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October 2, 1967

Transurethral Electrocautery Procedures in Patients With Cardiac Pacemakers

Author Affiliations

From the Department of Surgery, Division of Urology, State University of New York Downstate Medical Center; the Department of Urology, Kings County Hospital Medical Center, Brooklyn, NY; and the Department of Surgery, Division of Urology, Walter Reed General Hospital, Walter Reed Army Medical Center, Washington, DC.

JAMA. 1967;202(1):7-9. doi:10.1001/jama.1967.03130140065007

Three patients with cardiac pacemakers underwent four transurethral electrocautery procedures, without pacemaker interference. Electrical interference which could potentially cause cardiac arrhythmias was prevented by utilizing a well-shielded cardiac pacemaker, by proper grounding of all medical electronic equipment in use on or near the patient, and by keeping the electrocautery circuit below the pacemaker by low placement of the electrocautery ground plate. Additional safety precautions included maintenance of a normal blood volume and cardiac monitoring with an external pacemaker-defibrillator cardioscope.