The implantable cardioverter-defibrillator. A potential hazard for autopsy pathologists.
The implantable cardioverter-defibrillator (ICD) is an implantable electronic device that has been proven to be safe and effective in treating various malignant tachyarrhythmias in susceptible individuals. As the use of ICDs becomes more widespread, more individuals with the implanted devices will be encountered at autopsy. Manipulation of an activated ICD can result in electrical shock. To avoid injury, pathologists must be properly prepared to deal with bodies containing activated ICDs. These devices can also provide valuable information that may be helpful in determining the cause and mechanism of death. Herein, we present information regarding the appropriate guidelines and safeguards for pathologists confronted with an activated ICD.
Prahlow
J A
JA
Southwestern Institute of Forensic Sciences, University of Texas, Southwestern Medical Center, Dallas 75235, USA.
Guileyardo
J M
JM
Barnard
J J
JJ
D000062:Accidents, Occupational / Q000517:prevention & control; D001344:Autopsy; D017147:Defibrillators, Implantable / Q000009:adverse effects; D004556:Electric Injuries / Q000209:etiology / Q000517:prevention & control*; D004869:Equipment Safety; D006801:Humans; D010338:Pathology, Clinical / Q000379:methods*; D012449:Safety