| [ Summary ] |
As renal insufficiency increases patients' risk of complications in pacemaker implantation and mortality, it is a major problem in patients with implanted pacemakers. The risk of pacemaker implantation-related bleeding is increased by renal insufficiency. As the results infection rate increased in the presence of renal insufficiency. Anticoagulation therapy for atrial fibrillation increases bleeding and hematoma related to pacemaker implantation. However, a heparin bridge is not recommended because it is associated with a high incidence of hematoma, and discontinuation of warfarin during the procedure is recommended. The incidence of subclavian vein occlusion is high in patients with implanted pacemakers, for which shunting is difficult in hemodialysis patients. Patients with implanted pacemakers and renal insufficiency have a high incidence of heart failure and relatively poor prognoses. Cardiac resynchronization therapy for severe heart failure has been established. Furthermore, the incidence of renal insufficiency is high in patients with heart failure. Renal insufficiency is a risk factor of poor prognosis in CRT. However, prognosis is improved among CRT-responsive patients. |