Heart Perforation

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Tien-hsing Chen - One of the best experts on this subject based on the ideXlab platform.

  • RESEARCH ARTICLE Impact of Pacemaker Lead Characteristics on Pacemaker Related Infection and Heart Perforation: A Nationwide Population-Based Cohort Study
    2016
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Cheng Chen
    Abstract:

    Background Several risk factors for pacemaker (PM) related complications have been reported. Howev-er, no study has investigated the impact of lead characteristics on pacemaker-related complications. Methods and Results Patients who received a new pacemaker implant from January 1997 to December 2011 were selected from the Taiwan National Health Insurance Database. This population was grouped according to the pacemaker lead characteristics in terms of fixation and insulation. The impact of the characteristics of leads on early Heart Perforation was analyzed by multi-variable logistic regression analysis, while the impact of the lead characteristics on early and late infection and late Heart Perforation over a three-year period were analyzed using Cox regression. This study included 36,104 patients with a mean age of 73.4±12.5 years. In terms of both early and late Heart Perforations, there were no significant differences be-tween groups across the different types of fixation and insulations. In the multivariable Co

  • Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.
    2015
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Chun-chieh Wang, Ming-shien Wen, Mien-cheng Chen
    Abstract:

    The odds ratios (OR) were adjusted for all covariates listed in Table 1.Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.

  • risk factors influencing complications of cardiac implantable electronic device implantation infection pneumothorax and Heart Perforation a nationwide population based cohort study
    Medicine, 2014
    Co-Authors: Yu-sheng Lin, Sheng-ping Hung, Chun-chieh Wang, Ming-shien Wen, Peirung Chen, Chiahung Yang, Pocheng Chang, Chungchuan Chou, Changming Chung, Tien-hsing Chen
    Abstract:

    As the number of cardiac implantable electronic devices (CIEDs) is increasing annually, CIED-related complications are becom- ing increasingly important. The aim of the study was to assess the risks associated with CIEDs by a nationwide database. Patients were selected from the Taiwan National Health Insurance Database. Admissions for CIED implantation, replacement, and revision were evaluated and the evaluation period was 14 years. Endpoints included CIED-related infection, pneumothorax, and Heart Perforation. The study included 40,608 patients with a mean age of 71.8 � 13.3 years. Regarding infection, the incidence rate was 2.45 per 1000 CIED- years. Male gender, younger age, device replacement, and previous infection were risks for infection while old age and high-volume centers (>200 per year) were protectors. The incidence of pneumothorax was 0.6%, with an increased risk in individuals who had chronic obstructive lung disease (COPD) and cardiac resynchronized therapy (CRT). The incidence of Heart Perforation was 0.09%, with an increased risk in individuals who had pre-operation temporal pacing and steroid use. High-volume center was found to decrease infection rate while male gender, young people, and individuals who underwent replacements were associated with an increased risk of infection. Additionally, pre- operation temporal pacing and steroid use should be avoided if possible. Furthermore, COPD patients or those who accept CRTs should be monitored closely.

Yu-sheng Lin - One of the best experts on this subject based on the ideXlab platform.

  • RESEARCH ARTICLE Impact of Pacemaker Lead Characteristics on Pacemaker Related Infection and Heart Perforation: A Nationwide Population-Based Cohort Study
    2016
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Cheng Chen
    Abstract:

    Background Several risk factors for pacemaker (PM) related complications have been reported. Howev-er, no study has investigated the impact of lead characteristics on pacemaker-related complications. Methods and Results Patients who received a new pacemaker implant from January 1997 to December 2011 were selected from the Taiwan National Health Insurance Database. This population was grouped according to the pacemaker lead characteristics in terms of fixation and insulation. The impact of the characteristics of leads on early Heart Perforation was analyzed by multi-variable logistic regression analysis, while the impact of the lead characteristics on early and late infection and late Heart Perforation over a three-year period were analyzed using Cox regression. This study included 36,104 patients with a mean age of 73.4±12.5 years. In terms of both early and late Heart Perforations, there were no significant differences be-tween groups across the different types of fixation and insulations. In the multivariable Co

  • Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.
    2015
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Chun-chieh Wang, Ming-shien Wen, Mien-cheng Chen
    Abstract:

    The odds ratios (OR) were adjusted for all covariates listed in Table 1.Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.

  • risk factors influencing complications of cardiac implantable electronic device implantation infection pneumothorax and Heart Perforation a nationwide population based cohort study
    Medicine, 2014
    Co-Authors: Yu-sheng Lin, Sheng-ping Hung, Chun-chieh Wang, Ming-shien Wen, Peirung Chen, Chiahung Yang, Pocheng Chang, Chungchuan Chou, Changming Chung, Tien-hsing Chen
    Abstract:

    As the number of cardiac implantable electronic devices (CIEDs) is increasing annually, CIED-related complications are becom- ing increasingly important. The aim of the study was to assess the risks associated with CIEDs by a nationwide database. Patients were selected from the Taiwan National Health Insurance Database. Admissions for CIED implantation, replacement, and revision were evaluated and the evaluation period was 14 years. Endpoints included CIED-related infection, pneumothorax, and Heart Perforation. The study included 40,608 patients with a mean age of 71.8 � 13.3 years. Regarding infection, the incidence rate was 2.45 per 1000 CIED- years. Male gender, younger age, device replacement, and previous infection were risks for infection while old age and high-volume centers (>200 per year) were protectors. The incidence of pneumothorax was 0.6%, with an increased risk in individuals who had chronic obstructive lung disease (COPD) and cardiac resynchronized therapy (CRT). The incidence of Heart Perforation was 0.09%, with an increased risk in individuals who had pre-operation temporal pacing and steroid use. High-volume center was found to decrease infection rate while male gender, young people, and individuals who underwent replacements were associated with an increased risk of infection. Additionally, pre- operation temporal pacing and steroid use should be avoided if possible. Furthermore, COPD patients or those who accept CRTs should be monitored closely.

Sheng-ping Hung - One of the best experts on this subject based on the ideXlab platform.

  • RESEARCH ARTICLE Impact of Pacemaker Lead Characteristics on Pacemaker Related Infection and Heart Perforation: A Nationwide Population-Based Cohort Study
    2016
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Cheng Chen
    Abstract:

    Background Several risk factors for pacemaker (PM) related complications have been reported. Howev-er, no study has investigated the impact of lead characteristics on pacemaker-related complications. Methods and Results Patients who received a new pacemaker implant from January 1997 to December 2011 were selected from the Taiwan National Health Insurance Database. This population was grouped according to the pacemaker lead characteristics in terms of fixation and insulation. The impact of the characteristics of leads on early Heart Perforation was analyzed by multi-variable logistic regression analysis, while the impact of the lead characteristics on early and late infection and late Heart Perforation over a three-year period were analyzed using Cox regression. This study included 36,104 patients with a mean age of 73.4±12.5 years. In terms of both early and late Heart Perforations, there were no significant differences be-tween groups across the different types of fixation and insulations. In the multivariable Co

  • Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.
    2015
    Co-Authors: Yu-sheng Lin, Tien-hsing Chen, Sheng-ping Hung, Dong Yi Chen, Chun-tai Mao, Ming-lung Tsai, Shih-tai Chang, Chun-chieh Wang, Ming-shien Wen, Mien-cheng Chen
    Abstract:

    The odds ratios (OR) were adjusted for all covariates listed in Table 1.Lead Fixation Method and Lead Insulation vs. Early Heart Perforation Under Logistic Regression Analysis.

  • risk factors influencing complications of cardiac implantable electronic device implantation infection pneumothorax and Heart Perforation a nationwide population based cohort study
    Medicine, 2014
    Co-Authors: Yu-sheng Lin, Sheng-ping Hung, Chun-chieh Wang, Ming-shien Wen, Peirung Chen, Chiahung Yang, Pocheng Chang, Chungchuan Chou, Changming Chung, Tien-hsing Chen
    Abstract:

    As the number of cardiac implantable electronic devices (CIEDs) is increasing annually, CIED-related complications are becom- ing increasingly important. The aim of the study was to assess the risks associated with CIEDs by a nationwide database. Patients were selected from the Taiwan National Health Insurance Database. Admissions for CIED implantation, replacement, and revision were evaluated and the evaluation period was 14 years. Endpoints included CIED-related infection, pneumothorax, and Heart Perforation. The study included 40,608 patients with a mean age of 71.8 � 13.3 years. Regarding infection, the incidence rate was 2.45 per 1000 CIED- years. Male gender, younger age, device replacement, and previous infection were risks for infection while old age and high-volume centers (>200 per year) were protectors. The incidence of pneumothorax was 0.6%, with an increased risk in individuals who had chronic obstructive lung disease (COPD) and cardiac resynchronized therapy (CRT). The incidence of Heart Perforation was 0.09%, with an increased risk in individuals who had pre-operation temporal pacing and steroid use. High-volume center was found to decrease infection rate while male gender, young people, and individuals who underwent replacements were associated with an increased risk of infection. Additionally, pre- operation temporal pacing and steroid use should be avoided if possible. Furthermore, COPD patients or those who accept CRTs should be monitored closely.

Yoav Turgeman - One of the best experts on this subject based on the ideXlab platform.

Dante Antonelli - One of the best experts on this subject based on the ideXlab platform.

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