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Safety of Pacemaker Implantation in Patients with Transvenous (Nonthoracotomy) Implantable Cardioverter Defibrillators
Authors:HENRY F. CLEMO  KENNETH A. ELLENBOGEN  MICHAEL K. BELZ  MARK A. WOOD  BRUCE S. STAMBLER
Affiliation:Departments of Medicine (Cardiology) and Physiology, Medical College of Virginia, and McGuire Veterans Affairs Medical Center, Richmond, Virginia
Abstract:While several reports bave documented the safety of implantation of transvenous pacemakers in patients with epicardial patch-based impiantable cardioverter defibrillators (ICDs), the implantation of transvenous pacemakers in patients with transvenous (nonthoracotomy) ICDs has not been well-descrihed. We present three patients with transvenous ICDs who subsequently underwent implantation of transvenous pacemakers without complication. Technical considerations and a testing protocol for detection of pacemaker-ICD interactions are discussed.
Keywords:implantable cardioverter defibrillator    pacemaker    bradyarrhythmia    transvenous defibrillator lead
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