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Clinic and echocardiographic predictor factors to increase leadless pacemaker procedure time.
Session:
Painel 5 - Arritmologia 6
Speaker:
Fabio Klemz
Congress:
CPC 2020
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.1 Antibradycardia Pacing
Session Type:
Posters
FP Number:
---
Authors:
Fabio Klemz; Diogo Cavaco; João Carmo; José Alencar; Gustavo Da Rocha Rodrigues; Francisco Bello Morgado; Pedro Lopes Do Carmo; Francisco Moscoso Costa; Afonso Oliveira; João Adriano Sousa; Pedro Adragão
Abstract
<p><em>Introduction</em> Leadless pacemaker implantation is a therapeutic option in patients that need just ventricular stimulation mainly elderly with persistent atrial fibrilation. In comparison with conventional transvenous pacemaker presents similar complication rate, but emphasize the inferior time of procedure. The aim was to evaluate clinics and echocardiographics factors associated with prolonged implantation time.</p> <p><em>Methods</em> Retrospective observational study of 76 patients that received a leadless pacemaker at the period between June 2015 and August 2019 in a unique center. The procedure time was evaluated since local anesthesia until skin puncture suture ending. Data were analysed by chi-square and t-Student tests with significance level of 5%.</p> <p><em>Results</em> The mean age was 75,1 ± 12,6years and male sex was 57,8%. The sample was divided in two groups according 60 minutes cut-off (mean plus one standart deviation). Clinic and echocardiographic data are in Table 1. Obstructive arterial periferic disease (OAPD), congenital cardiopathy and moderade to severe tricuspid insufficiency were associated with increase procedure time.</p> <p><em>Conclusion</em> In this work, OPAD, congenital cardiopathy and moderade to severe tricuspid insufficiency were predictors of prolonged procedure time to implant leadless pacemaker.</p> <p> </p>
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