{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:53:32Z","timestamp":1784566412862,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>1676 patients who had undergone CIED surgery (de novo implantation, system upgrade, generator change, pocket revision or lead replacement) at two heart centers in Turkey and met the study criteria were included in our study. For analysis of primary and secondary endpoints, patients were classified as non\u2010obese (BMI\u00a0&lt;\u00a025\u00a0kg\/m<jats:sup>2<\/jats:sup>), overweight (25 \u2264 BMI\u00a0&lt;\u00a030\u00a0kg\/m<jats:sup>2<\/jats:sup>), and obese (BMI \u2265 30\u00a0kg\/m<jats:sup>2<\/jats:sup>). The primary endpoint was accepted as cumulative events, including the composite of clinically significant hematoma (CSH), pericardial effusion or tamponade, pneumothorax, and infection related to the device system. Secondary outcomes included each component of cumulative events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of cumulative events, defined as primary outcome, was higher in the obese patient group, and we found a significant difference between the groups (3.0%, 4.3%, 8.9%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.001). CSH and pneumothorax rates were significantly higher in the obese patient group (0.3%, 0.9%, 1.9%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.04; 1.0%, 1.4%, 3.3%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.04, respectively). According to our multivariate model analysis; gender (OR:1.882, 95%CI:1.156\u20133.064, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.01), hypertension (OR:4.768, 95%CI:2.470\u20139.204, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001), BMI (OR:1.069, 95%CI:1.012\u20131.129, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.01) were independent predictors of cumulative events rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Periprocedural complications associated with CIED (especially hematoma and pneumothorax) are more common in the group with high BMI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14903","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T18:05:49Z","timestamp":1702317949000},"page":"292-299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The effect of body mass index on complications in cardiac implantable electronic device surgery"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8470-1928","authenticated-orcid":false,"given":"Tuncay","family":"G\u00fczel","sequence":"first","affiliation":[{"name":"Department of Cardiology Health Science University Gazi Ya\u015fargil Training and Research Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9049-7123","authenticated-orcid":false,"given":"Muhammed","family":"Demir","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dicle University Faculty of Medicine  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"Aktan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Training and Research Hospital  Mardin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raif","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u00c7ermik State Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayram","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ergani State Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serhat","family":"G\u00fcnl\u00fc","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Artuklu University Medical Faculty  Mardin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernas","family":"Alt\u0131nta\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiology Health Science University Gazi Ya\u015fargil Training and Research Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Z\u00fclk\u00fcf","family":"Karahan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Artuklu University Medical Faculty  Mardin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"\u00d6zbek","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dicle University Faculty of Medicine  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8994-7414","authenticated-orcid":false,"given":"Burhan","family":"Aslan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Health Science University Gazi Ya\u015fargil Training and Research Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkadir","family":"Arpa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Bismil State Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Sait","family":"Co\u015fkun","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ergani State Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahsum","family":"Altunba\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiology Health Science University Gazi Ya\u015fargil Training and Research Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohat","family":"T\u00fcz\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Cardiology Health Science University Gazi Ya\u015fargil Training and Research Hospital  Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkame","family":"Akg\u00fcm\u00fc\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiology Band\u0131rma Onyedi Eyl\u00fcl University  Bal\u0131kesir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammed","family":"Karadeniz","sequence":"additional","affiliation":[{"name":"Department of Cardiology K\u0131r\u0131kkale University  K\u0131r\u0131kkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadet","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Cardiology Bak\u0131r\u00e7ay University \u00c7i\u011fli Training and Research Hospital  \u0130zmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamdullah","family":"G\u00fczel","sequence":"additional","affiliation":[{"name":"Department of Cardiology D\u00fczce University Faculty of Medicine  D\u00fczce Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selen Filiz","family":"Aslan","sequence":"additional","affiliation":[{"name":"Department of Physiology Dicle University Faculty of Medicine  Diyarbak\u0131r 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