Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices
| Autor: | Sang Woo Kim, Yong Seog Oh, Bong Woo Lee, Myung-Gyu Choi, Seawon Hwang, Sun-Hye Ko, Myong Ki Baeg, Yoon Bum Lee, Jae Myung Park, In Seok Lee, Hye Jin Choi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
lcsh:Internal medicine
medicine.medical_specialty Electrosurgery medicine.medical_treatment Medicine (miscellaneous) 030204 cardiovascular system & hematology Electromagnetic interference 03 medical and health sciences 0302 clinical medicine Permanent pacemaker medicine Radiology Nuclear Medicine and imaging In patient Electronics lcsh:RC799-869 lcsh:RC31-1245 business.industry Gastroenterology Endoscopic electrosurgery Surgery Defibrillators implantable Original Article lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology business |
| Zdroj: | Clinical Endoscopy, Vol 49, Iss 2, Pp 176-181 (2016) Clinical Endoscopy |
| ISSN: | 2234-2443 2234-2400 |
| DOI: | 10.5946/ce.2015.023 |
| Popis: | Background/Aims: Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients. Methods: Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram. Results: Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events. Conclusions: Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed. |
| Databáze: | OpenAIRE |
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