{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:49:10Z","timestamp":1792234150648,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,23]],"date-time":"2017-03-23T00:00:00Z","timestamp":1490227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is associated with increased complications and potentially worse outcomes for various cardiac interventions. This study analyzed the success rate and complication rates associated with implantation of cardiac implantable electronic devices (<jats:styled-content style=\"fixed-case\">CIEDs<\/jats:styled-content>) in obese patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Success rates are lower and complication rates higher in obese patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive patients undergoing <jats:styled-content style=\"fixed-case\">CIED<\/jats:styled-content> implantation between 2011 and 2015 in our hospital were included. Patients were categorized into obese and nonobese groups according to body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>); cutoff was 30 kg\/m<jats:sup>2<\/jats:sup>. Patient characteristics, complication rates, procedural duration, and fluoroscopy data were compared between the 2 groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 965 patients (mean age, 69.0\u2009\u00b1\u200912.9 years; 67% male) were included. Of these, 249 (25.8%) patients were classified obese and 716 (74.2%) nonobese. Mean <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was 34.7\u2009\u00b1\u20094.7 kg\/m<jats:sup>2<\/jats:sup> vs 25.1\u2009\u00b1\u20093.0 kg\/m<jats:sup>2<\/jats:sup>, respectively. There was no difference in procedural success rates between the 2 groups (97.2% vs 97.1%, respectively). Major complications were significantly lower in the obese group compared with the nonobese group (11 [4.4%] vs 62 [8.7%]; <jats:italic>P<\/jats:italic> &lt; 0.05). Procedural duration and fluoroscopy duration were not different between the 2 groups, but the total dose\u2010area product was significantly higher in obese patients vs nonobese patients (4012\u2009\u00b1\u20095416 <jats:styled-content style=\"fixed-case\">cGcm<jats:sup>2<\/jats:sup>\n<\/jats:styled-content> vs 2692\u2009\u00b1\u20095277 <jats:styled-content style=\"fixed-case\">cGcm<jats:sup>2<\/jats:sup>\n<\/jats:styled-content>; <jats:italic>P<\/jats:italic> &lt; 0.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">CIED<\/jats:styled-content> implantation can be safely and effectively achieved in patients with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> &gt;30 kg\/m<jats:sup>2<\/jats:sup>. However, total radiation dose was significantly higher in the obese group, emphasizing that efforts should be made to reduce radiation exposure in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22650","type":"journal-article","created":{"date-parts":[[2017,3,24]],"date-time":"2017-03-24T09:11:43Z","timestamp":1490346703000},"page":"230-234","source":"Crossref","is-referenced-by-count":12,"title":["Cardiac device implantations in obese patients: Success rates and complications"],"prefix":"10.1002","volume":"40","author":[{"given":"Philipp","family":"Attanasio","sequence":"first","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Lacour","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ernert","sequence":"additional","affiliation":[{"name":"Department of Biometrics and Clinical Epidemiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burkert","family":"Pieske","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"},{"name":"Department of Cardiology German Heart Center Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelm","family":"Haverkamp","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Blaschke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Dalle Vedove","sequence":"additional","affiliation":[{"name":"Department of Medicine, General Medicine and Hypertension University of Verona  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Huemer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Campus Virchow\u2010Klinikum Charit\u00e9 University Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,23]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization.Obesity and Overweight. 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