Parsonnet V, Bernstein A D, Lindsay B
Department of Surgery, Newark Beth Israel Medical Center, New Jersey 07112.
J Am Coll Cardiol. 1989 Mar 15;13(4):917-21. doi: 10.1016/0735-1097(89)90236-2.
An examination of 632 consecutive pacemaker implantations performed at a single institution by 29 implanting physicians over a 5 year period was made to determine which factors affected the 37 perioperative complications experienced. The introducer method of vein access contributed significantly to the complication rate, which was also related to the number of physician implanters on the staff and the makeup of the implantation teams. Of greatest interest was the substantially large incidence of complications experienced by implanters who performed fewer than 12 implantations per year, and particularly the incidence of lead-related complications.
对一家机构的29位植入医生在5年期间连续进行的632例起搏器植入手术进行了检查，以确定哪些因素影响了所发生的37例围手术期并发症。静脉穿刺的导入器方法对并发症发生率有显著影响，并发症发生率还与工作人员中植入医生的数量以及植入团队的组成有关。最令人感兴趣的是每年植入少于12例起搏器的植入医生所经历的并发症发生率大幅升高，尤其是与导线相关的并发症发生率。
