Safety of pacemaker implantation in patients with transvenous (nonthoracotomy) implantable cardioverter defibrillators.
While several reports have documented the safety of implantation of transvenous pacemakers in patients with epicardial patch-based implantable cardioverter defibrillators (ICDs), the implantation of transvenous pacemakers in patients with transvenous (nonthoracotomy) ICDs has not been well-described. We present three patients with transvenous ICDs who subsequently underwent implantation of transvenous pacemakers without complication. Technical considerations and a testing, protocol for detection of pacemaker-ICD interactions are discussed.
Clemo
H F
HF
Department of Medicine (Cardiology), Medical College of Virginia, Richmond.
Ellenbogen
K A
KA
Belz
M K
MK
Wood
M A
MA
Stambler
B S
BS
D000368:Aged; D001145:Arrhythmias, Cardiac / Q000503:physiopathology / Q000628:therapy; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects; D013908:Thoracotomy