Key result
Deactivating a DVI pacemaker enables successful ESWL using IV isoproterenol and phenylephrine under epidural anesthesia.
Case Report (n=1)
No
ESWL, generally considered contraindicated in pacemaker patients, can be successfully performed by temporarily disabling the pacemaker and managing hemodynamics pharmacologically.
Supports ESWL feasibility in select DVI pacemaker patients with targeted management; leaves open generalizability beyond this case report.
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Satoh et al. (1987) conducted a case report in Renal stones and Sick Sinus Syndrome with cardiac pacemaker (n=1). ESWL with pacemaker turned off and IV isoproterenol/phenylephrine under epidural anesthesia was evaluated on Successful completion of ESWL. ESWL was successfully performed in a patient with a DVI pacemaker by temporarily turning off the pacemaker and administering intravenous isoproterenol and phenylephrine under epidural anesthesia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: