AlRahabi Mothanna K, Ghabbani Hani M
a College of Dentistry , Taibah University , Madinah Al Munawwarah , Saudi Arabia.
Libyan J Med. 2019 Dec;14(1):1547071. doi: 10.1080/19932820.2018.1547071.
The widespread use of cardiovascular implantable electronic devices has increased concerns regarding using electronic apex locators in patients with these devices. This systematic review investigated the effects and safety of using electronic apex locators in patients with cardiovascular implantable electronic devices.
An electronic search in the Cochrane Library, PubMed (MEDLINE), ScienceDirect, and Scientific Electronic Library Online (Scielo) databases for relevant articles published between December 2000 and December 2018 was performed. The search strategy centered on terms related to electronic apex locators use during root canal treatment in patients with cardiovascular implantable electronic devices.
Seven studies (five in vitro and two in vivo) fulfilled the inclusion criteria for this review. It was found that electronic apex locators can be used safely in patients with cardiovascular implantable electronic devices, when general precautions are followed.
Although the present review suggests that electronic apex locators can be used safely in patients with implantable cardioverter defibrillators, consultation with patients' cardiologists remains advisable.
心血管植入式电子设备的广泛使用增加了人们对在患有此类设备的患者中使用电子根尖定位仪的担忧。本系统评价调查了在患有心血管植入式电子设备的患者中使用电子根尖定位仪的效果和安全性。
在Cochrane图书馆、PubMed（MEDLINE）、ScienceDirect和科学电子图书馆在线（Scielo）数据库中进行电子检索，以查找2000年12月至2018年12月期间发表的相关文章。检索策略围绕与心血管植入式电子设备患者根管治疗期间使用电子根尖定位仪相关的术语展开。
七项研究（五项体外研究和两项体内研究）符合本评价的纳入标准。结果发现，在遵循一般预防措施的情况下，电子根尖定位仪可安全用于患有心血管植入式电子设备的患者。
尽管本评价表明电子根尖定位仪可安全用于植入式心脏复律除颤器患者，但仍建议咨询患者的心脏病专家。
