Grendahl H
Avdeling for hjertesykdommer, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1994 Nov 30;114(29):3420-3.
One specific institution reports 310 cases of reuse of pacemakers from 1974 to 1993. 111 were obtained after replacement, and 199 after the death of the first user. The average duration of the primary implant was 12 months (0-53 months). 177 functioned up to time of death, 43 months (0-177 months). In 107 cases the cause of death was unrelated to use of a pacemaker, was unknown in 61, and was sudden in 9 patients. 64 pacemakers were replaced, 14 because of infections or skin erosions. The causes of death and the prevalence and indications for generator replacement coincided with those in our population of new pacemaker-users in 1988-93.
Pacemaker re-use in our hospital is safe and cost-effective.
一家特定机构报告了1974年至1993年期间310例起搏器再利用的病例。其中111例是在更换后获得的,199例是在首位使用者死亡后获得的。初次植入的平均时长为12个月(0至53个月)。177例在死亡时仍在发挥作用,时长为43个月(0至177个月)。107例的死亡原因与起搏器使用无关,61例原因不明,9例猝死。64例起搏器被更换,14例是因为感染或皮肤糜烂。死亡原因以及发生器更换的发生率和指征与我们1988 - 1993年新起搏器使用者群体中的情况相符。
我院起搏器再利用是安全且具有成本效益的。