2005, Number 3
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Arch Cardiol Mex 2005; 75 (3)
Ambulatory pacemaker surgery
Robledo NR, Méndez MF, Ruiz SJC, Trujillo CR, Blanco CM, Jiménez VA, Reyes BV, Gómez ÁE, Sandoval CC, Méndez VMC
Language: Spanish
References: 13
Page: 316-319
PDF size: 66.47 Kb.
ABSTRACT
The chronic cardiac stimulation is know since
1958, pacemaker implant was considered a difficult
procedure that was performed through cardiovascular
surgery and the patient required several
in hospital days. On the grounds of new
surgical techniques and development of new
materials for pacemakers, as well as the rise of
Ambulatory Surgery and its application in pacemaker
implants, the hospital stay and consequently,
costs have decreased significantly. In
1986, Zegelman reported 583 patients subjected
to ambulatory pacemaker surgery without
mortality. The purpose of this report it to evaluate
the efficacy and safety of ambulatory pacemaker
surgery. One hundred seventy seven patients
from an ambulatory program and 95 from
a traditional program were included. Hospitalization
time was 15.7 ± 15.1 hours in the first group
and 238 ± 188 hours for the second, prevalence
of complications was 2.2% in the 272 patients.
Complications for both groups were similar and
were solved, without mortality. We conclude that
the ambulatory pacemaker surgery is effective
and safe for patients and is cheaper for hospitals.
The success of this program depends on
the number of implants in each hospital and the
operator’s experience.
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