Electrosurgery in Patients With Implantable Electronic Cardiac Devices (Pacemakers and Defibrillators)

Abstract The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such a...

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Bibliographic Details
Published in:Actas dermo-sifiliográficas (English ed.) 2013-03, Vol.104 (2), p.128-132
Main Authors: García-Bracamonte, B, Rodriguez, J, Casado, R, Vanaclocha, F
Format: Article
Language:English
Subjects:
Defibrillator
Defibrillators, Implantable
Dermatology
desfibrilador
Electrobisturí
electrocirugía
Electromagnetic interference
Electrosurgery
Electrosurgical unit
Humans
interferencias electromagnéticas
Internal Medicine
marcapasos
Pacemaker
Pacemaker, Artificial
Skin Diseases - surgery
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Summary:Abstract The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such as pacemakers and defibrillators, because electromagnetic interference produced by the tool may cause such devices to malfunction. Before using electrosurgery in patients with IECDs, it is essential to ascertain the type of implanted device and the patient's level of dependence on it. The location of the skin lesion to be treated with respect to the device should also be assessed. Bipolar pacemakers are more resistant to interference. Appropriate monitoring and the use of bipolar forceps are recommended.
ISSN:1578-2190
2173-5778
1578-2190
DOI:10.1016/j.adengl.2012.09.020