Recommendations for the use of electrocautery in patients with pacemakers and implantable cardioverter-defibrillators

被引：3

作者：

Nowak, B. ^{[1
]}

Israel, C. W. ^{[2
]}

Willems, S. ^{[3
]}

Baensch, D. ^{[4
]}

Butter, C. ^{[5
]}

Doll, N. ^{[6
]}

Eckardt, L. ^{[7
]}

Geller, J. C. ^{[8
]}

Klingenheben, T. ^{[9
]}

Lewalter, T. ^{[10
]}

Schumacher, B. ^{[11
]}

Wolpert, C. ^{[12
]}

机构：

[1] Cardioangiol Ctr Bethanien, Prufling 23, D-60389 Frankfurt, Germany

[2] Ev Krankenhaus Bielefeld, Klin Innere Med Kardiol & Angiol, Bielefeld, Germany

[3] Univ Herzzentrum, Klin Kardiol Schwerpunkt Elektrophysiol, Hamburg, Germany

[4] Univ Klinikum Rostock, Abt Kardiol, Rostock, Germany

[5] Herzzentrum Brandenburg Bernau, Kardiol, Bernau, Germany

[6] Sana Herzchirurg Stuttgart, Stuttgart, Germany

[7] Univ Klinikum Munster, Med Klin Poliklin C, Munster, Germany

[8] Zentralklin Bad Berka, Abt Rhythmol & Invas Elektrophysiol, Bad Berka, Germany

[9] Praxis Kardiol Bonn, Bonn, Germany

[10] St Marien Hosp, Bonn, Germany

[11] Herz & Gefassklin, Klin Kardiol, Bad Neustadt an der Saale, Germany

[12] Klinikum Ludwigsburg, Ludwigsburg, Germany

来源：

KARDIOLOGE | 2010年 / 4卷 / 05期

关键词：

Electrocautery High-frequency current; Pacemaker; Implantable cardioverter-defibrillator; Interference;

D O I：

10.1007/s12181-010-0295-x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The use of electrocautery in patients with pacemakers or implantable cardioverter-defibrillators may cause a variety of interactions or even device damage. Its use must therefore be scrutinized in each case. This paper gives recommendations if electrocautery is necessary in those patients. These include pre-and postoperative procedures in patients with those devices. They apply to required additional device follow-ups, as well as to required changes of programmed pa-rameters. Additionally, intraoperative measures are recommended to avoid interactions between the electrocautery and implanted devices. Generally, bipolar cauters should be preferred, as they have a lower potential for interference.

引用

页码：383 / 388

页数：6

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