• The Laryngoscope · Feb 2016

    Case Reports

    Implantation of a defibrillator in a patient with an upper airway stimulation device.

    • Adrian A Ong, Terrence X O'Brien, Shaun A Nguyen, and M Boyd Gillespie.
    • Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
    • Laryngoscope. 2016 Feb 1; 126 (2): E86-9.

    AbstractThe patient is a 62-year-old man with continuous positive airway pressure-intolerant obstructive sleep apnea who was enrolled in a study for a hypoglossal nerve upper airway stimulation device (UAS). Nearly 2.5 years later, he was admitted to the hospital for unstable angina. Diagnostic workup revealed a prior myocardial infarction, an ejection fraction of 30% on maximal medical therapy, and episodes of nonsustained ventricular tachycardia. During hospitalization, the patient received an implantable cardioverter defibrillator (ICD). This is the first reported case of simultaneous use of a UAS and an ICD, and we report no untoward device interference between the two implantable devices.© 2015 The American Laryngological, Rhinological and Otological Society, Inc.

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