Key result
Structured CIED management in ASCs requires assessing pacemaker dependency, anticipating EMI, and understanding magnet responses.
A structured approach to managing CIEDs in ambulatory surgery centers emphasizes the need for individualized planning, EMI mitigation, and identifying patients unsuitable for this setting.
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Individualized CIED assessment may reduce peri-operative risk in ambulatory surgery; leaves open validation by prospective studies before standardization.
We present a structured approach for managing patients with cardiac implantable electronic devices in ambulatory surgery centers. Safe peri-operative management requires thorough assessment of patient, device, and procedural factors. Key priorities include determining pacemaker dependency, anticipating electromagnetic interference (EMI), and understanding device-specific magnet responses. Magnets generally induce asynchronous pacing in pacemakers and disable anti-tachycardia therapies in implantable cardioverter defibrillators (ICDs), but knowledge of device-specific functions is essential. Patients needing formal device reprogramming, such as pacemaker-dependent individuals with ICDs undergoing procedures above the umbilicus, are not suitable for ambulatory surgical centers. EMI mitigation, proper monitoring, and individualized planning are essential.
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Owen et al. (2026) conducted a review in Patients with cardiac implantable electronic devices in ambulatory surgery centers. Peri-operative management of cardiac implantable electronic devices was evaluated. A structured approach for managing cardiac implantable electronic devices in ambulatory surgery centers requires assessing pacemaker dependency, anticipating EMI, and understanding magnet responses.
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