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ICD and neuromodulation devices: is peaceful coexistence possible?
Giulio Molon1, Cosimo Perrone, Massimiliano Maines
1Cardiology Department, S. Cuore Hospital, Negrar, Italy. giulio.molon@sacrocuore.it
Pacing and Clinical Electrophysiology : PACE
|February 10, 2011
Summary
Implantable cardioverter defibrillators (ICDs) and neuromodulation devices (INDs) can coexist safely, but multiple ICD shocks may damage spinal cord stimulators (SCSs). Regular device interrogation after shocks is recommended.
Area of Science:
- Cardiology
- Neuromodulation
- Medical Device Engineering
Background:
- Investigating potential interactions between implantable cardioverter defibrillators (ICDs) and implantable neuromodulation devices (INDs) is crucial for patient safety.
- Understanding cross-talk is essential during implantation, testing, and daily use of these co-implanted devices.
Observation:
- This study examined two cases of IND implantation followed by ICD implantation and one case of biventricular ICD implantation followed by IND implantation.
- Patient devices included spinal cord stimulators (SCS) and sacral neuromodulators.
Findings:
- No cross-talk was observed between the ICD and the sacral neuromodulator.
- Temporary damage occurred to a spinal cord stimulator (SCS) after multiple ICD shocks.
Implications:
- Co-implantation of ICDs with sacral or spinal neurostimulators appears safe, with cardiac devices functioning appropriately.
- Multiple ICD discharges pose a risk of temporary or permanent damage to neuromodulation devices.
- Post-ICD shock interrogation of neurostimulators is recommended to ensure device integrity.