Venditti F J, Martin D, Long A L, Roth R A
Electrophysiology Laboratory, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Pacing Clin Electrophysiol. 1991 Sep;14(9):1323-5. doi: 10.1111/j.1540-8159.1991.tb02875.x.
The effect of extracorporeal shock wave lithotripsy on the automatic implantable cardioverter defibrillator is unknown. To evaluate what effect might occur, a non-implanted automatic implantable cardioverter defibrillator was subjected to a full course of extracorporeal shock wave lithotripsy while inactive. Bench testing by the manufacturer after lithotripsy demonstrated normal function of the device. A patient with an automatic implanted cardioverter defibrillator who required contralateral extracorporeal shock wave lithotripsy then underwent this procedure. The right renal calculus was destroyed successfully with no apparent damage to the automatic implantable cardioverter defibrillator. A test of the automatic implantable cardioverter defibrillator after lithotripsy demonstrated normal sensing and conversion of induced ventricular tachycardia.
体外冲击波碎石术对植入式自动心脏除颤器的影响尚不清楚。为评估可能产生的影响，一台未植入的植入式自动心脏除颤器在未激活状态下接受了全程体外冲击波碎石术。碎石术后制造商进行的台架测试表明该设备功能正常。一名需要进行对侧体外冲击波碎石术的植入式自动心脏除颤器患者随后接受了该手术。右肾结石成功被击碎，植入式自动心脏除颤器未出现明显损伤。碎石术后对植入式自动心脏除颤器进行的测试表明其对诱发室性心动过速的感知和转换功能正常。
