Inappropriate Defibrillator Shocks During Cervical Medial Branch Radiofrequency Ablation: A Case Report

Vasudha Goel, Hariharan Shankar, Siva K. Mulpuru, Harish Ramakrishna

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A 52-year-old woman with a history of cervical spondylosis, nonischemic dilated cardiomyopathy, and complete heart block with implantation of a cardiac resynchronization therapy defibrillator (Inogen XR, Boston Scientific, Natick, MA) underwent bilateral fluoroscopy-guided radiofrequency ablation of the medial branch nerves at C4, C5, and C6 levels at an ambulatory surgery center. After completion of the seemingly routine procedure, several alerts, including 1 inappropriate shock, were received via Boston Scientific's remote monitoring system. Tracings also showed that pacing inhibition occurred. When performing radiofrequency ablation in patients with a cardiac implantable electronic device, it is imperative to follow published best practice recommendations to minimize the risk of adverse events.

Original languageEnglish (US)
Pages (from-to)e01286
JournalA&A practice
Volume14
Issue number11
DOIs
StatePublished - Sep 1 2020

ASJC Scopus subject areas

  • Medicine(all)

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