Tag Archives: permanent pacemaker

Introduction The number of patients receiving cardiac rhythm devices (CRDs) in the UK continues to grow.1 After device implantation, to reduce the probability of lead displacement and, therefore, re-intervention, patients are often advised to limit certain arm movements and physical activities for a defined period of time.2 Sources of this post-procedure movement and mobilisation advice include manufacturers’ guidelines, national information leaflets and local implanting centre policy. However, there is no consensus guidance on what the advice should be, and no published evidence to show that post-implant movement restrictions reduce compl

Figure 1. A. Pre-thrombolysis transthoracic echocardiogram. Technically difficult study: large mobile thrombus extending from the tricuspid valve into the right ventricle; dilated right heart chambers (with impaired right ventricular function). B. Pre-thrombolysis transthoracic echocardiogram: in addition to the findings described in panel A, colour flow shows a jet of severe tricuspid valve regurgitation. C. Post-thrombolysis transthoracic echocardiogram: complete dissolution of the right heart thrombus (with improved right ventricular function). D. Postthrombolysis transthoracic echocardiogram: colour flow shows mild regurgitation only A 90

Introduction Closure of the skin layers following pacemaker implantation is usually achieved with absorbable sutures. This can be time-consuming and does not always achieve perfect cosmetic results. Cyanoacrylate topical tissue adhesive has been used as an alternative but only limited data exist advocating routine use for pacing.1,2 We undertook a prospective randomised study to compare cosmetic outcomes with cyanoacrylate and absorbable sutures for this indication. Methods Consecutive patients aged ≥18 years requiring elective first pacemaker implant were recruited. Exclusion criteria were presence of dermatological disease, impaired wound