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Pacemakers, Deep Brain Stimulators, Cochlear Implants, and Nerve Stimulators

A Review of Common Devices Encountered in the Dermatologic Surgery Patient

Tripathi, Shivani V. MD; Hurst, Eva A. MD*

doi: 10.1097/DSS.0000000000002012
Review Article

BACKGROUND In dermatologic and procedural surgery settings, there are commonly encountered devices in patients. Safe surgical planning requires familiarity with these devices.

OBJECTIVE To review the current implanted devices in patients and recommendations for surgical planning around these devices.

METHODS AND MATERIALS A comprehensive review using PubMed and published device recommendations was performed, searching for those most relevant to dermatologic surgery.

RESULTS Devices such as pacemakers and implantable cardiac defibrillators, deep brain stimulators, cochlear implants, and various nerve stimulators are potential devices that may be encountered in patients and specific recommendations exist for each of these devices.

CONCLUSION Dermatologic surgeons' knowledge of implanted devices in patients is paramout to safe surgical procedures.

*All authors are affiliated with the Division of Dermatology, Washington University in St. Louis, St. Louis, Missouri

Address correspondence and reprint requests to: Shivani V. Tripathi, MD, Division of Dermatology, Washington University in St. Louis, 660 S. Euclid, Campus Box 8123, St. Louis, MO 63110, or e-mail:

The authors have indicated no significant interest with commercial supporters.

© 2019 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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