Abstract

CASOLA CRESPO, Roberto et al. Alternative to surgical intervention in permanent pacemaker pocket infection. AMC [online]. 2016, vol.20, n.2, pp.145-157. ISSN 1025-0255.

Background: nowadays, permanent pacemaker pocket infection is treated with percutaneous techniques or open heart surgery. The former is not a usual practice and the latter is mostly contraindicated. Objective: to assess the response to the application of a new alternative in surgery of the pacemaker pocket infection. Methods: a unique group quasi-experimental intervention study was conducted after six years of the implantation, at the Manuel Ascunce Domenech Hospital, from January 2008 to January 2015. The universe was composed of 28 patients who were admitted and diagnosed with pacemaker pocket infection. The information obtained was processed through SPSS-19.0 statistical program for Windows, and descriptive statistics with distribution of frequency and percentage. The results of the study were reported in tables. Results: the 51 to 93 age group of twenty-eight patients went through the new alternative of intervention, with an average of 78, 5 years old. Female sex was predominant, 17 patients (60, 7%). Pressure necrosis in nine patients, 32, 1%, was the most predisposing factor. The infection was more related to the change of pacemaker, 26 patients (92, 9%), and septic necrosis (20 patients, 71, 4%) was the most influential clinical presentation form. The staphylococcus epidermidis was isolated in 11 patients (39, 3%). There were no complications during the surgical procedure and the 28 patients (100%) who underwent surgery stuck to the treatment criteria. Conclusion: the proposed alternative of intervention in pacemaker pocket infection is a save and viable option in the treatment of these patients, as well as a variant in the substitution of percutaneous techniques or open surgery.

Keywords : PACEMAKER, ARTIFICIAL [adverse effects]; SURGICAL PROCEDURES, OPERATIVE; QUALITY OF LIFE; THORACOTOMY; INTERVENTION STUDIES.

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