The Contributing Factors Associated with Reoperation after de novo Pacemaker Implantation
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概要
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<B>Aim:</B> Prevention of reoperation during early stage after pacemaker (PM) implantation is important since it may cause problems including complications, extended hospitalization, and increased medical cost. We evaluated if there were any factors associated with reoperation. <B>Methods:</B> This study included 197 patients undergoing <I>de novo</I> PM implantation from 2008 to 2010 (96 Males, mean age 72.2 +/− 9.7 years). Patient characteristics and perioperative information were compared according to presence or absence of reoperation within 1 month after PM implantation. <B>Results:</B> All patients received active fixation atrial and/or ventricular lead(s). 11 among 197 patients (5.6%) underwent reoperation. Reasons for reoperation were lead dislodgement in 10 patients, and perforation in 1 patient. Mean duration from PM implantation to reoperation was 0.4 +/− 0.8 days. There were no significant differences between patients with and without reoperation in age, gender, height, weight, indication for PM, LA dimension, LV dimension, LVEF, TR-PG, implanted site, lead location, and use of anticoagulants/antiplatelets. Patients necessitating reoperation had shorter bed-rest duration (1.0 +/− 0.0 vs 7.2 +/− 10.2 hrs, p<0.05), longer procedural time (120.5 +/− 39.2 vs 103 +/− 30.0 min, p=0.07), and smaller BMI (19.6 +/− 3.7 vs 23.6 +/− 2.8, p<0.05). <B>Conclusions:</B> Careful attention should be paid if they necessitate reoperation in patients with longer procedural time, shorter bed rest duration, and smaller BMI. Extremely shorter bed rest duration should be avoided to prevent reoperation especially in patients with longer procedural time and smaller BMI.
著者
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Suga Chikashi
Department Of Cardiology Saitama Medical Scool
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Momomura Shin-ichi
Department Of Internal Medicine Miyazaki Prefectural Hospital
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Hirahara Taishi
Department of Cardiovascular Medicine, Jichi Omiya Medical Center
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Nakajima Jun
Department Of Cardiothoracic Surgery And Human Pathology The University Of Tokyo Graduate School Of
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Ako Junya
Department of Cardiology, Jichi Medical University Saitama Medical Center
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Sugawara Yoshitama
Department of Cardiology, Jichi Medical University Saitama Medical Center
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Momomura Shin-ichi
Department of Cardiology, Jichi Medical University Saitama Medical Center
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Nakajima Jun
Department of Cardiology, Jichi Medical University Saitama Medical Center
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Hirahara Taishi
Department of Cardiology, Jichi Medical University Saitama Medical Center
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Suga Chikashi
Department of Cardiology, Jichi Medical University Saitama Medical Center
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