title: Implantation of a cardiac resynchronization therapy defibrillator in a patient with bilateral deep brain stimulator: feasibility and technique.
abstract: Uncommonly, a patient with a NeuroStimulator Device (NSD) for a neurologic indication requires a cardiovascular implantable electronic device (CIED) for a cardiac indication. Typically in those with a unilateral pectoral NSD, the contralateral pectoral space is used for CIED implantation; however, in very rare occasions the patient has bilateral pectoral NSDs which makes subsequent implantation of a CIED challenging both because of placement and device interaction. Herein, we introduce the case of a 68-year-old gentleman with bilateral pectoral deep brain stimulators for Parkinsonism who received cardiac resynchronization therapy-defibrillator (CRT-D) for advanced heart failure. The CRT-D generator was implanted in the abdomen and the CRT-D leads were placed through a minimally invasive epicardial approach. Both devices were tested without any evidence of device interaction.
authors.affiliation: Department of Medicine, University of Florida, Gainesville, FL 32610-0129, USA.
authors.forename: Ashkan
authors.initials: A
authors.lastname: Karimi
authors.forename: Jamie B
authors.initials: JB
authors.lastname: Conti
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Beaver
mesh_terms: D000368:Aged; D058406:Cardiac Resynchronization Therapy; D009202:Cardiomyopathies / Q000628:therapy*; D015897:Comorbidity; D046690:Deep Brain Stimulation; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D010300:Parkinson Disease / Q000628:therapy*