Chest Radiographs Are Valuable in Demonstrating Clinically Significant Pacemaker Complications that Require Reoperation

Belvin, Diane; Hirschl, David; Jain, Vineet R.; Godelman, Alla; Stein, Marjorie W.; Gross, Jay N.; Haramati, Linda B.

doi:10.1016/j.carj.2010.04.016

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…Данные о риске развития осложнений лечения ско-рее говорят в пользу СРАР-терапии, при которой не-желательные явления (сухость во рту, аллергические кожные реакции, вазомоторные реакции, заложен-ность носа, носовые кровотечения и другие) регистри-руются примерно в 13 % случаев [43], в то время как встречаемость ранних и поздних послеоперационных осложнений ПЭКС (включая диспозицию электрода, перфорацию миокарда, кровотечения, пневмоторакс, инфекционные осложнения, дисфункцию и дислока-цию электродов и другие) составляет до 10-35 % [30, 44,45,46]. Однако нельзя не учитывать тот факт, что основными проблемами (до 30-50 %) при проведении неинвазивной вентиляции легких являются частая непереносимость и низкая приверженность к терапии (отказ от терапии, использование приборов менее 4 часов за ночь, на протяжении менее 70 % ночей), что становится основным препятствием к долгосрочному лечению [43,47].…”

Section: научные обзоры Scientific Reviewsunclassified

Bradyarrhythmias in the Obstructive Sleep Apnea Syndrome: Treatment Tactics

Korostovtseva¹,

Varenitsyna²,

Bochkarev³

et al. 2017

SMR

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Section: научные обзоры Scientific Reviewsunclassified

Bradyarrhythmias in the Obstructive Sleep Apnea Syndrome: Treatment Tactics

Korostovtseva¹,

Varenitsyna²,

Bochkarev³

et al. 2017

SMR

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“…These systems generally involve an afferent limb, that is, a sensor which picks up information used to determine when the pacemaker should fire, a software controller, a generator, and an efferent limb which carries the electrical impulses through wires to electrodes in muscle or around nerves. Pacemaker leads, like other implantable devices, have been associated with complications such as infection, accretions, displacement, allergic reactions, and venous thrombosis or blood vessel stenosis . A particular challenge in this area is to make biostable electrodes and insulated leads which are resistant to breakage, corrosion, and displacement.…”

Section: Current Surgical Needs—the Tip Of a Large Icebergmentioning

confidence: 99%

What would surgeons like from materials scientists?

Grundfest‐Broniatowski

2013

WIREs Nanomed Nanobiotechnol

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Surgery involves the repair, resection, replacement, or improvement of body parts and functions and in numerous ways, surgery should be considered human engineering. There are many areas in which surgical materials could be improved, but surgeons are generally unaware of materials available for use, while materials scientists do not know what surgeons require. This article will review some of the areas where surgeons and materials scientists have interacted in the past and will discuss some of the most pressing problems which remain to be solved. These include better implant materials for hernia repair, breast reconstruction, the treatment of diabetes, vascular stenting and reconstruction, and electrical pacing devices. The combination of tissue engineering and nanomaterials has great potential for application to nearly every aspect of surgery. Tissue engineering will allow cells or artificial organs to be grown for specific uses while nanotechnology will help to ensure maximal biocompatibility. Biosensors will be combined with improved electrodes and pacing devices to control impaired neurological functions.

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“…There are a handful of studies that reported‐ with mixed results‐ on the rate of complications post CIED implant procedures that were detected early‐on via utilizing routine CXRs post device implants 8–10 . There are also few reports in the literature on the yield of routine post procedural device checks in detecting complications, particularly lead displacements, early on and before the patients are discharged from the hospital after their initial procedures 11,12 …”

Section: Introductionmentioning

confidence: 99%

“…7 There are a handful of studies that reported-with mixed resultson the rate of complications post CIED implant procedures that were detected early-on via utilizing routine CXRs post device implants. [8][9][10] There are also few reports in the literature on the yield of routine post procedural device checks in detecting complications, particularly lead displacements, early on and before the patients are discharged from the hospital after their initial procedures. 11,12 In this analysis, we aimed to report, first on the rate of periprocedural complications associated with CIED implants at our tertiary center, and to identify any patient related and/or procedural related factors that are associated with higher rates of peri-procedural complications.…”

Section: Introductionmentioning

confidence: 99%

Role of routine investigations post cardiac devices implants in detecting peri‐procedural complications: A retrospective analysis from a tertiary UK center

Menexi,

ElRefai,

Abouelasaad

et al. 2024

Pacing Clinical Electrophis

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BackgroundPeri‐procedural complications associated with cardiac implantable electronic devices are not uncommon. European Society of Cardiology guidelines recommend device checks of all devices within 72 h of implant. European Heart Rhythm Association expert practical guide on Cardiac implantable electronic devices (CIEDs) recommend that a chest x‐ray (CXR) should be performed within 24 h to rule out pneumothorax and document lead positions. First, the rate of peri‐procedural complications associated with CIED implants at our center, as well as patient and/or procedural‐related factors that are associated with higher rates of complications, is analyzed. Second, the yield of the guideline‐recommended measures in the early detection of peri‐procedural complications is examined.Materials and methodsConsecutive de novo transvenous device implants at our center in 2019 were retrospectively analyzed. Patients’ demographics, types and indications for device therapy, procedural reports, device checks, and CXRs were obtained from the hospital electronic records.ResultsA total of 578 patients (Age 74 ± 16 years, 68% male) were included. All patients had routine post‐procedure CXRs and device checks. There were 16 (2.8%) complications; 7 (1.2%) pneumothoraxes, 6 (1%) pericardial effusions, and 3 (0.5%) lead displacements. Procedure time correlated significantly with complications; in uncomplicated cases it was 99 ± 43 min versus 127 ± 50 min in procedures associated with complications (p = .02).ConclusionsRoutine post CIED implantation CXRs can detect early peri‐procedural complications, while repeat post mobilization device checks has low yield of detection of complications. The only statistically significant predictor of peri‐procedural complications is the duration of the procedure; longer procedures were associated with higher rates of complications.

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Chest Radiographs Are Valuable in Demonstrating Clinically Significant Pacemaker Complications that Require Reoperation

Cited by 7 publications

References 11 publications

Bradyarrhythmias in the Obstructive Sleep Apnea Syndrome: Treatment Tactics

Bradyarrhythmias in the Obstructive Sleep Apnea Syndrome: Treatment Tactics

What would surgeons like from materials scientists?

Role of routine investigations post cardiac devices implants in detecting peri‐procedural complications: A retrospective analysis from a tertiary UK center

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