心脏起搏器患者的骶神经调节

Sacral nerve neuromodulation in patients with cardiac pacemakers.

作者信息

Wallace Patricia A, Lane Felicia L, Noblett Karen L

机构信息

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California, Irvine, School of Medicine, Orange, CA 92868, USA.

出版信息

Am J Obstet Gynecol. 2007 Jul;197(1):94.e1-3. doi: 10.1016/j.ajog.2007.04.017.

DOI:10.1016/j.ajog.2007.04.017

PMID:17618774

Abstract

OBJECTIVE

The objective of the study was to describe our experience using sacral nerve neuromodulation for urinary urgency, frequency, and urge incontinence in patients with cardiac pacemakers.

STUDY DESIGN

The study was a case series of 3 patients with cardiac pacemakers who underwent sacral nerve stimulation for refractory urgency, frequency, and urge incontinence.

RESULTS

Each patient underwent placement of an InterStim lead wire in the S3 foramen. Intraoperative cardiac monitoring revealed no evidence of cross-interference, even at maximum stimulation. Postoperative telemetry for 24 hours did not reveal any interference from the sacral nerve stimulator. All patients had a greater than 50% reduction in incontinence episodes during their test trial and underwent placement of the InterStim implantable pulse generator (IPG). Intraoperative and postoperative IPG programming was done with cardiac monitoring; no interaction was detectable.

CONCLUSION

Sacral nerve stimulation appears to be safe in the presence of a cardiac pacemaker.

摘要

目的

本研究的目的是描述我们使用骶神经调节治疗心脏起搏器患者尿急、尿频和急迫性尿失禁的经验。

研究设计

本研究是一个包含3例心脏起搏器患者的病例系列，这些患者接受了骶神经刺激以治疗难治性尿急、尿频和急迫性尿失禁。

结果

每位患者均在S3椎间孔置入了InterStim导联线。术中心脏监测未发现交叉干扰的证据，即使在最大刺激时也是如此。术后24小时的遥测未发现骶神经刺激器有任何干扰。所有患者在测试试验期间失禁发作减少了50%以上，并接受了InterStim植入式脉冲发生器（IPG）的置入。术中及术后IPG编程均在心脏监测下进行；未检测到相互作用。