Abstract
Patient was a 71 years old female with dual-chamber pacemaker and unresectable stage III non-small cell lung cancer. She has not been dependent on pacemaker and most of the time she had her own heart rhythm. Given her other comorbidities, she was scheduled for radiation therapy only: total dose of 66 Gy in 30 fractions (2.2 Gy/fraction). According to the site of the target of radiation therapy, the pacemaker was directly in the way of radiation. She deemed to be at medium risk for pacemaker complications.
She underwent ECG-monitoring during radiotherapy and weekly Pacemaker interrogation. She remained stable with no pacemaker issues.
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References
Hurkmans CW, Knegjens JL, Oei BS, et al. Management of radiation oncology patients with a pacemaker or ICD: a new comprehensive practical guideline in The Netherlands. Dutch Society of Radiotherapy and Oncology (NVRO). Radiat Oncol. 2012;7:198.
Marbach JR, Sontag MR, Van Dyk J, Wolbarst AB. Management of radiation oncology patients with implanted cardiac pacemakers: report of AAPM Task Group No. 34. American Association of Physicists in Medicine. Med Phys. 1994;21:85–90.
Lambert P, Da Costa A, Marcy PY, et al. Pacemaker, implanted cardiac defibrillator and irradiation: management proposal in 2010 depending on the type of cardiac stimulator and prognosis and location of cancer. Cancer Radiother. 2011;15:238–49.
Brambatti M, Mathew R, Strang B, et al. Management of patients with implantable cardioverter-defibrillators and pacemakers who require radiation therapy. Heart Rhythm. 2015;12:2148–54.
Zaremba T, Jakobsen AR, Søgaard M, Thøgersen AM, Riahi S. Radiotherapy in patients with pacemakers and implantable cardioverter defibrillators: a literature review. EP Europace. 2016;18(4):479–91.
Kesek M, Nyholm T, Asklund T. Radiotherapy and pacemaker: 80 Gy to target close to the device may be feasible. Europace. 2012;14:1595.
Makkar A, Prisciandaro J, Agarwal S, Lusk M, Horwood L, Moran J, et al. Effect of radiation therapy on permanent pacemaker and implantable cardioverter-defibrillator function. Heart Rhythm. 2012;9:1964–8.
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Rohani, A. (2021). Cardiovascular Implantable Electronic Devices (CIEDs) in cancer Patients Needs Radiation Therapy. In: Clinical Cases in Cardio-Oncology. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-71155-9_22
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DOI: https://doi.org/10.1007/978-3-030-71155-9_22
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