Key result
Standardized pacemaker implantation technique achieves median surgical times under ~18 minutes with zero complications.
Why the study?
A standardized pacemaker implant technique to reduce surgery time and radiation exposure was needed, with limited comparative studies available.
Does a standardized pacemaker implant technique reduce surgical time and radiation exposure in patients undergoing pacemaker implantation?
Cross-Sectional (n=109)
No
Does a standardized pacemaker implant technique reduce surgical time and radiation exposure in patients undergoing pacemaker implantation?
A standardized pacemaker implantation technique demonstrated short surgical times and low radiation exposure with no postoperative complications.
Answers are grounded in this paper and cite their sources.
May shorten pacemaker implantation time and fluoroscopy in experienced centers; leaves open whether outcomes improve in randomized or broader settings.
Objective: To describe a standardized technique for implanting a pacemaker to reduce the time of surgery and radiation exposure and to demonstrate the results in a series of patients. Methods: Through descriptive and cross-sectional statistics, 109 patients undergoing dual-chamber (DDD) and single-chamber (VVI) pacemaker implantation were evaluated, using a standardized technical approach used in the cardiac surgery service of Santa Casa de Misericórdia of Ponta Grossa-PR, Brazil, from November 2016 to November 2019. Clinical aspects, implant indication, implant times, and radiation time were studied. The technique was described, and its most relevant aspects were discussed. Results: 68.81% of the pacemakers were DDD and the surgical time ranged from 11’22’’ to 34’43’’, with a median of 18’15’’. In these cases, the fluoroscopy time ranged from 34’’ to 5’10’’, with a mean of 1’42’’ and a 16.9 mGy median amount of radiation. The time to implant the VVI pacemaker ranged from 12’ to 42’, with a median of 17’12’’. The fluoroscopy time ranged from 26’’ to 6’25’’, with a mean of 1’41’’ and the median amount of radiation was 13.6 mGy. Conclusion: The technique proved to be agile, safe, with low fluoroscopy times and small amount of radiation. There were no postoperative complications. However, few studies were found for comparison.
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Costa et al. (2024) conducted a cross-sectional in Bradyarrhythmias requiring pacemaker implantation (n=109). Standardized pacemaker implant technique was evaluated on Surgical time and fluoroscopy time/radiation exposure. A standardized pacemaker implantation technique resulted in median surgical times of 18'15'' for DDD and 17'12'' for VVI devices, with low mean fluoroscopy times of 1'42'' and 1'41'', respectively, and no complications.
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