Journal Article

Feasibility and safety of a simplified draping method for pacing procedures

Mark M. Gallagher, Luca Santini, Giulia Magliano, Marianna Sgueglia, Franco Venditti, Mina Padula and Francesco Romeo

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 9, issue 10, pages 890-893
Published in print October 2007 | ISSN: 1099-5129
Published online June 2007 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1093/europace/eum112
Feasibility and safety of a simplified draping method for pacing procedures

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Aims Traditional draping for pacing procedures is time-consuming. We evaluated prospectively the safety of a simplified method using a single adhesive drape intended for use in cardiac catheterization.

Methods and results A single disposable adhesive drape was used in each of 250 consecutive pacing procedures by the same operator including 200 device implants and 50 revision procedures. We compared the results with those of 114 procedures performed in the same cardiac catheterization laboratory by three other operators using traditional draping methods for most cases. In the study group, no wound or pacemaker pocket infection, device erosion, or endocarditis was observed within the first 6 months after the procedure (0%, 95% CI 0–1.2%). One suspected infection occurred at 10 months (0.4%, 95% CI 0.1–2.2%). In the control group, there were two cases of early infection or suspected infection (2 of 114 procedures, 1.8%, 95% CI 0.27–6.1%), four cases of confirmed or suspected infection more than 6 months after the procedure giving an overall infection rate (6 of 114, 5.3%, 95% CI 2.1–11.0%) significantly higher than in the study group (P = 0.014, Fisher's exact test).

Conclusion A simplified draping method involving a single adhesive fenestrated drape can be used for pacemaker or ICD implantation or revision procedures without an excessively elevated risk of infective complications.

Keywords: Draping; Surgical technique; Pacemaker implantation; Pacemaker box change; Pacemaker infection; Complication

Journal Article.  3159 words. 

Subjects: Cardiovascular Medicine

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