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01-12-2014 | Original Paper

Fat grafting used for the prevention of cardiac implantable electronic devices (CIED) exposure. Preliminary report of a clinical study

Authors: Maria Alessandra Bocchiotti, Nicola Kefalas, Eleonora Bellezza, Pier Giorgio Golzio, Erind Ruka, Stefano Bruschi

Published in: European Journal of Plastic Surgery | Issue 12/2014

Abstract

Background

Subcutaneous cardiac devices can sometimes undergo exposure, and often, the removal and contralateral repositioning of a new device is necessary. Pressure sores of the device cause a gradual thinning of the cutaneous and subcutaneous layers resulting in implant exposure. Our department has developed a closed collaboration with the Department of Cardiology in order to prevent the exposure of subcutaneous devices and to avoid the more risky and invasive surgery necessary for implant removal and reposition.

Methods

Thirty selected cardiopathic patients presenting pressure sores of the device, without exposure, were selected for lipofilling. The selection of patients is a key moment to ensure the success of the procedure. The surgery was performed under local anaesthetic without epinephrine.

Results

There was an improvement of local conditions, and none of the patients, after a year, were subjected to a removal operation of the implant. No cases of infection were observed.

Conclusions

Adipose tissue graft improved cutaneous trophism and increased the thickness of the subcutaneous tissue, reducing the risk of implant exposure.

Level of Evidence: Level IV, risk/prognostic study.

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Title: Fat grafting used for the prevention of cardiac implantable electronic devices (CIED) exposure. Preliminary report of a clinical study
Authors: Maria Alessandra Bocchiotti
Nicola Kefalas
Eleonora Bellezza
Pier Giorgio Golzio
Erind Ruka
Stefano Bruschi
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Plastic Surgery / Issue 12/2014
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-014-1003-z

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Springer Medicine

Fat grafting used for the prevention of cardiac implantable electronic devices (CIED) exposure. Preliminary report of a clinical study

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

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Abstract

Background

Methods

Results

Conclusions

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