Aborted Implantable Cardioverter‐Defibrillator Shock During Facial Electrosurgery

A patient with a fourth‐generation transvenous implantable cardioverter‐defibrillator system nearly received an inappropriate defibrillation discharge while undergoing electrofulguration of keratotic facial skin lesions. The incident was confirmed by analyses of the implantable cardioverter‐defibril...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 1998-06, Vol.21 (6), p.1325-1326
Main Authors: CASAVANT, DAVID, HAFFAJEE, CHARLES, STEVENS, STEPHANIE, PACETTI, PATRICIA
Format: Article
Language:English
Subjects:
Aged
Defibrillators, Implantable
electrocautery
Electrocoagulation
electromagnetic interference
Equipment Failure
Facial Dermatoses - surgery
Humans
implantable cardioverter‐defibrillator
Keratosis - surgery
Male
Tachycardia, Ventricular - therapy
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Description
Summary:A patient with a fourth‐generation transvenous implantable cardioverter‐defibrillator system nearly received an inappropriate defibrillation discharge while undergoing electrofulguration of keratotic facial skin lesions. The incident was confirmed by analyses of the implantable cardioverter‐defibrillator's time/date stamped event log and stored electrogram record. Therapy was withheld by the noncommitted implantable cardioverter‐defibrillator as the pulsed electrocautery was not continued beyond the charging period.
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.1998.tb00198.x