Perioperative management of a patient with a leadless pacemaker

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  • Mochizuki Toshiaki
    Department of Anesthesiology, Shizuoka City Shizuoka Hospital
  • Sugimura Sho
    Department of Anesthesiology, Shizuoka City Shizuoka Hospital
  • Tamari Junko
    Department of Anesthesiology, Shizuoka City Shizuoka Hospital
  • Ayabe Yuko
    Department of Anesthesiology, Shizuoka City Shizuoka Hospital
  • Mine Tomoko
    Department of Anesthesiology, Shizuoka City Shizuoka Hospital
  • Osumi Susumu
    Department of Clinical Engineering, Shizuoka City Shizuoka Hospital
  • Nakajima Yoshiki
    Department of Anesthesiology and Intensive Care, Hamamatsu University School of Medicine

Bibliographic Information

Other Title
  • リードレスペースメーカ既植え込み症例に対する周術期管理の1例
  • 症例報告 リードレスペースメーカ既植え込み症例に対する周術期管理の1例
  • ショウレイ ホウコク リードレスペースメーカキウエコミ ショウレイ ニ タイスル シュウジュツキ カンリ ノ 1レイ

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Description

<p>　A leadless pacemaker is a pacemaker that does not have vascular leads. The “Micra” leadless pacemaker (MicraTM, Medtronic Japan Co., Ltd.) was introduced into clinical practice in Japan in 2017. Here, we report perioperative management of a patient with a previously implanted leadless Micra pacemaker. The location of the pacemaker in the body could not be detected from body surface findings since the Micra is implanted in the right ventricle cavity. Successful perioperative management in this case was achieved using the following four steps before induction of general anesthesia: 1) confirmation of the maximum intensity point of communication between the Micra and the controller on the episternum using the color of a light-emitting diode on the controller head, 2) confirmation that the Micra functioned as a ventricular stimulation fixed-rate pacemaker, 3) attachment of transcutaneous pacing/defibrillation pads to the patient to enable emergency electrical therapy for potentially fatal arrhythmia, and 4) continuation of ventricular inhibited pacing.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 23 (1), 93-96, 2019-08-01

    Japanese Society of Cardiovascular Anesthesiologists

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