Radiofrequency ablation of a hepatic neoplasm in a patient with an abdominal pacemaker.
We present the case of a 52 year-old male with a history of C-hepatitis and two liver neoplastic lesions treated by radiofrequency (RF) ablation. The patient wears an abdominally-implanted unipolar VVI pacemaker that did not show any signs of interference during RF pulses. We describe the procedure performed and discuss the present knowledge regarding the possibilities of RF interference with the normal pacemaker functioning in several settings related to abdominal RF treatments.
Arrhythmia and Pacing Clinic, Department of Cardiology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México. easensiol@gmail.com
Enrique L
EL
Asensio
Telma G
TG
López
Manuel H
MH
Guerrero
Arturo T
AT
Orea
Adrián A
AA
González
Gerardo R
GR
Montejo
Emma O
EO
Nájera
Lilia M
LM
Castillo
D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation / Q000009:adverse effects; D004562:Electrocardiography; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery* / Q000821:virology; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D017410:Practice Guidelines as Topic; D012804:Sick Sinus Syndrome / Q000150:complications / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional