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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

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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