Iyer R, Gnanadurai T V, Forsey P
Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, West Midlands, UK.
Pain. 1998 Feb;74(2-3):333-5. doi: 10.1016/s0304-3959(97)00171-1.
Spinal cord stimulation reduces pain of critical ischaemia in patients with severe inoperable coronary artery and peripheral vascular disease by increasing microvascular flow. Patients with cardiac pacemaker may be denied a spinal cord stimulator (SCS) implant because of the risk of compromising pacemaker function by inhibition or reversion to asynchronous noise-pacing mode. We describe the management of a patient with an SCS implant for lower limb ischaemia who required a pacemaker. We suggest that with modern pacemakers it is safe to implant a spinal cord stimulator simultaneously with a pacemaker provided adequate precautions are taken to prevent interdevice interference.
脊髓刺激通过增加微血管血流来减轻患有严重不可手术的冠状动脉和外周血管疾病患者的严重缺血性疼痛。患有心脏起搏器的患者可能会被拒绝植入脊髓刺激器（SCS），因为存在起搏器功能受抑制或恢复为异步噪声起搏模式而受损的风险。我们描述了一名因下肢缺血而植入SCS且需要起搏器的患者的管理情况。我们建议，对于现代起搏器，只要采取足够的预防措施以防止设备间干扰，同时植入脊髓刺激器和起搏器是安全的。
