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KMID : 0364019770100020219
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Korean Journal of Thoracic and Cardiovascular Surgery
1977 Volume.10 No. 2 p.219 ~ p.225
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Complications Following Permanet Transvenous Endccardiac Pacemaker Implantation
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왕영필/Wang, Young Pil
곽문섭/김삼수/이홍균/Kwack, Moon Sub/Kim, Sam Soo/Lee, Hong Kyun
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Abstract
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Pacemaker therapy has been established as a routine procedure in a variety of disturbances of cardiac rhythm. Cardiac pacing has greatly reduced the mortality rate in patients suffering from bradyarrhythmias complicated by Stokes-Adams attacks. However, in spite of the simplicity of the treatment and reliability of the devices available today, patients and physicians alike are invovled in a multitde of pacemaker specific problems.
Clinical experience with permanent transvenou pacing during a 3 year period is presented. A total of 20 pacemaker operations were performed in 13 patients.
The complications in our 20 pacemaker operations were headed by skin ulceration of 3 generator pockets and early dislocation of 3 electrodes. In an additional 2 patient, stimulation of diaphragm due to a position of electrode in the coronary sinus was noticed in one and battery failure of pulse generator was detected in the other. Literatures were reviewed.
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