Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems.

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Abstract Text:

Background: Current guidelines recommend that all implanted pacemakers (PPM) and defibrillators (ICD) be interrogated before and after every invasive procedure. The ability of newer devices to withstand system malfunction or failure during surgery/endoscopy remains unknown. Objective: To determine the frequency of PPM or ICD malfunction from periprocedural electrocautery. Methods: Ninety-two consecutive individuals referred for evaluation of a PPM or ICD system prior to noncardiac surgery/endoscopy were enrolled. Devices were preoperatively programmed to a "monitor only" zone to allow for detection of electromagnetic interferences (EMIs). Pacing parameters were maintained without disabling rate responsiveness. The devices were fully interrogated again after surgery. Correlations of inappropriate EMI sensing were made with reference to the distance from the site of electrocautery application to the device system. Results: All devices withstood periprocedural EMI exposure without malfunction or changes in programming. Minor changes in lead parameters were noted. Three device systems demonstrated brief atrial mode switching episodes, one of which was likely secondary to inappropriate sensing of atrial noise. Two pacemaker devices demonstrated inappropriate sensing of ventricular noise, both of which occurred when the application of electrocautery was within close proximity to the pacemaker generator (<8 cm). No ventricular sensed events were noted in any ICD system. Conclusions: EMIs during noncardiac surgical/endoscopic procedures pose little threat to current device systems. Rare occasions of inappropriate sensing by devices can be seen in situations where the application of unipolar electrocautery is in close proximity of the system. Routine postsurgical interrogation of PPM or ICDs may not be necessary.

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Publishing Authors By Initials

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Pacing and clinical electrophysiology : PACE

VOLUME: 31

Page Numbers: 344-50

Journal Abbreviation:

ISSN: 0147-8389

DAY: 29

MONTH: Mar

YEAR: 2008

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7803944

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems.

AFFILIATION: Section for Cardiac Electrophysiology, Division of Cardiovascular Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Pacing Clin Electrophysiol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems Related Publications

• A study of stage fright and the judgment of speaking time.
• Achieving greatness through goals: tips for managers and staff.
• Angiography in dibuthylnitrosamine-induced rat bladder tumours.
• Diagnostic accuracy of arterial phase 64-slice multidetector CT angiography for left atrial appendage thrombus in patients undergoing atrial fibrillation ablation.
• Effects of surgical and endoscopic electrocautery on modern-day permanent pacemaker and implantable cardioverter-defibrillator systems.
• Hospital care shows biggest spending gains.
• Resolution of left atrial appendage thrombus by 64-detector CT scan.
• Respect in the workplace: tips and tools for creating an environment of respect.
• Some good, some bad in 1976.
• Supracondylar fracture of the humerus in children. A late review of end-results with special reference to the cause of deformity, disability and complications.
• [An epidemiologic study in the provinces of Södermanlands, Uppsala and Gävleborgs. 2. The need for dental care and the types of dental treatment required]
• [Epidemiologic study in the provinces of Södermanland, Uppsala and Gävleborg, Sweden. I. Frequency of dental diseases and dentures]
• [How far shall we go with the preparation? Discussion between Kjell Karlsen, Paul Göransson, Per Torell, Fritz Mannerberg, Gösta Johansson and Lennart Eneroth]
• [Periodontitis and calcium deficiency]
• [Porcelain jacket crown technic modified by Helge Kämpe]