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Published on: September 27, 2018
Endoscopy and implantable electronic devices
G D Corbett1, P C Buttery2, P J Pugh3
1Department of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Endoscopic procedures pose risks for patients with implantable electronic devices like pacemakers. This study reviews evidence and guidance for minimizing electromagnetic interference risks during electrosurgery and magnetic imaging.
Area of Science:
- Medical Devices
- Gastroenterology
- Electrophysiology
Background:
- Increasing prevalence of implantable electronic devices (IEDs) like pacemakers and neurostimulators.
- Potential for electromagnetic interference (EMI) from electrosurgery and magnetic imaging systems.
- Growing need for safety protocols in endoscopic procedures involving IED patients.
Purpose of the Study:
- To highlight risks associated with electrosurgery and magnetic imaging in patients with IEDs.
- To review existing evidence on EMI with IEDs during endoscopy.
- To summarize current guidelines for minimizing risks.
Main Methods:
- Case presentation illustrating risk mitigation strategies.
- Systematic review of scientific literature on EMI and IEDs.
- Analysis of current clinical practice guidelines.
Main Results:
- Electromagnetic fields from electrosurgical units and MRI can interfere with IED function.
- Specific device characteristics and procedure parameters influence interference risk.
- Established protocols can significantly reduce the likelihood of adverse events.
Conclusions:
- Careful patient selection and procedural planning are crucial.
- Adherence to evidence-based guidelines is essential for patient safety.
- Multidisciplinary collaboration is recommended for managing IED patients undergoing endoscopy.
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