Key result
Monopolar electrocautery triggers VF during temporary AV sequential pacing in Ebstein's anomaly.
Why the study?
Arrhythmias and pacemaker malfunction due to monopolar electrocautery use in cardiac surgical patients with Ebstein’s anomaly on temporary pacemakers are clinically significant but not well documented.
Case Report (n=1)
Monopolar electrocautery can induce ventricular fibrillation in patients on temporary pacemakers, suggesting ultrasonic harmonic cautery may be a safer alternative.
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Alerts to VF risk with monopolar electrocautery in temporary-paced Ebstein's patients; leaves open whether harmonic scalpel is safer in broader populations.
Mridu Paban Nath (2013) conducted a case report in Ebstein's anomaly (n=1). Monopolar electrocautery was evaluated on Ventricular fibrillation. Monopolar electrocautery induced ventricular fibrillation in a patient with Ebstein's anomaly on temporary atrio-ventricular sequential pacing.
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