Monopolar Radiofrequency Ablation of the Trigeminal Ganglion in a Patient with a Dual-Chamber MRI-Conditional Pacemaker : A Case Report
Keywords:
Trigeminal neuralgia, trigeminal ganglion, radiofrequency thermocoagulation, monopolar radiofrequency, pacemaker, cardiac implantable electronic device, electromagnetic interference, DOO pacing pain medicineAbstract
Radiofrequency (RF) thermocoagulation of the trigeminal ganglion is an established minimally invasive treatment for medically refractory trigeminal neuralgia. However, the use of monopolar RF energy in patients with permanent cardiac implantable electronic devices (CIEDs) raises concerns regarding electromagnetic interference (EMI), particularly in pacemaker-dependent patients. We report the successful performance of trigeminal ganglion radiofrequency ablation in a patient with a dual-chamber MRI-conditional pacemaker using a multidisciplinary peri-procedural device management strategy.
