Heart Failure Clinical Trial
Official title:
Effects of Surgical Monopolar Electrocautery and Optimal Electrosurgery Unit Return Pad Placement on Implantable Cardioverter Defibrillators Protocol
This observational protocol will evaluate the effects of monopolar electrocautery (ME) on
implantable cardioverter defibrillators (ICDs) in patients undergoing surgery. ME can cause
electromagnetic interference (EMI) leading to ICD damage or inadvertent ICD discharge
(shocks). Recommended practice calls for the preoperative reprogramming of ICDs when ME will
be used to prevent patients from receiving inadvertent shocks. This requires the presence of
someone trained in ICD programming, but a trained person is not always readily available.
In this study the investigators will reprogram ICDs prior to surgery according to current
practice, but will also record what would have happened had the ICD reprogramming not
occurred ("detection on" but "therapy off"). In addition, the investigators will evaluate
the effect of the location of the electrosurgery unit (ESU) return pad on the incidence of
EMI. The investigators hypothesize that directing the current return path away from the ICD
will result in lower EMI rates than previously described.
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