Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation
Abstract Pocket hematoma is a common and serious complication following cardiac implantable electronic device (CIED) implantation, contributing to significant morbidity and mortality. This study aimed to evaluate the efficacy of a novel pocket compression device in reducing pocket hematoma occurrenc...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-87735-9 |
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| author | Narawudt Prasertwitayakij Jakkapun Yanyongmathe Natnicha Pongbangli Teerapat Nantsupawat Siriluck Gunaparn Cheeranun Pisespongsa Chanya Tawaditap Arintaya Phrommintikul Wanwarang Wongcharoen |
| author_facet | Narawudt Prasertwitayakij Jakkapun Yanyongmathe Natnicha Pongbangli Teerapat Nantsupawat Siriluck Gunaparn Cheeranun Pisespongsa Chanya Tawaditap Arintaya Phrommintikul Wanwarang Wongcharoen |
| author_sort | Narawudt Prasertwitayakij |
| collection | DOAJ |
| description | Abstract Pocket hematoma is a common and serious complication following cardiac implantable electronic device (CIED) implantation, contributing to significant morbidity and mortality. This study aimed to evaluate the efficacy of a novel pocket compression device in reducing pocket hematoma occurrence. We enrolled 242 patients undergoing CIED implantation, randomly assigning them to receive either the novel compression vest with a pressure cuff or conventional sandbag compression. Pocket hematomas were categorized as grade 1 (mild), grade 2 (moderate), or grade 3 (severe, requiring intervention or prolonged hospitalization). The primary endpoint, incidence of pocket hematoma 24 h post-procedure, did not significantly differ between the two groups (26.7% vs. 19.7%, p = 0.224). Rates of grade 2 hematoma were similarly low and comparable (2.5% vs. 0.8%, p = 0.368), with no grade 3 hematomas observed. Skin reactions and patient comfort were similar between groups. The sole predictor for hematoma occurrence was current oral anticoagulation use. In conclusion, our study found a low incidence of clinically significant pocket hematomas. The novel pocket compression device showed comparable efficacy to conventional methods, suggesting it as a viable alternative for reducing post-procedural complications without additional adverse effects. Trial registration number: The study was registered in the Thai Clinical Trials Registry (TCTR) at https://www.thaiclinicaltrials.org/ , with the identification number TCTR20230913005, date of first trial registration 13/09/2023. |
| format | Article |
| id | doaj-art-0520be8b251d488890285656511cbcd0 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-0520be8b251d488890285656511cbcd02025-01-26T12:24:43ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-87735-9Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantationNarawudt Prasertwitayakij0Jakkapun Yanyongmathe1Natnicha Pongbangli2Teerapat Nantsupawat3Siriluck Gunaparn4Cheeranun Pisespongsa5Chanya Tawaditap6Arintaya Phrommintikul7Wanwarang Wongcharoen8Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Cardiology, Department of Internal Medicine, Chiang Rai Prachanukroh HospitalDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityFaculty of Medicine, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai UniversityFaculty of Medicine, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai UniversityDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityAbstract Pocket hematoma is a common and serious complication following cardiac implantable electronic device (CIED) implantation, contributing to significant morbidity and mortality. This study aimed to evaluate the efficacy of a novel pocket compression device in reducing pocket hematoma occurrence. We enrolled 242 patients undergoing CIED implantation, randomly assigning them to receive either the novel compression vest with a pressure cuff or conventional sandbag compression. Pocket hematomas were categorized as grade 1 (mild), grade 2 (moderate), or grade 3 (severe, requiring intervention or prolonged hospitalization). The primary endpoint, incidence of pocket hematoma 24 h post-procedure, did not significantly differ between the two groups (26.7% vs. 19.7%, p = 0.224). Rates of grade 2 hematoma were similarly low and comparable (2.5% vs. 0.8%, p = 0.368), with no grade 3 hematomas observed. Skin reactions and patient comfort were similar between groups. The sole predictor for hematoma occurrence was current oral anticoagulation use. In conclusion, our study found a low incidence of clinically significant pocket hematomas. The novel pocket compression device showed comparable efficacy to conventional methods, suggesting it as a viable alternative for reducing post-procedural complications without additional adverse effects. Trial registration number: The study was registered in the Thai Clinical Trials Registry (TCTR) at https://www.thaiclinicaltrials.org/ , with the identification number TCTR20230913005, date of first trial registration 13/09/2023.https://doi.org/10.1038/s41598-025-87735-9Cardiac implantable electronic devicesDefibrillatorPacemakerPocket compressionPocket hematoma. |
| spellingShingle | Narawudt Prasertwitayakij Jakkapun Yanyongmathe Natnicha Pongbangli Teerapat Nantsupawat Siriluck Gunaparn Cheeranun Pisespongsa Chanya Tawaditap Arintaya Phrommintikul Wanwarang Wongcharoen Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation Scientific Reports Cardiac implantable electronic devices Defibrillator Pacemaker Pocket compression Pocket hematoma. |
| title | Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| title_full | Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| title_fullStr | Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| title_full_unstemmed | Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| title_short | Effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| title_sort | effect of pocket compression device on pocket hematoma after cardiac implantable electronic device implantation |
| topic | Cardiac implantable electronic devices Defibrillator Pacemaker Pocket compression Pocket hematoma. |
| url | https://doi.org/10.1038/s41598-025-87735-9 |
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