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- R Iyer, T V Gnanadurai, and P Forsey.
- Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, West Midlands, UK.
- Pain. 1998 Feb 1;74(2-3):333-5.
AbstractSpinal cord stimulation reduces pain of critical ischaemia in patients with severe inoperable coronary artery and peripheral vascular disease by increasing microvascular flow. Patients with cardiac pacemaker may be denied a spinal cord stimulator (SCS) implant because of the risk of compromising pacemaker function by inhibition or reversion to asynchronous noise-pacing mode. We describe the management of a patient with an SCS implant for lower limb ischaemia who required a pacemaker. We suggest that with modern pacemakers it is safe to implant a spinal cord stimulator simultaneously with a pacemaker provided adequate precautions are taken to prevent interdevice interference.
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