Surgical complications after pacemaker implantations
Keywords:
pacemaker, early and late surgical complicationsAbstract
Abstract: With the development of science and technology, cardiac pace maker implantation has become most frequently performed operative procedure on the heart. The initial surgically rather complicated transthoracic approach and epicardial electrode cathether insertion was followed by the technically much easier transvenous approach and cathether insertion at the optimal site of the endocardium. In recent years, video-assisted thoracic surgery has established its undisputed place in epicardial electrode cathether insertion. Due to its lower morbidity, it replaced the much more aggressive thoracotomy and sternotomy. Preoperative patient preparation improved, the multidisciplinary approach to pathology solution prevailed and consequently the number of complications decreased. Presented are some of the most frequent and – despite the improved operative technique – unavoidable surgical complications, as well as the surgical complications occuring in cardiac pace maker insertions performed at the Maribor Teaching Hospital Department of Thoracic Surgery during the 5-year period of 2000–2004.
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