Analysis of postoperative complications and risk factors in patients with permanent pacemaker implantation

Abstract

Background: Permanent pacemaker implantation (PPI) is widely used for the treatment of chronic arrhythmia. The aim of the present study was to investigate the incidence of postoperative complications and the risk factors in patients with PPI. Methods: The clinical data of 124 patients who underwent PPI in our hospital from January 2014 to January 2018 were collected and analyzed retrospectively. Data on sex, age, status of disease, and related complications of all patients were recorded, and differences were compared. The factors affecting postoperative complications in patients with PPI were analyzed. Results: The incidence of postoperative complications in 124 patients with PPI was 8.06% (10/124), including 4 cases with capsular hematoma (3.23%), 2 cases with capsular rupture (1.61%), 3 cases with capsular infection (2.42%) and 1 case with venous thrombosis (0.81%). Unconditional single-factor logistic regression model showed that the incidence of postoperative complications in patients with PPI was significantly greater with older age, high body mass index (BMI), smoking history, poor nutritional status, and decreased platelet counts (P<0.05). Results of the unconditional multivariate logistic regression analysis showed that older age, high BMI, smoking history, poor nutritional status, and decreased platelet counts were all independent risk factors of postoperative complications in patients with PPI (P<0.05). Conclusions: The incidence of postoperative complications in patients with PPI was low, and the complications were mainly related to capsular bag. Factors, such as older age, high BMI, smoking history, poor nutritional status, and decreased platelet counts, were independent risk factors resulting in postoperative complications in patients with PPI.

The effect of body mass index on complications in cardiac implantable electronic device surgery

“…In our study, rates of HT, DM, CAD, HF, and AF were higher in obese patients. In another study, it was stated that HT, DM, metabolic syndrome, and obesity were risk factors for CIED complications 5 . In addition, antiplatelet and anticoagulant drug use was higher in our obese patients.…”

“…In another study, it was stated that HT, DM, metabolic syndrome, and obesity were risk factors for CIED complications. 5 In addition, antiplatelet and anticoagulant drug use was higher in our obese patients. In our previous study, we found that patients using anticoagulants had more complications than patients using antiaggregants.…”

“…In a study, it was reported that factors such as advanced age, high body mass index (BMI), smoking, malnutrition, and low platelet count are all independent risk factors for CIED-related complications. 5 Despite all this information, there is limited data in the literature regarding the effect of BMI on complication rates. Due to this data limitation, we aimed to investigate the effect of BMI on CIED-related complications in a multicenter and relatively large patient group in our study.…”

“…Pneumothorax rates may also increase in obese patients, especially due to the increase in the number of failed punctures. In a study, it was reported that factors such as advanced age, high body mass index (BMI), smoking, malnutrition, and low platelet count are all independent risk factors for CIED‐related complications 5 . Despite all this information, there is limited data in the literature regarding the effect of BMI on complication rates.…”

Application of Gene Therapy for Treatment of Atrial Fibrillation

“…A significant drawback of pacemakers is post-surgical complications. A study by researchers at Zunyi Medical University found that, although relatively rare, permanent implantations of pacemakers have a complication rate of roughly 8.06% (Jing et al, 2020). Complications can range from mild to severe, including complications such as capsular hematomas, capsular ruptures, capsular infections, and venous thrombosis (Jing et al, 2020).…”