Comparative study on perioperative recovery between de novo leadless pacing and transvenous pacing
Objective To compare perioperative recovery outcomes between de novo leadless pacing and dual-chamber transvenous pacing therapies.Methods A retrospective analysis was performed on clinical data of 12 patients undergoing de novo leadless pacemaker(LPM)implantation and 136 patients undergoing dual-chamber transvenous pacemaker(TPM)implantation.By propensity score matching,11 patients implanted with LPM(LPM group)and 11 patients implanted with dual-chamber TPM(TPM group)were selected.The average postoperative hospitalization days and wound recovery of patients were evaluated.Pain visual analogue scale(VAS)and modified Barthel index(MBI)were separately applied to evaluate the degree of pain and functional status of daily living activities in the two groups of patients on postoperative day,postoperative day 1 and 2,and on the day of discharge.Results The average postoperative hospitalization days of the LPM group was shorter than that of the TPM group[(1.6±0.7)days vs.(3.1±0.3)days,P＜0.01],while the average wound healing time was also shorter than that of the TPM group[(1.1±0.3)days vs.(2.6±0.8)days,P＜0.01].The pain VAS scores of the LPM group were lower than those of the TPM group on postoperative day[(1.5±0.7)points vs.(4.5±0.8)points,P＜0.01],postoperative day 1[(0.5±0.5)points vs.(4.0±0.6)points,P＜0.01],postoperative day 2[0 vs.(2.4±0.5)points,P＜0.01],and on the day of discharge[0 vs.(0.5±0.5)points,P=0.005].The MBI values of the LPM group were all higher than those of the TPM group on postoperative day 1[(75.6±5.3)points vs.(53.6±2.3)points,P＜0.01],postoperative day 2[(93.6±6.4)points vs.(55.6±2.3)points,P＜0.01],and on the day of discharge[(95.5±5.8)points vs.(89.9±4.7)points,P=0.024].Conclusion De novo LPM therapy proves to be superior to dual-chamber TPM therapy with clinical advantages in rapid perioperative recovery of patients.
leadless pacingcardiovascular interventionrehabilitationperioperative period
万方数据
维普
