Use of external defibrillator jacket to facilitate safe delivery of radiotherapy for lung cancer – A report of two cases

Abstract The increasing rate of implantable cardioverter defibrillator (ICD) implantation coupled with shared risk factors between lung cancer and ischemic cardiac disease means that the need for radiotherapy in cardiac device patients is set to become commonplace. We describe two cases referred to...

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Bibliographic Details
Published in:Indian heart journal 2014, Vol.66 (1), p.111-114
Main Authors: Bowers, Robert W, Scott, Paul A, Roberts, Paul R
Format: Article
Language:English
Subjects:
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - radiotherapy
Carcinoma, Squamous Cell - surgery
Cardiovascular
Case Report
Defibrillators - utilization
Defibrillators, Implantable
Device Removal
Heart Block - diagnosis
Heart Block - therapy
Humans
ICD
Lung Neoplasms - diagnosis
Lung Neoplasms - radiotherapy
Lung Neoplasms - surgery
Patient Safety
Radiotherapy
Radiotherapy, Adjuvant
Risk Assessment
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - therapy
Treatment Outcome
Wearable defibrillator jacket
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Summary:Abstract The increasing rate of implantable cardioverter defibrillator (ICD) implantation coupled with shared risk factors between lung cancer and ischemic cardiac disease means that the need for radiotherapy in cardiac device patients is set to become commonplace. We describe two cases referred to our electrophysiology service over a 6-month period. Both had been diagnosed with lung cancer in tissue directly posterior to a previously implanted ICD device. The cases highlight the risks to device function caused by ionizing radiation, the practical difficulties and ethical dilemmas of delivering radiotherapy to cardiac device patients safely and a novel setting for the use of a wearable defibrillator system.
ISSN:0019-4832
DOI:10.1016/j.ihj.2013.12.004