Implantation of a cardiac resynchronization therapy defibrillator in a patient with bilateral deep brain stimulator: feasibility and technique

  • Ashkan Karimi
  • Jamie B. Conti
  • Thomas M. BeaverEmail author


Uncommonly, a patient with a NeuroStimulator Device (NSD) for a neurologic indication requires a cardiovascular implantable electronic device (CIED) for a cardiac indication. Typically in those with a unilateral pectoral NSD, the contralateral pectoral space is used for CIED implantation; however, in very rare occasions the patient has bilateral pectoral NSDs which makes subsequent implantation of a CIED challenging both because of placement and device interaction. Herein, we introduce the case of a 68-year-old gentleman with bilateral pectoral deep brain stimulators for Parkinsonism who received cardiac resynchronization therapy-defibrillator (CRT-D) for advanced heart failure. The CRT-D generator was implanted in the abdomen and the CRT-D leads were placed through a minimally invasive epicardial approach. Both devices were tested without any evidence of device interaction.


Neurostimulator device Deep brain stimulator Cardiovascular implantable electronic device Cardiac resynchronization therapy-defibrillator 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Ashkan Karimi
    • 1
  • Jamie B. Conti
    • 2
  • Thomas M. Beaver
    • 3
    Email author
  1. 1.Department of MedicineUniversity of FloridaGainesvilleUSA
  2. 2.Division of Cardiovascular Medicine, Electrophysiology SectionUniversity of FloridaGainesvilleUSA
  3. 3.Division of Thoracic and Cardiovascular SurgeryUniversity of FloridaGainesvilleUSA

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