Safety and feasibility of cardiac pacemaker implantation after valve replacement and preventive measures for surgical complications
Fang Zhe
Li Yueping
Zhou Yujie
Xu Zhenye
Ma Xiuhua
Abstract：Objective To observe the safety and feasibility of cardiac pacemaker implantation in patients after valve replacement and to explore the preventive measures for surgical complications.Methods From January 2013 to December 2016,clinical data of 87 patients who underwent primary cardiac pacemaker implantation in Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed.Among them,23 patients had previous cardiac valve replacement(valve replacement group) and 64 patients were routine group.Intraoperative and postoperative pacemaker threshold value and perception were measured.Intraoperative and postoperative 7 d,3-and 6-month puncture complications,electrode dislocation,infection and other surgical complications were observed.Results During operation and long-term follow-up,there were 8 complications in total,including 2 cases(8.7％) in the valve replacement group and 6 cases(9.4％) in the routine group.There were 3 cases of complications related to pacemaker implantation such as pneumothorax,blood pneumothorax,pocket hematoma and infection.There were 2 cases of electrode perforation,insulation failure and dislocation.There were 3 cases of pacemaker-related complications including pacemaker displacement,battery depletion,pacemaker perception,pacing disorder and pacing syndrome.Incidence of complications was similar between groups (P ＞ 0.05).Conclusions It is safe and feasible to implant pacemaker in patients after heart valve replacement.Negative pressure balloon combined with thrombin can reduce the risk of postoperative infection and bleeding.
Keywords：Heart pacemakerValve replacementPocket infection
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 50-53 )