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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 4

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Cir Card Mex 2017; 2 (4)

Implante de marcapasos endocárdicos por el servicio de cirugía cardiotorácica

Ortega REE, Roldán MD, Olvera LJ, Hernández TLL, Álvarez MC, Hernández RE

Language: Spanish
References: 16
Page: 120-123
PDF size: 157.91 Kb.


ABSTRACT

Objective. To describe our experience in implantation of pacemakers with puncture technique and venodisection by the department of cardiothoracic surgery.
Materials and Methods. We retrospectively reviewed the patients files underwent definitive pacemaker implantation by the cardiothoracic surgery service from June 2013 to June 2014. The implantation technique, demographic factors and the appearance of complications were evaluated.
Results. A total of 930 implants were carried out during the study period, 134 cases were excluded because of incomplete information. Of the 796 that were included, 647 were implanted by puncture and 149 by venodisection. The occurrence of arterial puncture, pneumothorax and hemothorax were significantly higher in the puncture group than in the venodisection group.
Conclusions. Although puncture technique is the most widely used approach in our unit, the evident appearance of fewer complications in patients undergoing venodisection suggests that it should be considered the technique of choice for inexperienced personnel with no enough skills and experience solving complications arising from puncture.


REFERENCES

  1. Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantablecardioverter-defibrillators: calendar year 2009 — a World Society of Arrhythmia’sproject. Pacing Clin Electrophysiol 2011; 34:1013-27.

  2. Pietro Palmisano, Michele Accogli. Rate, causes, and impact on patient outcomeof implantable device complications requiring surgical revision: large populationsurvey from two centres in Italy. Europace 2013; 15: 531–40.

  3. Warrington WG. Outcomes of using a Modified Seldinger Tchnique for a longterm intravenous therapy in hospitalized ptients with difficult venous access. JAVA2012; 17: 24-31.

  4. Parsonnet V. Permanent Transvenous Pacing in 1962. PACE 1978; 1:285.

  5. Vardas PE, Auricchio A, Blanc JJ, et al; Guías europeas de práctica clínica sobremarcapasos y terapia de resincronización cardiaca. Rev Esp Cardiol 2007;60:1272.e1-e51

  6. Ki-Hun Kim, Kyoung-Min Park, Gi-Byoung Nam, Dae-Kyeong Kim, MinkyungOh, HyungOh Choi, Et al. Comparison of the Axillary Venous Approach andSubclavian Venous Approach for Efficacy of Permanent Pacemaker Implantation.Circ J 2014; 78: 865 – 871.

  7. Lawrence H. Cohn, Cardiac Surgery in the Adult, Fourth Edition, 2012, McGrawHill p.p 1199

  8. Kirklin, Barratt, Kouchouhos N, Blackstone E, Hanley F. Cardiac Surgery. FourthEdition, 2014. Ed Elservier

  9. Al-Majed NS, McAlister FA, Bakal JA, Ezekowitz JA. Meta-analysis: cardiacresynchronization therapy for patients with less symptomatic heart failure. AnnIntern Med 2011;154:401–12.

  10. Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC Guidelines on cardiacpacing and cardiac resynchronization therapy. Eur Heart J 2013; 34: 2281-329.

  11. Kiviniemi MS, Pirnes MA, Eranen HJ, et al: Complications related to permanentpacemaker therapy. Pacing Clin Electrophysiol 1999; 22:711-20.

  12. Link MS, Estes NA 3rd, Griffin JJ. Complications of dual chamber pacemaker implantationin the elderly. Pacemaker Selection in the Elderly (PASE) Investigators.J Interv Card Electrophysiol 1998; 2:175-9.

  13. Janosik DL, Ellenbogen KA. Basic physiology of cardiac pacing and pacemakersyndrome, in Ellenbogen KA, Kay GN, Wilkoff BL (eds): Clinical Cardiac Pacingand Defibrillation , 2nd ed. Philadelphia, WB Saunders, 2000; p 333.

  14. Poole JE, Gleva M J, Mela T, et al. Complication Rates Associated With Pacemakeror Implantable Cardioverter-Defibrillator Generator Replacements and UpgradeProcedures. Circulation 2010;122:1553-61.

  15. Özcan KS, Osmonov D, Altay S, et al. Pacemaker implantation complication ratesin elderly and young patients. Clinical Interventions in Aging 2013:8 1051–4.

  16. Kirkfeldt RE, Johansen JB, Nohr EA, Moller M, Arnsbo P, Nielsen JC. Pneumothoraxin cardiac pacing: a population-based cohort study of 28 860 Danishpatients. Europace 2012; 14: 1132–8.




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