February 28, 2008Pacing and Clinical Electrophysiology
Effects of Surgical and Endoscopic Electrocautery on Modern‐Day Permanent Pacemaker and Implantable Cardioverter‐Defibrillator Systems
Why the study?
Does periprocedural electrocautery cause device malfunction in patients with modern PPM or ICD systems undergoing noncardiac surgery/endoscopy?
Population
92 consecutive individuals with a permanent pacemaker or implantable cardioverter-defibrillator system…
Design
Cohort
Follow-up
periprocedural (immediately after surgery)
Authors
Discussion
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Member takes
Implication
May support omitting routine post-procedural interrogation after noncardiac procedures; leaves open need for confirmatory trials.
Structured PICO
Does periprocedural electrocautery cause device malfunction in patients with modern PPM or ICD systems undergoing noncardiac surgery/endoscopy?
P
Population
92 consecutive individuals with a permanent pacemaker (PPM) or implantable cardioverter-defibrillator (ICD) system undergoing noncardiac surgery/endoscopy
I
Intervention
Periprocedural electrocautery during noncardiac surgery/endoscopy
O
Outcome
Frequency of PPM or ICD malfunction from periprocedural electrocauterysafety
Modern pacemakers and ICDs are highly resistant to electrocautery interference during noncardiac procedures, challenging the guideline recommendation for routine post-procedural interrogation.
Cite This Study
Cheng et al. (2008) studied this question.