The effect of body mass index on complications in cardiac implantable electronic device surgery

• DOI: 10.1111/pace.14903
• Publication Date: 2023-12-11T18:05:49Z
• Authors: Tuncay Güzel; Muhammed Demir; Adem Aktan; Raif Kılıç; Bayram Arslan; Serhat Günlü; Bernas Altıntaş; Mehmet Zülküf Kar...; Mehmet Özbek; Burhan Aslan; Abdulkadir Arpa; Mehmet Sait Coşkun; Mahsum Altunbaş; Rohat Tüzün; Alkame Akgümüş; Muhammed Karadeniz; Saadet Aydın; Hamdullah Güzel; Selen Filiz Aslan; Serdar Söner; Ahmet Taş; Faruk Ertaş
• Keywords: Clinical endpoint; Cumulative incidence

Abstract Background Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED‐related Methods 1676 patients who had undergone CIED surgery (de novo implantation, system upgrade, generator change, pocket revision or lead replacement) at two heart centers in Turkey and met study criteria were included study. For analysis primary secondary endpoints, classified as non‐obese (BMI < 25 kg/m 2 ), overweight (25 ≤ BMI 30 obese ≥ ). The endpoint was accepted cumulative events, including composite clinically significant hematoma (CSH), pericardial effusion tamponade, pneumothorax, infection related system. Secondary outcomes each component events. Results rate defined outcome, higher patient group, found a difference between groups (3.0%, 4.3%, 8.9%, p = .001). CSH pneumothorax rates significantly group (0.3%, 0.9%, 1.9%, .04; 1.0%, 1.4%, 3.3%, .04, respectively). According multivariate model analysis; gender (OR:1.882, 95%CI:1.156–3.064, .01), hypertension (OR:4.768, 95%CI:2.470–9.204, .001), (OR:1.069, 95%CI:1.012–1.129, .01) independent predictors events rates. Conclusions Periprocedural complications associated with (especially pneumothorax) more common high BMI.