Leaving an ICD enabled during prone spine surgery with electrocautery can be safely managed and may be preferable in high-risk patients where external defibrillation would be difficult.
May support enabled ICDs in select prone surgeries with electrocautery; hypothesis-generating and should not yet change practice.
Arrhythmogenic right ventricular dysplasia is an inherited condition causing right ventricular structural and functional changes that can manifest by ventricular arrhythmia, heart failure, and sudden death. Therapy is not well defined but avoidance of sudden death is a major goal in patients with the disease. Many patients at high risk for ventricular arrhythmia have undergone automatic implantable cardioverter defibrillator (ICD) placement. This case report discusses the intraoperative management of an ICD in a 50-year-old female with a history of arrhythmogenic right ventricular dysplasia who underwent posterior spinal arthrodesis of T7-L1.
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Christopher A. Hartmann (2010) studied this question.
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