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Abstract: Poster Presentations |

PREVALENCE OF COMPLICATIONS DURING IMPLANTATION AND DURING 38-MONTH FOLLOW-UP FREE TO VIEW

Fausan S. Tsai, MD*; Wilbert S. Aronow, MD; Srikala Devabhaktuni, MD; Harit Desai, MD; Adam Kruger, MD; Hoang M. Lai, MD; William H. Frishman, MD; Martin Cohen, MD; Carmine Sorbera, MD
Author and Funding Information

New York Medical College, Valhalla, NY


Chest


Chest. 2009;136(4_MeetingAbstracts):101S. doi:10.1378/chest.136.4_MeetingAbstracts.101S-a
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Abstract

PURPOSE:  To investigate the prevalence of complications during implantatation and during long-term follow-up of consecutive patients who had implantable cardioverter-defibrillators (ICDs).

METHODS:  We investigated the prevalence of complications during implantatation and during 38-month follow-up of 1060 consecutive patients who had ICDs.

RESULTS:  During implantatation and during 38-month follow-up of ICDs, complications occurred in 60 of 1,060 patients (5.7%). These complications consisted of fractured leads requiring lead revision in 36 patients (3.4%), lead infection requiring antibiotics in 5 patients (0.5%), device replacement because of malfunction in 5 patients (0.5%), repositioning of leads in 3 patients (0.3%), a hematoma at the time of implantation in 3 patients (0.3%), pneumothorax at the time of implantation in 2 patients (0.2%), repair of a defective generator in 1 patient (0.1%), replacement of the device because of atrophy of the skin over the device in 1 patient (0.1%), a transient ischemic attack because of atrial fibrillation developing during implantation in 1 patient (0.1%), device replacement because of a recall from Guidant in 1 patient (0.1%), pocket revision because of pain when lying on the side of the pacemaker in 1 patient (0.1%), and pacemaker infection in 1 patient (0.1%).

CONCLUSION:  The prevalence of comlications during implantation and during 38-month follow-up of 1060 consecutive patients was 5.7%.

CLINICAL IMPLICATIONS:  The prevalence of comlications during implantation and during 38-month follow-up of 1060 consecutive patients was 5.7%. The most frequent complication was fractured leads requiring lead revision which occurred in 3.4% of patients.

DISCLOSURE:  Fausan Tsai, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, November 4, 2009

12:45 PM - 2:00 PM


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