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内窥镜检查与植入式电子设备。

Endoscopy and implantable electronic devices.

作者信息

Corbett G D, Buttery P C, Pugh P J, Cameron E A B

机构信息

Department of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Department of Neurology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

出版信息

Frontline Gastroenterol. 2012 Apr;3(2):72-75. doi: 10.1136/flgastro-2011-100010. Epub 2012 Feb 5.

DOI:10.1136/flgastro-2011-100010
PMID:28839637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5517255/
Abstract

The increasing use of implantable electronic devices such as cardiac pacemakers and neurostimulators means that they are being increasingly encountered in endoscopy departments. The electromagnetic fields generated during electrosurgery and with magnetic imaging systems have the potential to interfere with such devices. The authors present a case that highlights some of the steps necessary for minimising risk, review the evidence and summarise the currently available guidance.

摘要

植入式电子设备如心脏起搏器和神经刺激器的使用日益增加,这意味着在内镜科室中越来越多地会遇到这些设备。电外科手术过程中以及与磁共振成像系统产生的电磁场有可能干扰此类设备。作者介绍了一个突出说明将风险降至最低所需的一些步骤的病例,回顾了相关证据并总结了当前可用的指南。

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本文引用的文献

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Reversible neurological symptoms caused by diathermy in a patient with deep brain stimulators: case report.深部脑刺激器患者因透热疗法引起的可逆性神经症状:病例报告
Neurosurgery. 2008 Jan;62(1):E256; discussion E256. doi: 10.1227/01.NEU.0000311085.73519.B4.
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Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in collaboration with the European Heart Rhythm Association.心脏起搏与心脏再同步治疗指南:欧洲心脏病学会心脏起搏与心脏再同步治疗工作组。与欧洲心律协会合作制定。
Eur Heart J. 2007 Sep;28(18):2256-95. doi: 10.1093/eurheartj/ehm305. Epub 2007 Aug 28.
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Endoscopy in patients with implanted electronic devices.植入电子设备患者的内镜检查
Gastrointest Endosc. 2007 Apr;65(4):561-8. doi: 10.1016/j.gie.2006.09.001.
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Permanent neurological deficit related to magnetic resonance imaging in a patient with implanted deep brain stimulation electrodes for Parkinson's disease: case report.
Neurosurgery. 2005 Nov;57(5):E1063; discussion E1063. doi: 10.1227/01.neu.0000180810.16964.3e.
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Gastrointest Endosc. 2005 Feb;61(2):250-4. doi: 10.1016/s0016-5107(04)02834-2.
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Application of radiofrequency energy in surgical and interventional procedures: are there interactions with ICDs?射频能量在外科手术和介入操作中的应用:与植入式心脏除颤器是否存在相互作用?
Pacing Clin Electrophysiol. 2004 Mar;27(3):293-8. doi: 10.1111/j.1540-8159.2004.00430.x.
7
Interference in implanted cardiac devices, part II.植入式心脏装置中的干扰,第二部分。
Pacing Clin Electrophysiol. 2002 Oct;25(10):1496-509. doi: 10.1046/j.1460-9592.2002.01496.x.
8
Interference in implanted cardiac devices, Part I.
Pacing Clin Electrophysiol. 2002 Sep;25(9):1367-81. doi: 10.1046/j.1460-9592.2002.01367.x.
9
DBS and diathermy interaction induces severe CNS damage.
Neurology. 2001 May 22;56(10):1384-6. doi: 10.1212/wnl.56.10.1384.
10
Electrosurgery, pacemakers and ICDs: a survey of precautions and complications experienced by cutaneous surgeons.电外科手术、起搏器与植入式心脏除颤器:皮肤外科医生所经历的预防措施及并发症调查
Dermatol Surg. 2001 Apr;27(4):385-90. doi: 10.1046/j.1524-4725.2001.00287.x.