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Gepubliceerd in: Netherlands Heart Journal 2/2015

01-02-2015 | Imaging in Cardiology

Use of a biventricular implantable cardioverter defibrillator in a patient with a neurostimulator: is it a safe combination?

Auteurs: H. G. R. Dorman, A. Onrust, R. Brants, Y. J. Stevenhagen, M. F. Scholten

Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2015

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Excerpt

The coincident use of neurostimulators and devices such as ICDs and pacemakers is increasing. This is because of the expanding indications for both devices. The manufacturers of ICDs caution against the combined use of ICDs and neurostimulators because of possible device interaction [ 1]. A 55-year-old woman was referred because of drug-refractory heart failure. In 2009, a neurostimulator (Synergy Versitrel, Medtronic, Inc, Minneapolis, Minnesota, USA) was implanted because of intractable back pain. She was admitted because of heart failure in the presence of dilating cardiomyopathy. Implantation of a biventricular implantable cardioverter defibrillator was indicated. A CRT-D (Consulta D234TRK, Medtronic, Inc, Minneapolis, Minnesota, USA) was implanted in the left pectoral region. Peri-procedural testing, with the ICD set to maximum sensitivity and the neurostimulator set to maximum therapeutic output, showed no interaction between the two devices (Fig.  1). A chest X-ray after the implantation showed adequate positioning of the leads (Fig.  2). The combination of cardiac resynchronisation therapy defibrillator and neurostimulators can be safe. However, extensive peri-operative testing is essential in preventing device interaction [ 13].
Literatuur
1.
go back to reference Monahan K, Casavant D, Rasmussen C, et al. Combined use of a true-bipolar sensing implantable cardioverter defibrillator in a patient having a prior implantable spinal cord stimulator for intractable pain. Pacing Clin Electrophysiol. 1998;21:2669–72. PubMedCrossRef Monahan K, Casavant D, Rasmussen C, et al. Combined use of a true-bipolar sensing implantable cardioverter defibrillator in a patient having a prior implantable spinal cord stimulator for intractable pain. Pacing Clin Electrophysiol. 1998;21:2669–72. PubMedCrossRef
2.
go back to reference Katwal A, McCotter C. Use of a wireless implantable cardioverter defibrillator in a patient with a preexisting neurostimulator. Pacing Clin Electrophysiol. 2009;32:822–4. PubMedCrossRef Katwal A, McCotter C. Use of a wireless implantable cardioverter defibrillator in a patient with a preexisting neurostimulator. Pacing Clin Electrophysiol. 2009;32:822–4. PubMedCrossRef
3.
go back to reference Ferrero P, Grimaldi R, Massa R, et al. Spinal cord stimulation for refractory angina in a patient implanted with a cardioverter defibrillator. Pacing Clin Electrophysiol. 2007;30:143–6. PubMedCrossRef Ferrero P, Grimaldi R, Massa R, et al. Spinal cord stimulation for refractory angina in a patient implanted with a cardioverter defibrillator. Pacing Clin Electrophysiol. 2007;30:143–6. PubMedCrossRef
Metagegevens
Titel
Use of a biventricular implantable cardioverter defibrillator in a patient with a neurostimulator: is it a safe combination?
Auteurs
H. G. R. Dorman
A. Onrust
R. Brants
Y. J. Stevenhagen
M. F. Scholten
Publicatiedatum
01-02-2015
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 2/2015
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-011-0116-2

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