Endoscopic Diathermy in Patients With Cardiac Pacemakers

Veitch, A.; Fairclough, P. D.

doi:10.1055/s-2007-1001341

Cited by 15 publications

(3 citation statements)

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“…Although endoscopists are aware of the possibility of interactions between EE and CIEDs [ 16 ], few studies have evaluated the effect of EE [ 12 , 13 ]. One study included 92 patients who underwent prescheduled noncardiac surgery or endoscopy, including 12 cases of gastrointestinal endoscopy, none of which had any arrhythmic events recorded during the procedure [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices

Baeg

Kim

et al. 2016

Clin Endosc

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Background/Aims:Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients.Methods:Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram.Results:Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events.Conclusions:Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices

Baeg

Kim

et al. 2016

Clin Endosc

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“…In manchen Studien werden Patienten mit einem Lebensalter über 80 Jahren klar ausgeschlossen, von Betagten persönlich wird eine solche Haltung als despektierlich empfunden (eigene Befragung) und akzeptabel erscheint wohl eher eine Haltung, bei der die Vorsorgeuntersuchung unterstützt wird, sofern keine anderweitigen erheblichen Risikofaktoren oder lebenszeitlimitierende Zusatzerkrankungen bestehen [24]. [29]. Besonders beachtet werden muss die Indifferenz mit Diathermiestrom bei den mittlerweile multiplen endoskopischen Therapiemaßnahmen, bei denen eine Stromanwendung erfolgt.…”

Section: Abstract !unclassified

Endoskopie bei geriatrischen Patienten: Positionspapier der Arbeitsgruppe Geriatrische Gastroenterologie

Staritz

2012

Z Gastroenterol

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The relevance of endoscopic diagnostic and therapeutic interventions is on a constant rise. However, specific aspects of the treatment of geriatric patients have only been tackled to a rather limited extent so far. The present contribution pinpoints illustratively the status quo on this issue and provides directions for further research which should be conducted in future studies supported by the working group on geriatric gastroenterology.

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“…1998), such as electrical dental equipment (Miller et al. 1998), endoscopic diathermy (Veitch & Fairclough 1998), cardiac monitors (Chew et al. 1997), magnetic resonance imaging scanners, lithotripsy‐devices, electrocautery, and magnetic instrument pads during surgery (Purday & Towey 1992, Hartnell et al.…”

Section: Literature Reviewmentioning

confidence: 99%

The postmodern heart: war veterans’ experiences of invasive cardiac technology

Anderson

2004

Journal of Advanced Nursing

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Nursing is at the interface of science and patient care, and this study contributes to nursing knowledge by focusing on a previously unresearched topic, namely embodied interactions between war veterans and invasive cardiac pacemakers. Within a highly technical area such as cardiology, nurses can still work around the technology and keep patients as their primary focus, thus promoting quality care. A humanistic rather than a technological focus locates nurses between patients and cardiac technology. In this in-between location, nurses are not an extension of cardiac technology but a valuable source of information, education, and counselling.

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Endoscopic Diathermy in Patients With Cardiac Pacemakers

Cited by 15 publications

References 0 publications

Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices

Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices

Endoskopie bei geriatrischen Patienten: Positionspapier der Arbeitsgruppe Geriatrische Gastroenterologie

The postmodern heart: war veterans’ experiences of invasive cardiac technology

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