title: ICD and neuromodulation devices: is peaceful coexistence possible?
abstract: OBJECTIVE
  The aim of this study was to investigate the potential cross-talk between implantable cardioverter defibrillator device (ICD) and implantable neuromodulation device (IND) during the implantation procedure and the ventricular fibrillation induction test and in daily life.
  
  
  METHODS
  We present two cases of patients with an IND who underwent ICD implantation and one case of a patient implanted with a biventricular ICD who received an IND 6 months later. Two of these patients had a spinal cord stimulator (SCS), while the other had a sacral neuromodulator.
  
  
  RESULTS
  No cross-talk was recorded in the patient with the sacral neuromodulator and the ICD. Temporary damage to one of the SCSs was observed after multiple ICD shocks.
  
  
  CONCLUSIONS
  When implanted contemporarily with sacral or spinal neurostimulators, cardiac devices appear to be safe, as confirmed by the appropriate detection and interruption of arrhythmic episodes. On the other hand, neuromodulation devices could be temporarily or permanently damaged by multiple ICD discharges. It is recommended that the neurostimulator be interrogated after an ICD shock, in order to check the state of the device.
authors.affiliation: Cardiology Department, S. Cuore Hospital, Negrar, Italy. giulio.molon@sacrocuore.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Molon
authors.forename: Cosimo
authors.initials: C
authors.lastname: Perrone
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Maines
authors.forename: Alessandro
authors.initials: A
authors.lastname: Costa
authors.forename: Jennifer
authors.initials: J
authors.lastname: Comisso
authors.forename: Alida
authors.initials: A
authors.lastname: Boi
authors.forename: Eugenio
authors.initials: E
authors.lastname: Moro
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Vergara
authors.forename: Enrico
authors.initials: E
authors.lastname: Barbieri
mesh_terms: D016477:Artifacts; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004556:Electric Injuries / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D004599:Electric Stimulation Therapy / Q000009:adverse effects* / Q000295:instrumentation*; D004868:Equipment Failure; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged