Key result
Relocation of a pacemaker to the abdomen using an epicardial lead allowed for safe delivery of 62 Gy of radiotherapy for overlapping lung cancer without pacemaker malfunction.
Why the study?
When lung cancer overlaps a pacemaker site and radiation is required, the pacemaker must be relocated to avoid direct radiation exposure.
Does pacemaker relocation prevent radiation-induced device malfunction in patients requiring radiotherapy for tumors overlapping the original pacemaker site?
Population
One 81-year-old man with a pacemaker and overlapping left upper lobe lung cancer
Comparison
Pacemaker relocation with an epicardial lead and abdominal generator before radiotherapy
Design
Case report
Authors
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Pacemaker relocation to abdomen enabled radiotherapy in this case; leaves open generalizability and safety in similar patients.
Case Report (n=1)
Does pacemaker relocation prevent radiation-induced device malfunction in patients requiring radiotherapy for tumors overlapping the original pacemaker site?
Pacemaker relocation using an epicardial lead and abdominal generator is a viable option to avoid direct radiation exposure in patients requiring radiotherapy for tumors overlapping the device.
Mori et al. (2023) conducted a case report in Lung cancer overlapping with a pacemaker (n=1). Pacemaker relocation to the abdomen using an epicardial pacing lead was evaluated on Pacemaker function and tumor response during and after radiotherapy. Relocation of a pacemaker to the abdomen using an epicardial lead allowed for safe delivery of 62 Gy of radiotherapy for overlapping lung cancer without pacemaker malfunction.
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