Journal of Shanghai Jiao Tong University (Medical Science) >

2016 , Vol. 36 >Issue 11: 1628

DOI: https://doi.org/10.3969/j.issn.1674-8115.2016.11.017

Original article (Clinical research)

Clinical study on pocket-related complications in patients undergoing pacemaker implantation after valvular surgery

  • LI Yan-Jie ,
  • ZHANG Wei-Wei ,
  • YANG Xiao-Xiao ,
  • HUANG Jing-Juan ,
  • YE Mao-Qing ,
  • QU Xin-Kai ,
  • YANG Yi-Qing ,
  • LI Ruo-Gu
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  • 1. Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China; 2. Cardiovascular Research Laboratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China;3. Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Online published: 2016-11-29

Supported by

National Natural Science Fund of China, 81400244; Project of Science and Technology Committee of Shanghai, 14140903601，14140903602

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Abstract

Objective · To investigate risk factors for pocket-related complications in patients undergoing permanent pacemaker implantation after valvular surgery, as well as prevention and treatment strategies. Methods · The clinical data of 115 patients undergoing permanent pacemaker implantation after valvular surgery were collected. Postoperative pocket-related complications and the effects of long term administration of warfarin on them were retrospectively analyzed. Results · A total of 12 patients (10.43%) had pocket-related complications, including 8 cases (6.96%) of capsular hematoma and 4 cases (3.48%) of capsular infection or rupture. The average age of 12 patients at their first implantation was 66.5±7.1 years, among whom five are male (41.7%). For the warfarin group, 6 patients (9.23%) had capsular hematoma and 4 patients had capsular infection or rupture (6.15%). Conclusion · The incidence of pocket-related complications in patients undergoing permanent pacemaker implantation after valvular surgery is high. Long term administration of warfarin is a risk factor. Enhancing the awareness of pocket-related complications and prompt treatment can decrease the incidence of complications.

Key words： permanent cardiac pacemaker; complication; capsular hematoma; capsular infection; valvular surgery

Cite this article

LI Yan-Jie , ZHANG Wei-Wei , YANG Xiao-Xiao , HUANG Jing-Juan , YE Mao-Qing , QU Xin-Kai , YANG Yi-Qing , LI Ruo-Gu . Clinical study on pocket-related complications in patients undergoing pacemaker implantation after valvular surgery[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2016 , 36(11) : 1628 . DOI: 10.3969/j.issn.1674-8115.2016.11.017

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