generator. Conclusion: Though A was 119 and F was 10, and comparative study is difficult. F is giving a good effect as a tendency in the function, the mental and cosmetic aspect compared with A. It is scheduled that the more cases are examined in the future.
日本不整脈学会の論文