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J. Clin. Med. 2019, 8(1), 35; https://doi.org/10.3390/jcm8010035

Safety of Permanent Pacemaker Implantation: A Prospective Study

1
Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain
2
Clinical Management Unit-Anesthesiology and Resuscitation, Cardiac Surgery, Virgen del Rocío University Hospital, 41013 Seville, Spain
3
Internal Medicine, Virgen del Rocío University Hospital, IBIS-CIBERESP, Fundación Enebro, 41013 Seville, Spain
4
Emergency Medicine, Virgen de Valme University Hospital, 41014 Seville, Spain
*
Author to whom correspondence should be addressed.
Received: 18 November 2018 / Revised: 24 December 2018 / Accepted: 26 December 2018 / Published: 1 January 2019
(This article belongs to the Section Cardiology)
Full-Text   |   PDF [258 KB, uploaded 1 January 2019]

Abstract

Although pacemaker implantation is considered to be low risk, it is not exempt from complications and technical failures during the procedure, both in the short and long term, and the complications that such patients may present remain unknown. The aim has been to analyze the complication rates associated with permanent pacing and to identify if these differ between patients with or without previous antithrombotic therapy. We used a prospective, single center, observational study of 310 adult patients with indications of permanent pacing. They were hospitalized from 1 January to 31 December 2014 and followed up for 6 months after the pacemaker implant. The participants were distributed into two groups according to the antithrombotic therapy prior to the implant. The most frequent major complications were pneumothorax (3.87%) and lead dislodgement (8.39%), while superficial phlebitis (12.90%) and uncomplicated hematomas (22.58%) were presented as the most recurrent minor complications. Hematomas were the most frequent minor complication in the antithrombotic therapy cohort, and shoulder pain was reported as the most recurrent minor complication in the non-exposed group. Finding out about complications in pacemaker implants enables a complete view of the process, and hence the prioritization of actions aimed at improving safety and reducing associated risks. View Full-Text
Keywords: pacemaker; artificial; anticoagulant drugs; postoperative complications; patient safety; prospective studies; outcome assessment pacemaker; artificial; anticoagulant drugs; postoperative complications; patient safety; prospective studies; outcome assessment
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Carrión-Camacho, M.R.; Marín-León, I.; Molina-Doñoro, J.M.; González-López, J.R. Safety of Permanent Pacemaker Implantation: A Prospective Study. J. Clin. Med. 2019, 8, 35.

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