An Electrical Plasma Surgery Tool for Device Replacement-Retrospective Evaluation of Complications and Economic Evaluation of Costs and Resource Use

Background Device replacements bear many potential risks for patients. Electrocautery should be used cautiously because of heating of the cautery tip which may lead to insulation melting. The PEAK PlasmaBlade™ (Medtronic Inc., Minneapolis, MN, USA) uses a novel technology to cut tissue. The objectiv...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:Pacing and clinical electrophysiology Ročník 38; číslo 1; s. 28 - 34
Hlavní autoři: KYPTA, ALEXANDER, BLESSBERGER, HERMANN, SALEH, KARIM, HÖNIG, SIMON, KAMMLER, JÜRGEN, NEESER, KURT, STEINWENDER, CLEMENS
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Blackwell Publishing Ltd 01.01.2015
Témata:
Adolescent
Adult
Aged
Aged, 80 and over
Cardiac Resynchronization Therapy Devices
Child
Child, Preschool
complication rate
complication rates
Cost-Benefit Analysis
Device Removal - adverse effects
Device Removal - economics
Device Removal - instrumentation
device replacement
Electrosurgery - adverse effects
Electrosurgery - economics
Electrosurgery - instrumentation
Equipment Design
Female
generator replacement
Health Resources - utilization
Humans
Length of Stay
Male
Middle Aged
PEAK PlasmaBlade
procedure related costs
Retrospective Studies
surgery tool
Young Adult
generator replacement
procedure related costs
surgery tool
complication rate
complication rates
PEAK PlasmaBlade
device replacement
ISSN:0147-8389, 1540-8159, 1540-8159
On-line přístup:Získat plný text
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:Background Device replacements bear many potential risks for patients. Electrocautery should be used cautiously because of heating of the cautery tip which may lead to insulation melting. The PEAK PlasmaBlade™ (Medtronic Inc., Minneapolis, MN, USA) uses a novel technology to cut tissue. The objective of this study was to evaluate if this instrument is less destructive and can decrease complications and shorten procedure times. Methods and Results Two groups were compared: in group 1, surgery was done with scissors and conventional electrocautery, whereas the PEAK PlasmaBlade™ was used in group 2. Procedure time and complication rates were retrospectively investigated. Group 1 comprised 509 patients, while group 2 consisted of 102 patients. Procedure time in group 2 was significantly shorter with 28.4 ± 8.9 minutes than in group 1 with 47.5 ± 24.5 minutes (P < 0.001). The hospital stay was also reduced (2.1 ± 2.2 days versus 3.1 ± 2.4 days, P < 0.001). One major complication occurred in only 2.4% (two patients) of group 2 and in 6.9% (35 patients) of group 1. There were no damaged leads in group 2 compared to 5.7% in group 1 (P = 0.008). Cost analyses showed that the use of The PEAK PlasmaBlade™ instead of conventional electrocautery resulted in cost savings of €120/patient. Conclusion Device replacement is associated with a notable complication risk. Our investigation showed that a new device for generator replacement resulted in significantly reduced procedure time and length of hospital stay while completely avoiding lead damage, which translated into considerable cost savings in a real world setting.
Bibliografie:ArticleID:PACE12488
istex:9E256A8661318AFEFED8C7DA5D270B65F1001105
ark:/67375/WNG-SPFS1D6F-2
Funding: No sources of funding.
Conflicts of interest: None
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Undefined-1
ObjectType-Feature-3
content type line 23
ISSN:0147-8389
1540-8159
1540-8159
DOI:10.1111/pace.12488