?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Re-use+of+Explanted+DDD+Pacemakers+as+VDD-+Clinical+Utility+and+Cost+Effectiveness++++++++++++++++++++&rft.creator=Namboodiri%2C+KKN&rft.creator=Sharma%2C+YP&rft.creator=Bali%2C+HK&rft.creator=Grover%2C+A&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Re-use+of+DDD+pulse+generators+explanted+from+patients+died+of+unrelated+causes+is+associated+with+an+additional+cost+of+two+transvenous+leads+if+implanted+as+DDD+itself%2C+and+high+rate+of+infection+according+to+some+studies.+We+studied+the+clinical+and+economical+aspects+of+reutilization+of+explanted+DDD+pacemakers+programmed+to+VDD+mode.+Out+of+28+patients+who+received+VDD+pacemaker+during+the+period%2C+October+2000-+September+2001+in+the+Department+of+Cardiology%2C+PGIMER%2C+Chandigarh%2C+5+poor+patients+were+implanted+with+explanted+DDD+pulse+generators+programmed+to+VDD+mode.+Each+implantation+was+planned+and+carried+out+according+to+a+standard+protocol.+The+age+ranged+from+45+to+75+(mean-61)+years.+The+indications+for+pacing+were+complete+heart+block+(4)+and+second+degree+AV+block+(1).+The+clinical+profile%2C+costs+and+complications%2C+if+any+were+noted+and+followed+up+at+regular+intervals.+The+results+were+compared+with+patients+who+received+new+DDD+pulse+generators+during+this+period.+The+additional+cost+for+the+atrial+lead+was+not+required+in+these+patients.+None+of+these+patients+had+any+local+site+infection.+Compared+to+the+two-lead+system%2C+the+single+lead+system+provided+more+rapid+implantation+and+minimized+complications+associated+with+placement+of+an+atrial+lead.+The+explanted+DDD+pacemaker+can+be+safely+reused+as+VDD+mode+with+same+efficacy+in+selected+patient+population.+This+is+associated+with+lower+cost+and+complications+compared+to+reimplantation+as+DDD+itself.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2004-01&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4234%2F1%2Fnamboodiri.htm&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F4234%2F2%2Fnamboodiri.htm&rft.identifier=++Namboodiri%2C+KKN+and+Sharma%2C+YP+and+Bali%2C+HK+and+Grover%2C+A++(2004)+Re-use+of+Explanted+DDD+Pacemakers+as+VDD-+Clinical+Utility+and+Cost+Effectiveness.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4234%2F