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[Perioperative complications in pacemaker surgeries].

P Eigel1, A Krein, J Buchwald

  • 1Klinik für Thorax-, Herz- und Gefässchirurgie, Universität Würzburg.

Zentralblatt Fur Chirurgie
|January 1, 1991
PubMed
Summary
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Pacemaker procedures increased, with more local anesthesia and dual-chamber systems used. Despite a rise in complications, no deaths occurred, highlighting evolving pacemaker therapy practices.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology

Context:

  • Pacemaker implantation trends and outcomes were analyzed at a university cardiothoracic surgery division.
  • Data spanned two distinct periods: 1979-1985 (Period I) and 1986-1989 (Period II).

Purpose:

  • To evaluate changes in pacemaker procedure volume, indications, anesthesia, venous access, device types, and complication rates over time.
  • To identify factors contributing to observed trends in pacemaker therapy.

Summary:

  • Pacemaker procedures decreased in annual volume but showed an increase in dual-chamber system utilization from 11% to 24%.
  • Local anesthesia became predominant, and the right cephalic vein remained the preferred venous access.
  • While intraoperative and postoperative complication rates rose from 2.5% to 5.8% and 4% to 5.8% respectively, no deaths were reported.

Related Experiment Videos

Impact:

  • The study highlights shifts in clinical practice for pacemaker implantation, including anesthesia and device selection.
  • Understanding these trends is crucial for optimizing patient care and managing potential complications in pacemaker therapy.