Walley V M, Bourke M E, Green M, Stinson W A, Veinot J P
Department of Pathology, University of Ottawa Heart Institute, Ontario, Canada.
J Forensic Sci. 1998 Sep;43(5):969-73.
This paper briefly reviews the components of, the clinical uses of, the techniques to place, and the complications related to implantable cardioverter-defibrillators (ICDs). Information useful in the specific identification of ICDs is presented. A series of recommendations for the autopsy examination or postmortem explantation of ICDs by the pathologist is given. Because of the serious risk of injury to the pathologist possible with postmortem discharges of ICDs which have not been deactivated, and because of the risk of device explosion if the ICD is incinerated, a number of cautionary notes are provided. A brief case with occurrence of accidental postmortem discharge of an active ICD is also presented.
本文简要回顾了植入式心脏复律除颤器（ICD）的组成部分、临床用途、植入技术以及相关并发症。文中还介绍了有助于特定识别ICD的信息。针对病理学家对ICD进行尸检或死后取出给出了一系列建议。由于未停用的ICD在死后放电可能对病理学家造成严重伤害风险，且ICD被焚烧时有设备爆炸风险，因此提供了一些注意事项。此外还介绍了一例有源ICD发生意外死后放电的简短病例。
