Electrosurgery Can Be Safe for Pacemaker Patients

Coordination between dermatologic surgeons and cardiologists may prevent complications

WEDNESDAY, Sept. 27 (HealthDay News) -- Patients with pacemakers and implantable cardiac defibrillators can safely undergo dermatologic electrosurgery when they are properly managed, according to a study published in the September issue of Dermatologic Surgery.

Thomas J. Matzke, M.D., of the Olmsted Medical Center in Rochester, Minn., and colleagues studied 173 patients with pacemakers and 13 with implantable cardiac defibrillators who underwent electrosurgery managed by the Mayo Clinic's Pacemaker Clinic.

The researchers found that the patients had no documented complications from electrosurgery.

"The lack of complications associated with pacemakers and implantable cardiac defibrillators with electrosurgery is reassuring," Matzke and colleagues conclude. "The authors support published recommendations about techniques and precautions to optimize safety during electrosurgery in patients with cardiac devices. The care of patients with implantable cardiac defibrillators in particular requires special consideration."

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