Skip to main content
Log in

Strategien zur Vermeidung und Behandlung von Komplikationen der Herzschrittmacherimplantation

Strategies for the avoidance and treatment of complications during pacemaker implantation

  • BEITRAG ZUM THEMENSCHWERPUNKT
  • Published:
Herzschrittmachertherapie & Elektrophysiologie Aims and scope Submit manuscript

Abstract

The implantation of a pacemaker is the therapy of choice for symptomatic bradyarrhythmias. The perioperative complication rate is low. This article gives an overview on possible complications, their avoidance and treatment.

Zusammenfassung

Die Implantation eines Herzschrittmachers stellt die Therapie der Wahl symptomatischer, bradykarder Herzrhythmusstörungen dar. Die perioperative Komplikationsrate ist insgesamt gering. Dieser Artikel gibt einen Überblick über mögliche Komplikationen, deren Vermeidung und Behandlung.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Literatur

  1. Lemke B, Nowak B, Pfeiffer D (2005) Leitlinien zur Herzschrittmachertherapie. Z Kardiol 94:704–720

    Article  PubMed  CAS  Google Scholar 

  2. Gregoratos G, Abrams J, Epstein AE, Freedman RA, Hayes DL, Hlatky MA, Kerber RE, Naccarelli GV, Schoenfeld MH, Silka MJ, Winters SLL (2002) ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices– summary article: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (ACC/ AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines). J Am Coll Cardiol 40:1703–1719

    Article  PubMed  Google Scholar 

  3. Markewitz A (2006) Jahresbericht 2004 des deutschen Herzschrittmacher- Registers. Herzschrittmacherther Elektrophysiol 17:146–173

    Article  PubMed  CAS  Google Scholar 

  4. Chauhan A, Grace AA, Newell SA, Stone DL, Shapiro LM, Schonfield PM, Petch MC (1994) Early complications after dual chamber versus single chamber pacemaker implantation. Pacing Clin Electrophysiol 17:2012–2015

    Article  PubMed  CAS  Google Scholar 

  5. Aggarwal RK, Connelly DT, Ray Herzschrittmacher, Ball J, Charles (1995) Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems. Br Heart J 73:571–575

    Article  PubMed  CAS  Google Scholar 

  6. Kiviniemi MS, Pirnes MY, Eranen JK, Kettunen RVJ, Hartikainen JEK (1999) Complications related to permanent pacemaker therapy. Pacing Clin Electrophysiol 22:711–720

    Article  PubMed  CAS  Google Scholar 

  7. Link MS, Estes NAM, Griffin JJ, Wang PJ, Maloney JD, Kirchhoffer JB, Mitchell GF, Orav J, Goldman L, Lamas GA, for the Pacemaker Selection in the Elderly (PASE) Investigators (1998) Complications of dual chamber pacemaker implantation in the elderly. J Interv Card Electrophysiol 2:175–179

    Article  PubMed  CAS  Google Scholar 

  8. Ellenbogen KA, Hellkamp AS, Wilkoff BL, Camunas JL, Love JC, Hadjis TA, Lee KL, Lamas GA (2003) Complications arising after implantation of DDD pacemakers: The MOST experience. Am J Cardiol 92:740–749

    Article  PubMed  Google Scholar 

  9. Moller M, Arnsbo P, Asklund M, Christensen PD, Gadsboll N, Svendsen JH, Klarholt KE, Mortensen PT, Pietersen A, Simonsen EH, Thomsen PEB, Vesterlund T, Wiggers P (2002) Quality assessment of pacemaker implantations in Denmark. Europace 4:107–112

    Article  PubMed  CAS  Google Scholar 

  10. Villalba S, Roda J, Quesada A, Palanca V, Zaragoza C, Bataller E, Velasco JA (2004) Retrospective study of patients who undergo pacemaker implantation in short-stay ambulatory surgery. Long-term follow-up and cost analysis. Rev Esp Cardiol 57:234–240

    Article  PubMed  Google Scholar 

  11. Wiegand UKH, LeJeune D, Boguschewski F, Bonnemeier H, Eberhardt F, Schunkert H, Bode F (2004) Pocket haematoma after pacemaker or implantable cardioverter defibrillator surgery. Chest 126:117–186

    Article  Google Scholar 

  12. Michaud GF, Pelosi F Jr, Noble MD, Knight BP, Morady F, Strickberger SA (2000) A randomized trial comparing heparin initiation 6 h or 24 h after pacemaker or defibrillator implantation. J Am Coll Cardiol 35:1915–1918

    Article  PubMed  CAS  Google Scholar 

  13. Giudici MC, Barold SS, Paul DL, Bontu P (2004) Pacemaker and implantable cardioverter defibrillator implantation without reversal of warfarin therapy. Pacing Clin Electrophysiol 27:358–360

    Article  PubMed  Google Scholar 

  14. Muers MF, Arnold AG, Sleight P (1981) Prophylactic antibiotics for cardiac pacemaker implantation. A prospective trial. Br Heart J 46:539–544

    Article  PubMed  CAS  Google Scholar 

  15. Mounsey JP, Griffith MJ, Tynan M, Gould FK, MacDermott AF, Gold RG, Bexton RS (1995) Antibiotic prophylaxis in permanent pacemaker implantation: a prospective randomised trial. Br Heart J 72:339–343

    Article  Google Scholar 

  16. Glieca F, Luciani N, Di Giammarco G, Romolo M, Falcone F, Di Nardo E, Maddestra G, Possati F (1987) The role of antibiotic prophylaxis in the implantation of pacemakers. Minerva Cardioangiol 35:549–552

    PubMed  CAS  Google Scholar 

  17. Da Costa A, Kirkorian G, Cucherat M, Delahaye F, Chevalier P, Ceresier, Isaaz K, touboul P (1998) Antibiotic prophylaxis for permanent pacemaker implantation. Circulation 97:1796–1801

    PubMed  CAS  Google Scholar 

  18. Yang YN, Yin WH, Young MS (2003) Safe right bundle branch block pattern during permanent right ventricular ventricular pacing. J Electrocardiol 36:67–71

    Article  PubMed  Google Scholar 

  19. Van Gelder BM, Bracke FA, Oto A, Yildiri A, Haas PC, Seger JJ, Stainback RF, Botman KJ, Meijer A (2000) Diagnosis and management of inadvertently placed pacing and ICD leads in the left ventricle: a multicenter experience and review of the literature. Pacing Clin Electrophysiol 23:877–883

    Article  PubMed  CAS  Google Scholar 

  20. Firschke C, Zrenner B (2002) Images in clinical medicine. Malposition of dual-chamber pacemaker lead. N Engl J Med 346:e2

    Article  PubMed  Google Scholar 

  21. Paravolidakis KE, Hamodraka ES, Kolettis TM, Psychari SN, Apostolou TS (2004) Management of inadvertent left ventricular permanent pacing. J Interv Card Electrophysiol 10:237–240

    Article  PubMed  Google Scholar 

  22. Hirschl DA, Jain VR, Spindola-Franco H, Gross JN, Haramati LB (2007) Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT. Pacing Clin Electrophysiol 30:28–32

    Article  PubMed  Google Scholar 

  23. Mahapatra S, Bybee KA, Bunch TJ, Espinosa RE, Sinak LJ, McGoon MD, Hayes DL (2005) Incidence and predictors of cardiac perforation after permanent pacemaker placement. Heart Rhythm 2:907–911

    Article  PubMed  Google Scholar 

  24. Sivakumaran S, Irwin ME, Gulamhusein SS, Searatne MP (2002) Postpacemaker implant pericarditis: incidence and outcomes with active fixation leads. Pacing Clin Electrophysiol 25:833–837

    Article  PubMed  Google Scholar 

  25. Khan MN, Joseph G, Khaykon Y, Ziada KM, Wilkoff BL (2005) Delayed lead perforation: a disturbing trend. Pacing Clin Electrophysiol 28:251–253

    Article  PubMed  Google Scholar 

  26. Polin GM, Zado E, Nayak H, Cooper JM, Russo AM, Dixit S, Lin D, Marchlinski FE, Verdino RJ (2006) Proper management of pericardial tamponade as a late complication of implantable cardiac device placement. Am J Cardiol 98:223–225

    Article  PubMed  Google Scholar 

  27. Bracke F, Meijer A, Van Gelder B (2003) Venous occlusion of the acces vein in patients referred for lead extraction: Influence of patient and lead characteristics. Pacing Clin Electrophysiol 26:1649–1652

    Article  PubMed  Google Scholar 

  28. Van Rooden CJ, Molhoek SG, Rosendaal FR, Schalij MJ, Meinders E, Huisman MV (2005) Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads. J Cardiovasc Electrophysiol 15:1258–1252

    Article  Google Scholar 

  29. Goto Y, Abe T, Sekine S, Sakurada T (1998) Long-term thrombosis after transvenous permanent pacemaker implantation. Pacing Clin Electrophysiol 21:1192–1195

    Article  PubMed  CAS  Google Scholar 

  30. Da Costa SS, Neto AS, Costa R, Caldas JG, Filho MM (2002) Incidence and risk factors of upper extremity deep vein lesions after permanent transvenous pacemaker implant: A 6-month follow-up prospective study. Pacing Clin Electrophysiol 25:1301–1306

    Article  PubMed  Google Scholar 

  31. Turgeman Y, Antonelli D, Atar S, Rosenfeld T (2004) Massive transient pulmonary air embolism during pacemaker implantation under mild sedation: an unrecognized hazard of snoring. Pacing Clin Electrophysiol 27:684–685

    Article  PubMed  Google Scholar 

  32. Ninio DM, Hii JT (2006) An ill windiatrogenic air embolus around pacing leads during defibrillator implant with coexisting pulmonary fibrosis. Pacing Clin Electrophysiol 29:213–214

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christof Kolb.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kolb, C. Strategien zur Vermeidung und Behandlung von Komplikationen der Herzschrittmacherimplantation. Herzschr. Elektrophys. 18, 234–242 (2007). https://doi.org/10.1007/s00399-007-0586-5

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00399-007-0586-5

Key words

Schlüsselwörter

Navigation