TY - JOUR
T1 - Inappropriate Defibrillator Shocks During Cervical Medial Branch Radiofrequency Ablation
T2 - A Case Report
AU - Goel, Vasudha
AU - Shankar, Hariharan
AU - Mulpuru, Siva K.
AU - Ramakrishna, Harish
PY - 2020/9/1
Y1 - 2020/9/1
N2 - A 52-year-old woman with a history of cervical spondylosis, nonischemic dilated cardiomyopathy, and complete heart block with implantation of a cardiac resynchronization therapy defibrillator (Inogen XR, Boston Scientific, Natick, MA) underwent bilateral fluoroscopy-guided radiofrequency ablation of the medial branch nerves at C4, C5, and C6 levels at an ambulatory surgery center. After completion of the seemingly routine procedure, several alerts, including 1 inappropriate shock, were received via Boston Scientific's remote monitoring system. Tracings also showed that pacing inhibition occurred. When performing radiofrequency ablation in patients with a cardiac implantable electronic device, it is imperative to follow published best practice recommendations to minimize the risk of adverse events.
AB - A 52-year-old woman with a history of cervical spondylosis, nonischemic dilated cardiomyopathy, and complete heart block with implantation of a cardiac resynchronization therapy defibrillator (Inogen XR, Boston Scientific, Natick, MA) underwent bilateral fluoroscopy-guided radiofrequency ablation of the medial branch nerves at C4, C5, and C6 levels at an ambulatory surgery center. After completion of the seemingly routine procedure, several alerts, including 1 inappropriate shock, were received via Boston Scientific's remote monitoring system. Tracings also showed that pacing inhibition occurred. When performing radiofrequency ablation in patients with a cardiac implantable electronic device, it is imperative to follow published best practice recommendations to minimize the risk of adverse events.
UR - http://www.scopus.com/inward/record.url?scp=85092120606&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85092120606&partnerID=8YFLogxK
U2 - 10.1213/XAA.0000000000001286
DO - 10.1213/XAA.0000000000001286
M3 - Article
C2 - 32985855
AN - SCOPUS:85092120606
SN - 2325-7237
VL - 14
SP - e01286
JO - A&A practice
JF - A&A practice
IS - 11
ER -