Incidence, predictors and outcomes of hematoma after ICD implantation: An analysis of a nationwide database of 85,276 patients

Pocket hematoma is one of the most common complications following cardiac device implantation. This study examined the impact of this complication on in-hospital outcomes following Implantable Cardioverter Defibrillator (ICD) implantation. Data from Nationwide Inpatient Sample (NIS) 2010 was queried...

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Bibliographic Details
Published in:Indian pacing and electrophysiology journal 2016-09, Vol.16 (5), p.159-164
Main Authors: Sridhar, Arun Raghav Mahankali, Yarlagadda, Vivek, Kanmanthareddy, Arun, Parasa, Sravanthi, Maybrook, Ryan, Dawn, Buddhadeb, Reddy, Yeruva Madhu, Lakkireddy, Dhanunjaya
Format: Article
Language:English
Subjects:
CRT-D
Implantable Cardioverter Defibrillator
Original
Pocket hematoma
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Summary:Pocket hematoma is one of the most common complications following cardiac device implantation. This study examined the impact of this complication on in-hospital outcomes following Implantable Cardioverter Defibrillator (ICD) implantation. Data from Nationwide Inpatient Sample (NIS) 2010 was queried to identify all primary implantations of ICDs and Cardiac Resynchronization Therapy Defibrillators (CRT-D) during the year 2010 using ICD-9 codes. We then identified the patients who experienced a procedure related hematoma during the hospital stay. We compared the outcomes of the patients with and without a hematoma complication. All analyses were performed using SPSS 20 complex samples using appropriate weights to adjust for the complex sampling design of the national database. Out of a total of 85,276 primary ICD implantations in the year 2010, 2233 (2.6% of the implantations) were complicated by a hematoma. Increased age (p 
ISSN:0972-6292
0972-6292
DOI:10.1016/j.ipej.2016.10.005