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Review
. 2017 Mar 15;8(3):2630-2635.
doi: 10.19102/icrm.2017.080303. eCollection 2017 Mar.

The Effects of Catheter Ablation on Permanent Pacemakers and Implantable Cardiac Defibrillators

Yousef H Darrat  1 , Gustavo X Morales  1 , Claude S Elayi  1
Affiliations
Review

The Effects of Catheter Ablation on Permanent Pacemakers and Implantable Cardiac Defibrillators

Yousef H Darrat et al. J Innov Card Rhythm Manag. .

Abstract

Catheter ablation is a procedure that is frequently performed in patients with cardiac implantable electronic devices. Here, we review all of the potential interactions that can occur among patients undergoing catheter ablation while having implantable cardiac electronic devices, and discuss the precautionary measures to minimize such interactions.

Keywords: Catheter ablation; implantable cardiac defibrillators; permanent pacemakers.

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Conflict of interest statement

The authors report no conflicts of interest for the published content.

Figures

Figure 1:
Figure 1:
A patient with a biventricular implantable cardioverter-defibrillator undergoing cavotricuspid ablation for typical atrial flutter (left anterior oblique projection). Note the close contact between the right ventricular lead as it crosses the tricuspid valve and the radiofrequency ablation catheter.
Figure 2:
Figure 2:
This patient with a biventricular implantable cardioverter-defibrillator also has a paroxysmal atrial tachycardia requiring ablation in the coronary sinus (left anterior oblique projection). The radiofrequency ablation catheter is inside the coronary sinus, in close contact with the left ventricular lead.
Figure 3:
Figure 3:
algorithm for managing permanent pacemakers and implantable defibrillators before and after a catheter ablation procedure.
See this image and copyright information in PMC

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