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Related Experiment Videos

Shockwave lithotripsy and pacemakers: experience with 20 cases

D D Albers1, F E Lybrand, J C Axton

  • 1Department of Urology, Oklahoma University Health Sciences Center, Oklahoma City, USA.

Journal of Endourology
|August 1, 1995
PubMed
Summary

Extracorporeal shock wave lithotripsy (SWL) is now safe for most patients with pacemakers. Careful pre-procedure evaluation and pacemaker reprogramming are key to preventing cardiovascular events during SWL treatment for kidney stones.

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Area of Science:

  • Urology
  • Cardiology
  • Biomedical Engineering

Background:

  • Historically, patients with cardiac pacemakers were excluded from extracorporeal shock wave lithotripsy (SWL).
  • Advancements in research and clinical practice have led to re-evaluating this exclusion criterion.
  • Recent studies indicate that SWL may be a viable option for select patients with pacemakers.

Purpose of the Study:

  • To assess the safety and efficacy of SWL in patients with cardiac pacemakers.
  • To identify necessary precautions for performing SWL in this patient population.
  • To evaluate the incidence of cardiovascular events during SWL in pacemaker patients.

Main Methods:

  • A retrospective analysis of 20 patients with various pacemaker types who underwent SWL.

Related Experiment Videos

  • Pre-procedure cardiological evaluation and pacemaker reprogramming (dual-chamber to single-chamber mode, rate-responsive to VVI mode).
  • Monitoring for cardiovascular events during and after SWL treatment.

    • Main Results:

    • Successful SWL treatment in 20 patients with pacemakers.
    • No significant cardiovascular events were reported during the treatment sessions.
    • Pacemaker reprogramming and maintaining a distance of at least 5 cm from the blast path were crucial.

    Conclusions:

    • Extracorporeal shock wave lithotripsy (SWL) can be safely performed in most patients with pacemakers.
    • Essential precautions include thorough cardiological evaluation and specific pacemaker reprogramming.
    • Careful monitoring during SWL is vital for patient safety.