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[Permanent cardiac stimulation: evaluation of a 10-year experience]
Y Groebli1, J C Jornod, P Tschantz
1Département de chirurgie, Hôpital des Cadolles, Neuchâtel.
Schweizerische Medizinische Wochenschrift
|January 18, 1992
Summary
This study on permanent pacemaker implantation found very low mortality rates. However, local complications like infection were significant, sometimes necessitating further surgery or system removal.
Area of Science:
- Cardiology
- Surgical Procedures
Background:
- Permanent pacemaker implantation is a common procedure for managing cardiac rhythm disorders.
- Long-term outcomes and complication rates are crucial for patient management and procedural refinement.
Purpose of the Study:
- To evaluate the outcomes and complication rates of permanent pacemaker implantation over a 10-year period.
- To identify the most frequent and severe complications associated with pacemaker systems.
Main Methods:
- A 10-year prospective follow-up study (1978-1988).
- Involved 430 patients receiving 463 permanent pacemakers.
- Data collected on mortality and local complications.
Main Results:
- Overall mortality was very low at 0.5%.
- Local complication rate was 6.2%.
- Infection was the most dangerous complication, often requiring repeat surgery or system explantation.
Conclusions:
- Permanent pacemaker implantation demonstrates a favorable survival rate.
- Infection remains a significant risk, demanding careful management and potentially invasive interventions.