Safety of Pacemaker Implantation in Patients with Transvenous (Nonthoracotomy) Implantable Cardioverter Defibrillators |
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Authors: | HENRY F. CLEMO KENNETH A. ELLENBOGEN MICHAEL K. BELZ MARK A. WOOD BRUCE S. STAMBLER |
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Affiliation: | Departments of Medicine (Cardiology) and Physiology, Medical College of Virginia, and McGuire Veterans Affairs Medical Center, Richmond, Virginia |
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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. |
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Keywords: | implantable cardioverter defibrillator pacemaker bradyarrhythmia transvenous defibrillator lead |
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