Hyfrecation and Interference With Implantable Cardiac Devices
| العنوان: | Hyfrecation and Interference With Implantable Cardiac Devices |
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| المؤلفون: | Sima Amin, Chad D. Housewright, Katie B Homan, Manish D. Assar, Mary Lee |
| المصدر: | Dermatologic Surgery. 46:612-615 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Pacemaker, Artificial, medicine.medical_specialty, medicine.medical_treatment, Electrosurgery, Dermatology, Skin Diseases, Micrographic surgery, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Humans, Medicine, In patient, Aged, Retrospective Studies, Dermatologic Procedures, Surgical instrumentation, business.industry, Retrospective cohort study, General Medicine, Mohs Surgery, Hemostasis, Surgical, Curettage, Defibrillators, Implantable, Surgery, 030220 oncology & carcinogenesis, Hemostasis, Female, business |
| الوصف: | Mohs micrographic surgery, excisional surgery, and electrodessication and curettage (EDC) are common dermatologic procedures that often use electrodessication through hyfrecators to achieve hemostasis. According to in vitro studies, electrodessication is considered safe in patients with implanted cardiac devices. To the authors' knowledge, there are no in vivo data to support this claim.In this study, the authors aim to describe the outcomes of hyfrecation during dermatologic procedures in patients with pacemakers and implantable cardiac devices.Retrospective chart review was completed from March 2014 to April 2018 at a single center. Forty-five patients met criteria of having a cardiac device and having undergone an electrosurgery procedure using the Conmed 2000 Hyfrecator (Utica, NY). Adverse perioperative and postoperative outcomes, as well as device malfunction, were evaluated.No adverse perioperative effects were reported. Device reports were examined for inappropriate firing of the defibrillator, loss of capture, temporary inhibition of pacing, battery drainage, pacing at an elevated or erratic rate, failure to deliver antitachycardia, reversion to asynchronous pacing, induction of arrhythmias, or tissue damage at lead tissue, but no such issues were found.The lack of complications associated with cardiac devices with hyfrecation is reassuring. However, prospective and larger retrospective studies are warranted. |
| تدمد: | 1524-4725 1076-0512 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1e9a1503a4c532d68abcb48ad4afb5ca https://doi.org/10.1097/dss.0000000000002122 |
| رقم الأكسشن: | edsair.doi.dedup.....1e9a1503a4c532d68abcb48ad4afb5ca |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244725 10760512 |
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