An update on the management of implanted cardiac devices during electrosurgical procedures

Area of Science:

• Cardiology
• Medical Device Management
• Electrosurgery

Background:

• Management of implanted cardiac devices during electrosurgical procedures is guided by recommendations from major medical societies.
• Existing guidelines originate from various organizations, including the ACCF/AHA (2009), HRS/ASA (2011), and ASGE (2007).

Purpose of the Study:

• To review and summarize the current major guidelines for managing patients with implanted cardiac devices undergoing electrosurgical procedures.
• To identify the need for unified consensus on best practices for device management in this patient population.

Main Methods:

• A review of the most recent guidelines from prominent medical societies concerning implanted cardiac devices and electrosurgery.
• Comparison and summarization of recommendations from the ACCF/AHA, HRS/ASA, and ASGE.

Main Results:

• Major medical societies have issued distinct guidelines for managing implanted cardiac devices during electrosurgery.
• Tables 1 and 2 present a summary of the latest recommendations from each society.

Conclusions:

• There is a lack of unified consensus among specialty societies regarding the management of implanted cardiac devices during electrosurgical procedures.
• Further research and data are required to facilitate the development of a single, comprehensive guideline.