Inappropriate Defibrillator Shocks During Cervical Medial Branch Radiofrequency Ablation: A Case Report. A A Pract 2020 Sep;14(11):e01286
Date
09/29/2020Pubmed ID
32985855DOI
10.1213/XAA.0000000000001286Scopus ID
2-s2.0-85092120606 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
A 52-year-old woman with a history of cervical spondylosis, nonischemic dilated cardiomyopathy, and complete heart block with implantation of a cardiac resynchronization therapy defibrillator (Inogen XR, Boston Scientific, Natick, MA) underwent bilateral fluoroscopy-guided radiofrequency ablation of the medial branch nerves at C4, C5, and C6 levels at an ambulatory surgery center. After completion of the seemingly routine procedure, several alerts, including 1 inappropriate shock, were received via Boston Scientific's remote monitoring system. Tracings also showed that pacing inhibition occurred. When performing radiofrequency ablation in patients with a cardiac implantable electronic device, it is imperative to follow published best practice recommendations to minimize the risk of adverse events.
Author List
Goel V, Shankar H, Mulpuru SK, Ramakrishna HAuthor
Hariharan Shankar MBBS Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Arrhythmias, CardiacDefibrillators, Implantable
Electrocardiography
Female
Humans
Middle Aged
