Pacemaker patients as candidates for shock wave lithotripsy

Area of Science:

• Urology
• Cardiology
• Medical Device Safety

Background:

• Extracorporeal shock wave lithotripsy (SWL) is a common treatment for kidney stones.
• Patients with implanted cardiac pacemakers require special considerations for SWL procedures.
• Previous data on SWL safety in pacemaker patients may be limited.

Purpose of the Study:

• To evaluate the safety and success of SWL in patients with implanted cardiac pacemakers.
• To identify key factors contributing to successful SWL outcomes in this patient population.

Main Methods:

• Retrospective review of 3000 SWL patients treated since 1987.
• Analysis of 10 patients who had implanted cardiac pacemakers.
• Implementation of a review committee and specific patient selection guidelines.
• Involvement of a nurse coordinator for patient management and communication.

Main Results:

• Successful SWL treatment was achieved in patients with implanted cardiac pacemakers.
• A cautious approach, guided by established protocols, was crucial.
• The multidisciplinary team, including a nurse coordinator, facilitated successful outcomes.

Conclusions:

• SWL can be performed successfully and safely in patients with cardiac pacemakers.
• A structured approach involving a review committee, guidelines, and dedicated nursing support is essential for managing these patients.