Skip Navigation



Europace Advance Access published online on October 3, 2007
Europace, doi:10.1093/europace/eum220
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
9/12/1191    most recent
eum220v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kanjwal, Y.
Right arrow Articles by Grubb, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kanjwal, Y.
Right arrow Articles by Grubb, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The European Society of Cardiology 2007. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Piggy-back pacing: implantation of pacemaker and defibrillator on top of each other

Yousuf Kanjwal1,2,*, Naser Imran1,3, Khalil Kanjwal1,4 and Blair Grubb1,5

1 Department of Cardiovascular Medicine, Section of Cardiac Electrophysiology, Division of Cardiology, University of Toledo Medical Center, Toledo, OH 43614, USA; 2 Department of Cardiovascular Medicine, Cardiac Electrophysiology and Pacing Laboratory, University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 USA; 3 Department of Internal Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA; 4 Department of Cardiovascular Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA; 5 Cardiac Electrophysiology Services and Autonomic Dysfunction, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA

Following the publication of several landmark trials, there has been a significant increase in the cardiac device implantation. Within this population there are a number of patients who have pre-existing cardiac devices that have been placed for a number of different conditions. While the usual approach is to remove the existing unit and replace it with a new device with the removal or capping of existing lead systems, this practice often sacrifices an existing unit that still possesses good battery longevity. We explored the possibility of separating the pacing and defibrillating functions by implanting a new device on the top of the old device in a ‘piggy-back fashion’. We report a series of four cases (with various indications) with differing combinations of devices. The procedure was performed safely in every one of them, and no device–device interaction was noted. Combining the new with existing units in a ‘piggy-back’ manner may be a safe and cost-effective technique in the selected cases.

Key Words: Pacemaker, Defibrillator, Device to device interaction

* Corresponding author. Tel: +1 419 383 5066; fax: +1 419 383 3041. E-mail address: yousuf.kanjwal{at}utoledo.edu

Manuscript submitted 27 July 2007. Accepted after revision 10 September 2007.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.