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Interact CardioVasc Thorac Surg 2009;8:579-580. doi:10.1510/icvts.2009.202077
© 2009 European Association of Cardio-Thoracic Surgery
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Brief communication - Arrhythmia

Implantable defibrillator with left ventricular assist device compatibility

Hanno Oswalda,*, Gunnar Kleina, Martin Strüberb and Ajmal Gardiwala

a Department of Cardiovascular Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany
b Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany

*Corresponding author. Tel.: +49 511 532 3817; fax: +49 511 532 8475.

E-mail address: hanno_oswald{at}gmx.de (H. Oswald).

Implanted defibrillator (ICD) and HeartMate-II (Thoratec, Pleasanton, CA, USA) left ventricular assist device (LVAD) incompatibilities have been reported. In order to show which ICD would function regularly in Heart Mate II recipients, we conducted a systematic review of 39 consecutive patients with implanted ICD and HeartMate-II from our institution's LVAD registry. Forty-six ICDs were identified without device interactions in most ICD devices. However, loss of ICD to programmer telemetry was observed in four patients with V-193, V-196 and V-350 (St Jude Medical, Sunnyvale, CA, USA) and one patient with an Ovatio DR (Sorin, Milan, Italy) requiring ICD replacement. The majority of all investigated ICDs operated without LVAD to ICD interaction. However, surgeons implanting the Heart Mate II in ICD patients should be aware of possible interactions and incompatible devices should not be recommended in HeartMate-II recipients.

Key Words: ICD; Implantable defibrillator; LVAD; Left ventricular assist device




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S. R. Wilson, M. M. Givertz, G. C. Stewart, and G. H. Mudge Jr
Ventricular assist devices the challenges of outpatient management.
J. Am. Coll. Cardiol., October 27, 2009; 54(18): 1647 - 1659.
[Abstract] [Full Text] [PDF]


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