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Management of cardiac pacemaker in a patient with spinal cord stimulator implant

Iyer, R; Gnanadurai, V T.*; Forsey, P

doi: 10.1016/S0304-3959(97)00171-1
Clinical note
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Spinal cord stimulation reduces pain of critical ischaemia in patients with severe inoperable coronary artery and peripheral vascular disease by increasing microvascular flow. Patients with cardiac pacemaker may be denied a spinal cord stimulator (SCS) implant because of the risk of compromising pacemaker function by inhibition or reversion to asynchronous noise-pacing mode. We describe the management of a patient with an SCS implant for lower limb ischaemia who required a pacemaker. We suggest that with modern pacemakers it is safe to implant a spinal cord stimulator simultaneously with a pacemaker provided adequate precautions are taken to prevent interdevice interference.

Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands, DY1 2HQ, UK

*Corresponding author. Dudley Multidisciplinary Centre for Pain Management, The Guest Hospital, Tipton Road, Dudley, West Midlands, DY1 4SE, UK. Tel.: +44 1384 244814; fax: +44 1384 244841.

Submitted April 15, 1997; revised August 21, 1997; accepted October 1, 1997.

© Lippincott-Raven Publishers.
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