Subcutaneous defibrillator use with unipolar pacemakers: Cautiously possible

Matanyahu Rubinstein; Angela Zhu; Justin A. Mariani; Hitesh C. Patel

doi:10.1016/j.ipej.2023.05.002

Subcutaneous defibrillator use with unipolar pacemakers: Cautiously possible

Matanyahu Rubinstein
, Angela Zhu
, Justin A. Mariani
, Hitesh C. Patel

Research output: Contribution to journal › Article › Other › peer-review

Abstract

Implantation of subcutaneous implantable cardioverter-defibrillator in a patient with existing unipolar pacemaker is against manufacturer recommendations. We report the case of a successful subcutaneous implantable cardioverter-defibrillator implantation in a patient with Fontan circulation and concomitant active unipolar pacing and present a summary of recommendations when considering subcutaneous implantable cardioverter-defibrillator implantation with unipolar pacing. Recommendations included: pre-procedure screening, rescreening during implantation and ventricular fibrillation induction, pacemaker programming, and post-procedure investigations.

Original language	English
Pages (from-to)	126-129
Number of pages	4
Journal	Indian Pacing and Electrophysiology Journal
Volume	23
Issue number	4
DOIs	https://doi.org/10.1016/j.ipej.2023.05.002
Publication status	Published - 1 Jul 2023

Keywords

Congenital heart disease
Fontan circulation
Subcutaneous implantable cardioverter-defibrillator
Unipolar epicardial pacemaker

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10.1016/j.ipej.2023.05.002Licence: CC BY-NC-ND

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title = "Subcutaneous defibrillator use with unipolar pacemakers: Cautiously possible",

abstract = "Implantation of subcutaneous implantable cardioverter-defibrillator in a patient with existing unipolar pacemaker is against manufacturer recommendations. We report the case of a successful subcutaneous implantable cardioverter-defibrillator implantation in a patient with Fontan circulation and concomitant active unipolar pacing and present a summary of recommendations when considering subcutaneous implantable cardioverter-defibrillator implantation with unipolar pacing. Recommendations included: pre-procedure screening, rescreening during implantation and ventricular fibrillation induction, pacemaker programming, and post-procedure investigations.",

keywords = "Congenital heart disease, Fontan circulation, Subcutaneous implantable cardioverter-defibrillator, Unipolar epicardial pacemaker",

author = "Matanyahu Rubinstein and Angela Zhu and Mariani, \{Justin A.\} and Patel, \{Hitesh C.\}",

note = "Publisher Copyright: {\textcopyright} 2023 Indian Heart Rhythm Society",

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doi = "10.1016/j.ipej.2023.05.002",

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T1 - Subcutaneous defibrillator use with unipolar pacemakers

T2 - Cautiously possible

AU - Rubinstein, Matanyahu

AU - Zhu, Angela

AU - Mariani, Justin A.

AU - Patel, Hitesh C.

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Implantation of subcutaneous implantable cardioverter-defibrillator in a patient with existing unipolar pacemaker is against manufacturer recommendations. We report the case of a successful subcutaneous implantable cardioverter-defibrillator implantation in a patient with Fontan circulation and concomitant active unipolar pacing and present a summary of recommendations when considering subcutaneous implantable cardioverter-defibrillator implantation with unipolar pacing. Recommendations included: pre-procedure screening, rescreening during implantation and ventricular fibrillation induction, pacemaker programming, and post-procedure investigations.

AB - Implantation of subcutaneous implantable cardioverter-defibrillator in a patient with existing unipolar pacemaker is against manufacturer recommendations. We report the case of a successful subcutaneous implantable cardioverter-defibrillator implantation in a patient with Fontan circulation and concomitant active unipolar pacing and present a summary of recommendations when considering subcutaneous implantable cardioverter-defibrillator implantation with unipolar pacing. Recommendations included: pre-procedure screening, rescreening during implantation and ventricular fibrillation induction, pacemaker programming, and post-procedure investigations.

KW - Congenital heart disease

KW - Fontan circulation

KW - Subcutaneous implantable cardioverter-defibrillator

KW - Unipolar epicardial pacemaker

UR - https://www.scopus.com/pages/publications/85159862849

U2 - 10.1016/j.ipej.2023.05.002

DO - 10.1016/j.ipej.2023.05.002

M3 - Article

C2 - 37196770

AN - SCOPUS:85159862849

SN - 0972-6292

VL - 23

SP - 126

EP - 129

JO - Indian Pacing and Electrophysiology Journal

JF - Indian Pacing and Electrophysiology Journal

IS - 4

ER -

Subcutaneous defibrillator use with unipolar pacemakers: Cautiously possible

Abstract

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