{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:16Z","timestamp":1747187476309,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"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>Peri\u2010procedural complications associated with cardiac implantable electronic devices are not uncommon. European Society of Cardiology guidelines recommend device checks of all devices within 72\u00a0h of implant. European Heart Rhythm Association expert practical guide on Cardiac implantable electronic devices (CIEDs) recommend that a chest x\u2010ray (CXR) should be performed within 24\u00a0h to rule out pneumothorax and document lead positions. First, the rate of peri\u2010procedural complications associated with CIED implants at our center, as well as patient and\/or procedural\u2010related factors that are associated with higher rates of complications, is analyzed. Second, the yield of the guideline\u2010recommended measures in the early detection of peri\u2010procedural complications is examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Consecutive de novo transvenous device implants at our center in 2019 were retrospectively analyzed. Patients\u2019 demographics, types and indications for device therapy, procedural reports, device checks, and CXRs were obtained from the hospital electronic records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 578 patients (Age 74\u00a0\u00b1\u00a016 years, 68% male) were included. All patients had routine post\u2010procedure CXRs and device checks. There were 16 (2.8%) complications; 7 (1.2%) pneumothoraxes, 6 (1%) pericardial effusions, and 3 (0.5%) lead displacements. Procedure time correlated significantly with complications; in uncomplicated cases it was 99\u00a0\u00b1\u00a043 min versus 127\u00a0\u00b1\u00a050 min in procedures associated with complications (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Routine post CIED implantation CXRs can detect early peri\u2010procedural complications, while repeat post mobilization device checks has low yield of detection of complications. The only statistically significant predictor of peri\u2010procedural complications is the duration of the procedure; longer procedures were associated with higher rates of complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14909","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T08:48:50Z","timestamp":1705049330000},"page":"195-202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of routine investigations post cardiac devices implants in detecting peri\u2010procedural complications: A retrospective analysis from a tertiary UK center"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1702-4346","authenticated-orcid":false,"given":"Christina","family":"Menexi","sequence":"first","affiliation":[{"name":"Cardiology Department Essex Cardiothoracic Center  Basildon UK"},{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8481-1940","authenticated-orcid":false,"given":"Mohamed","family":"ElRefai","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abouelasaad","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Y. T.","family":"Chua","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishita","family":"Handa","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Newbery","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Hoskins","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waqas","family":"Ullah","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur","family":"Yue","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul R.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"},{"name":"School of Medicine University of Southampton  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Paisey","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Unit University Hospital of Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/EURHEARTJ\/EHT511"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.HRTHM.2011.12.014"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.HRTHM.2006.10.009"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.663807"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/EURHEARTJ\/EHAB364"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000628"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/EUROPACE\/EUAA367"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.CARJ.2010.04.016"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009\u20109260(05)82111\u20107"},{"key":"e_1_2_10_11_1","first-page":"92","article-title":"Routine chest radiography after permanent pacemaker implantation: is it necessary?","volume":"51","author":"Edwards NC","year":"2005","journal-title":"J Postgrad Med"},{"key":"e_1_2_10_12_1","unstructured":"60\/Post\u2010implantation device checks pre\u2010discharge are necessary\u2014a single centre retrospective analysis\u2014touchCARDIO. Accessed May 29 2023.https:\/\/www.touchcardio.com\/arrhythmia\/journal\u2010articles\/60\u2010post\u2010implantation\u2010device\u2010checks\u2010pre\u2010discharge\u2010are\u2010necessary\u2010a\u2010single\u2010centre\u2010retrospective\u2010analysis\/"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.03.089"},{"key":"e_1_2_10_14_1","unstructured":"The National Institute for Cardiovascular Outcomes Research (NICOR).National Audit of Cardiac Rhythm Management (NACRM) National Cardiac Audit Programme ii. Published online 2021. Accessed May 29 2023.www.hqip.org.uk\/"},{"key":"e_1_2_10_15_1","unstructured":"Clinical Standards and Guidelines for the Follow Up of Cardiac Implantable Electronic Devices (CIEDS) for Cardiac Rhythm Management. Published online 2022.https:\/\/bhrs.com\/wp-content\/uploads\/2022\/06\/BHRS-CIED-FU-Standards-June22.pdf"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJCARD.2019.04.020"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1378\/CHEST.105.4.1147"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.14909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T15:30:33Z","timestamp":1711121433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.14909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,12]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/pace.14909"],"URL":"https:\/\/doi.org\/10.1111\/pace.14909","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"type":"print","value":"0147-8389"},{"type":"electronic","value":"1540-8159"}],"subject":[],"published":{"date-parts":[[2024,1,12]]},"assertion":[{"value":"2023-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}