Interference between pacemaker and video capsule endoscopy.
The wireless capsule video endoscopy is useful in patients with occult blood loss, but is contraindicated in patients with cardiac pacemaker (PM). No case of interference has been published. We report the case of a patient with a PM implanted in the abdominal wall. After capsule ingestion, cardiac monitoring showed no modification of the PM compartment (VOO, unipolar mode) but the capsule recording reveal more than 3 hours of loss of image. The wireless capsule endoscopy is safe in patients with PMs in VOO mode. Nevertheless important interference was noted in the recording when the capsule was near the PM.
Guyomar
Yves
Y
Service de Cardiologie, Hopital Saint Philibert, Institut Catholique de Lille-France. guyomar.yves@ghicl.net
Vandeville
Laurent
L
Heuls
Sebastien
S
Coviaux
François
F
Graux
Pierre
P
Cornaert
Pierre
P
Filoche
Bernard
B
D000368:Aged; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000473:pathology; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial