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[X-ray-examination-time during implantation of pervenous leads for permanent cardiac pacing (author's transl)]
Abstract:
From February 1974 to December 1975 we performed 295 pacemaker operations. 165 of those were primary implantations of pervenous leads for permanent cardiac pacing. The X-ray examination time was between 0.1 and 17.0 minutes, their mean value was 2.6, their median 1.7 minutes. In those 165 cases there was a dislocation of the lead in 10.9 percent. Although our X-ray examination time was extremely short however in comparison with the literature we found no arise of our dislocation rate. Some hinces to keep radiation small are discussed.
Insights
This study on permanent cardiac pacing found that extremely short X-ray examination times did not increase lead dislocation rates. Researchers discuss methods for minimizing radiation exposure during pacemaker procedures.
Area of Science:
- Cardiology
- Medical Imaging
- Surgical Procedures
Context:
- Pacemaker implantation is a common procedure for managing cardiac rhythm disorders.
- Minimizing radiation exposure during medical procedures is a significant concern for patient safety.
- Lead dislocation is a potential complication following pacemaker implantation.
Purpose:
- To evaluate the relationship between X-ray examination time and lead dislocation rates in permanent pacemaker implantations.
- To assess if shorter fluoroscopy times impact the incidence of lead dislodgement.
- To explore strategies for reducing radiation exposure during these operations.
Summary:
- Over a 2-year period, 165 primary pervenous lead implantations for permanent cardiac pacing were performed.
- The mean X-ray examination time was 2.6 minutes, with a lead dislocation rate of 10.9%.
- This dislocation rate was not found to be higher than reported in literature despite significantly shorter X-ray times.
Impact:
- Suggests that optimized techniques can reduce fluoroscopy time without compromising procedural success.
- Highlights the importance of radiation safety protocols in cardiac pacing procedures.
- Provides insights into managing radiation dose while maintaining lead placement accuracy.