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Re-use of Explanted DDD Pacemakers as VDD- Clinical Utility and Cost Effectiveness

Namboodiri, KKN and Sharma, YP and Bali, HK and Grover, A (2004) Re-use of Explanted DDD Pacemakers as VDD- Clinical Utility and Cost Effectiveness. [Journal (Paginated)]

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Abstract

Re-use of DDD pulse generators explanted from patients died of unrelated causes is associated with an additional cost of two transvenous leads if implanted as DDD itself, and high rate of infection according to some studies. We studied the clinical and economical aspects of reutilization of explanted DDD pacemakers programmed to VDD mode. Out of 28 patients who received VDD pacemaker during the period, October 2000- September 2001 in the Department of Cardiology, PGIMER, Chandigarh, 5 poor patients were implanted with explanted DDD pulse generators programmed to VDD mode. Each implantation was planned and carried out according to a standard protocol. The age ranged from 45 to 75 (mean-61) years. The indications for pacing were complete heart block (4) and second degree AV block (1). The clinical profile, costs and complications, if any were noted and followed up at regular intervals. The results were compared with patients who received new DDD pulse generators during this period. The additional cost for the atrial lead was not required in these patients. None of these patients had any local site infection. Compared to the two-lead system, the single lead system provided more rapid implantation and minimized complications associated with placement of an atrial lead. The explanted DDD pacemaker can be safely reused as VDD mode with same efficacy in selected patient population. This is associated with lower cost and complications compared to reimplantation as DDD itself.

Item Type:Journal (Paginated)
Keywords:Explanted pacemakers, VDD, DDD.
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4234
Deposited By:Indian Pacing and Electrophysiology, Journal
Deposited On:17 Apr 2005
Last Modified:11 Mar 2011 08:55

References in Article

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1. Otterstad JE, Selmer R, Strom O, et al. Prognosis in cardiac pacing: a comparison between patients with atrioventricular block and sick sinus syndrome. Acta Med Scand 1981; 210: 47-52.

2. Pringle RA, Leman RB, Kratz JM, Gillette PC. An argument for pacemaker reuse: Pacemaker mortality in 169 patients over 10 years. Pacing Clin Electrophysiol 1986; 9:1295-8.

3. Mugica J, Duconge R, Henry L. Survival and mortality in 3701 pacemaker patients: arguments in favor of pacemaker reuse. Pacing Clin Electrophysiol 1986; 9:1282-7.

4. Rosengarten M, Chiu R, Hoffman R. A prospective trial of new versus refurbished cardiac pacemakers: a Canadian experience. Can J Cardiol 1989; 5:155-60.

5. Mond H, Tartaglia S, Cole A, et al. The refurbished pulse generator. Pacing Clin Electrophysiol 1980; 3: 311-7.

6. Linde CL, Bocray A, Jonsson H, et al. Re-used pacemakers- as safe as new? A retrospective case-control study. Eur Heart J 1998; 19:154-7.

7. Panja M, Sarkar CN, Kumar S, et al. Reuse of pacemaker. Indian Heart J. 1996: 48; 677-80.

8. Sethi KK, Bhargava M, Pandit N, et al. Experience with recycled cardiac pacemakers. Indian Heart J 1992; 44:91-3.

9. Balachander J. Efficacy and safety of refurbished pacemakers- Report on collaborative programme with 140 implantations and 6-year follow up. Indian Heart J 1989; 41:430.

10. Yokoyama M. Reuse and disposal of pacemaker: from the economical standpoint. Pacing Clin Electrophysiol 1994; 5:A-202-5.

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