The Effects of Percutaneous Catheter Ablation on Preexisting Permanent Pacemakers

Vanerio, Gabriel; Maloney, James D.; Rashidi, Rassoll; Mccowan, Ronald; Castle, Lon W.; Morant, Victor A.; Wilkoff, Bruce L.; Simmons, Tony W.

doi:10.1111/j.1540-8159.1990.tb06866.x

Cited by 22 publications

(7 citation statements)

References 10 publications

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“…This is due to a potential interaction between the capsule (digital radiofrequency communication is at 434 MHz) and the IED from overlapping bandwidth utility [6]. This effect has its basis in the observation that radiofrequency ablation has been documented to interfere with the function of pacemakers during cardiac ablation [7]. In a small study of 23 patients with pacemakers, 52% of the devices ( N = 12) malfunctioned and five had circuitry failure [7].…”

Section: Introductionmentioning

confidence: 99%

“…This effect has its basis in the observation that radiofrequency ablation has been documented to interfere with the function of pacemakers during cardiac ablation [7]. In a small study of 23 patients with pacemakers, 52% of the devices ( N = 12) malfunctioned and five had circuitry failure [7]. This had the unfortunate consequence that seven patients had to undergo reimplantation of a new pacemaker after removal of the malfunctioning one.…”

Section: Introductionmentioning

confidence: 99%

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Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Harris

Hansel

Rajan

et al. 2013

Gastroenterology Research and Practice

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Background and Study Aims. The presence of an implantable electromechanical cardiac device (IED) has long been considered a relative contraindication to the performance of video capsule endoscopy (CE). The primary aim of this study was to evaluate the safety of CE in patients with IEDs. A secondary purpose was to determine whether IEDs have any impact on images captured by CE. Patients and Methods. A retrospective chart review of all patients who had a capsule endoscopy at Mayo Clinic in Scottsdale, AZ, USA, or Rochester, MN, USA, (January 2002 to June 2010) was performed to identify CE studies done on patients with IEDs. One hundred and eighteen capsule studies performed in 108 patients with IEDs were identified and reviewed for demographic data, method of preparation, and study data. Results. The most common indications for CE were obscure gastrointestinal bleeding (77%), anemia (14%), abdominal pain (5%), celiac disease (2%), diarrhea (1%), and Crohn's disease (1%). Postprocedure assessments did not reveal any detectable alteration on the function of the IED. One patient with an ICD had a 25-minute loss of capsule imaging due to recorder defect. Two patients with LVADs had interference with capsule image acquisition. Conclusions. CE did not interfere with IED function, including PM, ICD, and/or LVAD and thus appears safe. Additionally, PM and ICD do not appear to interfere with image acquisition but LVAD may interfere with capsule images and require that capsule leads be positioned as far away as possible from the IED to assure reliable image acquisition.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Harris

Hansel

Rajan

et al. 2013

Gastroenterology Research and Practice

View full text Add to dashboard Cite

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“…70 However, when high energy endocavitary shocks were used for ablation purposes, pacemaker failure was common. 71 The availability of dual chamber rate responsive ICDs has greatly reduced the need for separate pacemakers and ICD systems. Among the many possible interactions when using separate devices, electric reset of the pacemaker by a defibril-lator shock was common.…”

Section: Direct Current Cardioversion and Defibrillationmentioning

confidence: 99%

Interference in Implanted Cardiac Devices, Part II

Pinski

Trohman

2002

Pacing Clinical Electrophis

129

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“…However, manufacturers have proposed a theoretical electromagnetic interference between the capsule and the cardiac device itself . The origins of this theory arose from observations in patients with implantable cardiac devices who underwent radiofrequency ablation and were noted to have device malfunction and failure during such an intervention . Such observations have led the U.S. Food and Drug Administration (FDA) to adopt a relative contraindication to the use of WCE in patients with implantable cardiac devices …”

Section: Introductionmentioning

confidence: 99%

Safety of wireless capsule endoscopy in patients with implantable cardiac devices

et al. 2019

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Background and Aim Wireless capsule endoscopy (WCE) has become an increasingly utilized imaging modality for the evaluation of gastrointestinal bleeding. There is a paucity of data evaluating the safety and use of WCE in patients with implantable cardiac devices. Methods A retrospective chart review of all patients who had a WCE at Loyola University Medical Center in Maywood, IL, USA completed between January 2007 and December 2016 identified patients with internal cardiac devices and obscure gastrointestinal bleeding. Patient WCE footage was viewed in its entirety before creating a final report to ensure no gaps in footage and video quality. Results No patient complaints were documented during the 8‐h procedure duration, and there were no cardiac abnormalities noted on telemetry. There were no device‐related complications documented in the 30‐day postprocedure time period. Postprocedure analysis of the WCE recordings demonstrated no interference in WCE image quality (loss of images or gaps in video) or duration. Conclusions There is no significant interference between WCE and implantable cardiac devices, and it appears to be safe to use.

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The Effects of Percutaneous Catheter Ablation on Preexisting Permanent Pacemakers

Cited by 22 publications

References 10 publications

Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Interference in Implanted Cardiac Devices, Part II

Safety of wireless capsule endoscopy in patients with implantable cardiac devices

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