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Entirely polytetrafluoroethylene coating for pacemaker system contact dermatitis

Department of Cardiothoracic Surgery, Nagoya University Hospital, P.O. Box 466-0065, 65 Tsurumai-cho, Syouwa, Nagoya, Aichi, Japan

*Corresponding author. Tel.: +81 052 744 2375; fax: +81 052 744 2383.

E-mail address: tamenisi{at}med.nagoya-u.ac.jp (A. Tamenisi).

A 63-year-old man underwent pacemaker implantation for complete atrio-ventricular block. The patient repeated admissions for skin necrosis, and generator or pacemaker system was re-implanted each time. The patient was admitted with skin necrosis of the generator pocket three years after re-implantation. A skin patch test was positive on almost all components of the pacemaker system. The patient underwent pacemaker system removal and re-implantation of polytetrafluoroethylene (PTFE) sheets coating pericardium leads and generator. There has been no recurrence. PTFE sheet coating is effective to treat pacemaker system contact dermatitis.

Key Words: Pacemaker system; Skin patch test; Polytetrafluoroethylene

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eComment: Foreign body reaction to polytetrafluoroethylene

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				M. Ozeren eComment: Foreign body reaction to polytetrafluoroethylene Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 276 - 277. [Full Text] [PDF]