Barely Significant
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"Are CRT upgrade procedures more complex and associated with more complications than de novo CRT implantations?" A single centre experience.

Neth Heart J · 2016 · PMC4692830 · PMID 26643305

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a slight trendno p-value reported
Furthermore, we found no significant difference in procedure duration comparing upgrade procedures with de novo implantations, but there was a slight trend towards an even shorter procedure length for upgrade procedures.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.