[Complications of permanent pacemaker. Event operator dependent? Analysis of 743 consecutive patients]

Francisco J Femenía1, Mauricio Arce, Fernando Peñafort

  • 1Unidad de Arritmias, Departamento de Cardiología, Hospital Español de Mendoza, Argentina.

Insights

Permanent pacemaker implant complications are uncommon, affecting 7.67% of patients. Low operator experience and pre-existing heart failure independently predict these complications, guiding future safety improvements.

Area of Science:

  • Cardiology
  • Medical Device Technology

Context:

  • Permanent pacemaker implantation is a common procedure for managing bradyarrhythmias.
  • Understanding associated complications and their risk factors is crucial for patient safety and procedural optimization.

Purpose:

  • To evaluate the complications associated with permanent pacemaker implants.
  • To identify independent risk factors contributing to these complications.

Summary:

  • A retrospective and prospective study analyzed 743 patients undergoing permanent pacemaker implantation.
  • Overall complication rate was 7.67%, with 4.57% requiring surgical intervention; no deaths occurred.
  • Independent predictors for complications included lower operator experience and pre-implant heart failure.

Impact:

  • Findings highlight the importance of operator experience and patient selection in minimizing pacemaker implant complications.
  • Contributes to evidence-based practices for improving safety in cardiac device implantation.
Abstract

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