Thoracic surgery in patients with an implanted neurostimulator device.

Publisher: Oxford University Press Country of Publication: England NLM ID: 101158399 Publication Model: Print Cited Medium: Internet ISSN: 1569-9285 (Electronic) Linking ISSN: 15699285 NLM ISO Abbreviation: Interact Cardiovasc Thorac Surg Subsets: MEDLINE

Publication: 2012-2022 : Oxford, England : Oxford University Press
Original Publication: Amsterdam, The Netherlands ; New York : Elsevier Science, c2002-

Implantable Neurostimulators*; Deep Brain Stimulation/*instrumentation ; Lung Neoplasms/*surgery ; Parkinson Disease/*therapy ; Thoracic Surgical Procedures/*methods ; Thoracoscopy/*methods; Aged ; Electromagnetic Fields ; Equipment Failure ; Humans ; Intraoperative Complications ; Lung Neoplasms/complications ; Male ; Parkinson Disease/complications ; Pneumonectomy/methods

Movement disorders such as Parkinson's disease are increasingly treated with deep brain stimulators. Being implanted in a subcutaneous pocket in the chest region, thoracic surgical procedures can interfere with such devices, as they are sensible to external electromagnetic forces. Monopolar electrocautery can lead to dysfunction of the device or damage of the brain tissue caused by heat. We report a series of 3 patients with deep brain stimulators who underwent thoracic surgery. By turning off the deep brain stimulators before surgery and avoiding the use of monopolar cautery, electromagnetic interactions were avoided in all patients.
(© The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)

Keywords: Deep brain stimulator; Electrocautery; Implanted electrical device; Parkinson’s disease; Thoracic surgery

Date Created: 20171001 Date Completed: 20171204 Latest Revision: 20181202

20221213

10.1093/icvts/ivx213

28962498