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Contraindications
- by DAVID H
- 2018-10-16 13:19:08
- Complications
- 1487 views
- 4 comments
How "seriously" does one take any contraindication to any procedure? Is the contraindication written in stone, and if violated, one is doomed? My reason for asking: I have the guys issue of BPH - I can't last more than 1.5 hours at night without a banos stop. Previous urologist proposed the "Prolieve" system to shrink the prostate. Previous urologist also poo-pooed these contraindications regarding use of the Prolieve system: "Presence of implanted cardiac pacemakers and/or ICD...................Patients with coagulation disorders." : That's me, PM equipped along with low platelet count and the lupus anticoagulant antibody. In two days, I meet with new Urologist and I'll see what happens.
4 Comments
agreed
by ROBO Pop - 2018-10-16 16:30:49
any doctor who wants to work on you should be in touch with your Cardiologist or EP, whichever is your primary Cardiac care physician, before doing anything.
Microwave RF noise....
by BOBTHOM - 2018-10-16 17:36:44
It may be contraindicated for PM because of the microwave radio frequency from the procedure. It may be similar to the way people with PM's used to treat security scanners and the newer PM's may not have an issue with it. But that's why your cardiologist and urologist need to talk and wiegh the risks for your specific case.
When in doubt, rule it out!
Good luck!
FDA & Safety
by donr - 2018-10-23 09:25:07
Read this on FDA & safety. My #1 Son went through this. Don't know the results., but he was mighty uncomfortable for a while.
The procedure was approved in 2004 - 14 yrs ago. There should be some pretty decent info in the uro & cardio community about safdety for PM's. This ranks up there w/ the safety issues of MRI & PM's, which is just now becoming more acceptable. I suspect that the issue is still not clearly understood. Uncle sam's Army did some high energy Electromagnetic Pulse studies back before 2004 that are probably germane to the problem, though they are now laregely forgotten, unfortunately. An investigator named Al G. Branstein ran them, IIRC. Donr
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My pacemaker has ultimately saved mine and my unborn childs life for which I am thankful.
take it seriously
by Tracey_E - 2018-10-16 13:41:20
When something is questionable, I've had the doctor who wants to do the questionable procedure have a phone call with my EP. Once I asked a physical therapist call St Judes when my EP wasn't familiar with the equipment the PT wanted to use. What "contraindicated" means can vary depending on the procedure, what device we have, what our health concerns are. Sometimes they say it's fine and it's on the list as a precaution, sometimes they say no way, sometimes there's a compromise.
For sure don't let someone who's not your EP poo poo it, they are often minimally trained in cardiac problems and they definitely aren't up to date in the latest cardiac technology once they specialize in something else.