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Reuse of Infected Cardiac Rhythm Management Devices in the Same Patients: A Single-Center Experience
Ze, Feng1,2; Li, Xuebin1,2; Zhang, Ping1,2; Zhang, Haicheng1,2; Wang, Long1,2; Li, Ding1,2; Duan, Jiangbo1,2; Guo, Fei3; Yuan, Cuizhen1,2; Guo, Jihong1,2
关键词pacemaker infection reimplantation reuse of infected device resterilization
刊名PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
2014-08-01
DOI10.1111/pace.12352
37期:8页:940-946
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Engineering, Biomedical
研究领域[WOS]Cardiovascular System & Cardiology ; Engineering
关键词[WOS]PACEMAKER REUSE ; NATIONS ; SAFETY ; ELECTROPHYSIOLOGY ; PERFORMANCE ; COUNTRIES ; MORTALITY ; EFFICACY ; SOCIETY ; WORLD
英文摘要

Background: In developing countries, patients with a cardiac rhythm management device (CRMD) that has become infected cannot always afford a new device, and reuse of the infected CRMD may be appropriate. To evaluate the safety of this practice, a cohort of consecutive patients with reused pacemakers was compared with a control group.

Methods: A single-center cohort of consecutive patients treated from 2007 to 2012 was analyzed in a two-way noninferiority study. Patients who had infected CRMDs removed at the Cardiovascular Center of The Peking University People′s Hospital were enrolled, including those who had the same CRMD reimplanted and those who had a new CRMD implanted.

Results: This study included 212 patients, of who 99 (study group) had the same CRMD reimplanted, and 113 (control group) had a new CRMD implanted. During a mean follow-up period of 3.52 years (interquartile range: 2.1-4.7 years), 10 patients reached the primary end point of the study (infection, unexpected battery depletion, or device malfunction), including five (5%) in the study group and five (4.3%) in the control group. Recurrent infection occurred in three patients in the study group and two patients in the control group (3.0% vs 1.7%, relative risk: 1.29, 95% confidence interval: 0.62-2.29, P = 0.561). There were no cases of unexpected battery depletion in either group.

Conclusions: Reuse of infected CRMDs in the same patients is noninferior to the implantation of new devices. In developing countries without full medical coverage, careful reuse of infected CRMDs can be considered.

语种英语
WOS记录号WOS:000342831900004
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63770
专题北京大学第二临床医学院
北京大学第二临床医学院_心血管内科
北京大学临床肿瘤学院_药剂科
北京大学精神卫生研究所_计算机室
作者单位1.Peking Univ, Peoples Hosp, Dept Cardiac Electrophysiol, Beijing 100044, Peoples R China
2.Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China
3.Shantou Univ, Coll Med, Affiliated Hosp 1, Dept Cardiol, Shantou, Peoples R China
推荐引用方式
GB/T 7714
Ze, Feng,Li, Xuebin,Zhang, Ping,et al. Reuse of Infected Cardiac Rhythm Management Devices in the Same Patients: A Single-Center Experience[J]. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY,2014,37(8):940-946.
APA Ze, Feng.,Li, Xuebin.,Zhang, Ping.,Zhang, Haicheng.,Wang, Long.,...&Guo, Jihong.(2014).Reuse of Infected Cardiac Rhythm Management Devices in the Same Patients: A Single-Center Experience.PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY,37(8),940-946.
MLA Ze, Feng,et al."Reuse of Infected Cardiac Rhythm Management Devices in the Same Patients: A Single-Center Experience".PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY 37.8(2014):940-946.
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