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February 21, 2013CirculationOpen Access

Reuse of Pacemakers

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Why the study?

Does the use of resterilized pacemakers reduce the composite of unexpected battery depletion, infection, and device dysfunction in patients requiring pacemakers?

Population

603 consecutive patients requiring pacemakers (bradyarrhythmias) from 2000 to 2010

Comparison

Resterilized (reused) pacemakers vs New pacemakers

Design

Cohort

Authors

SNSantiago NavaConsejo Nacional de Investigaciones Científicas y TécnicasJMJosé L. MoralesInstituto Tecnológico Autónomo de MéxicoMMManlio F. MárquezCentro Médico ABC

Discussion

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Implication

No significant difference in primary endpoint with reused pacemakers; leaves open equivalence to new devices in randomized trials.

Structured PICO

Does the use of resterilized pacemakers reduce the composite of unexpected battery depletion, infection, and device dysfunction in patients requiring pacemakers?

P
Population
603 consecutive patients requiring pacemakers (bradyarrhythmias) from 2000 to 2010
I
Intervention
Resterilized (reused) pacemakers
C
Comparator
New pacemakers
O
Outcome
Combined end point of 3 major outcomes: unexpected battery depletion, infection, and device dysfunctioncomposite

Reuse of pacemakers is a feasible and safe option that is non-inferior to new devices for major safety outcomes, though associated with a higher rate of explantation.

Cite This Study

Nava et al. (2013) studied this question.

synapsesocial.com/papers/6a72da5c52863cde5054397fhttps://doi.org/10.1161/circulationaha.113.001584
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Re-used pacemakers—as safe as new? A retrospective case-control study1998 · 63 citations
  2. 2Survival and Mortality in 3,701 Pacemaker Patients: Arguments in Favor of Pacemaker Reuse1986 · 31 citations
  3. 3The ethics of pacemaker reuse: might the best be the enemy of the good?2011 · 22 citations
  4. 4Postmortem Interrogation and Retrieval of Implantable Pacemakers and Defibrillators: A Survey of Morticians and Patients2007 · 68 citations
  5. 5Performance of Implantable Cardiac Rhythm Management Devices1991 · 28 citations