2017
DOI: 10.1016/j.jacep.2017.05.007
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Complications and Health Care Costs Associated With Transvenous Cardiac Pacemakers in a Nationwide Assessment

Abstract: Claims data suggest that TVP complications are more common than previously reported, affecting nearly 1 in 6 patients by 3 years and contributing to considerable incremental U.S. health care cost.

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Cited by 96 publications
(69 citation statements)
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“…The European guideline recommends a period of clinical observation up to 7 days to assess for “persistence” of HDAVB, except for cases with a low rate of escape rhythm in which this observation period can be shortened . Such recommendation for a long waiting period is clinically reasonable, considering the non‐negligible short‐ and long‐term complications associated with permanent pacemaker implantation . In current clinical practice, however, the large majority of permanent pacemakers are implanted within 3 days following TAVI .…”
Section: Discussionmentioning
confidence: 99%
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“…The European guideline recommends a period of clinical observation up to 7 days to assess for “persistence” of HDAVB, except for cases with a low rate of escape rhythm in which this observation period can be shortened . Such recommendation for a long waiting period is clinically reasonable, considering the non‐negligible short‐ and long‐term complications associated with permanent pacemaker implantation . In current clinical practice, however, the large majority of permanent pacemakers are implanted within 3 days following TAVI .…”
Section: Discussionmentioning
confidence: 99%
“…13 Such recommendation for a long waiting period is clinically reasonable, considering the non-negligible short-and long-term complications associated with permanent pacemaker implantation. 25 In current clinical practice, however, the large majority of permanent pacemakers are implanted within 3 days following TAVI. 9,14 In our cohort, a trend for earlier permanent pacemaker implantations was observed in 2014 (median 1 day) compared to 2012, along with a shorter overall length of hospital stay in 2014 than previous years.…”
Section: Pacemaker Implants After Tavimentioning
confidence: 99%
“…Rather than limiting our investigation to costs and complications that occurred within a short time after reoperation, 8 to providers, which do not include patient out-of-pocket costs.…”
Section: Inpatient Tv Lead Reoperationmentioning
confidence: 99%
“…Furthermore, though not as wellstudied as rates and risk factors, the cost consequences of TV lead complications appear to be considerable, with estimates of the episodic costs of reoperation in the United States (US) ranging from $25 000 to more than $100 000 depending on the presence of infection and other factors. 5,[7][8][9][10][11] Not surprisingly, attention has thus focused on strategies to improve prevention 12 The objectives of this study were to estimate the direct medical costs to Medicare associated with TV lead reoperation, describe patterns of complications around lead reoperation, and examine the impact of complications on medical resource use and costs.…”
Section: Introductionmentioning
confidence: 99%
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