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Related Experiment Videos

Cochlear implantation in a pacemaker patient

J M Triglia1, M Beliaeff, G Faugere

  • 1Department of Otorhinolaryngology, Timone Hospital, Marseille, France.

The Laryngoscope
|September 1, 1996
PubMed
Summary
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Cochlear implantation is compatible with cardiac pacemakers. A patient with a pacemaker and complete atrioventricular block received a cochlear implant without electrical interference, demonstrating excellent performance.

Area of Science:

  • Otorhinolaryngology
  • Cardiology
  • Biomedical Engineering

Background:

  • Cochlear implantation is a common treatment for severe to profound hearing loss.
  • Patients with hearing loss may also have underlying cardiac conditions requiring pacemakers.
  • Potential electromagnetic interference between cochlear implants and pacemakers is a clinical concern.

Observation:

  • A 22-year-old patient with a pacemaker for complete atrioventricular block underwent cochlear implantation.
  • Compatibility between the multichannel Digisonic DX10AE cochlear implant and the Biotronik Nanos-01AE pacemaker was assessed.
  • The pacemaker was programmed to a locked mode (VOO) before implantation.

Findings:

  • Electrocardiograms confirmed no electrical interference when the cochlear implant was activated.

Related Experiment Videos

  • The combined use of the cochlear implant and pacemaker was deemed compatible.
  • Excellent cochlear implant performance was maintained over a 3-year follow-up period.
  • Implications:

    • Cochlear implantation can be safely performed in patients with pacemakers.
    • Pre-operative programming and post-operative monitoring ensure device compatibility.
    • This case supports the feasibility of cochlear implantation in patients with cardiac comorbidities.