{"id":6472,"date":"2026-04-01T09:23:36","date_gmt":"2026-04-01T07:23:36","guid":{"rendered":"https:\/\/rythmologie.fr\/index\/?p=6472"},"modified":"2026-04-02T09:35:06","modified_gmt":"2026-04-02T07:35:06","slug":"alerte-de-materiovigilance-en-electrophysiologie-interaction-inattendue-entre-dispositifs","status":"publish","type":"post","link":"https:\/\/rythmologie.fr\/index\/alerte-de-materiovigilance-en-electrophysiologie-interaction-inattendue-entre-dispositifs\/","title":{"rendered":" Alerte de mat\u00e9riovigilance en \u00e9lectrophysiologie ..."},"content":{"rendered":"<h1><b>Alerte de mat\u00e9riovigilance en \u00e9lectrophysiologie : interaction inattendue entre dispositifs<\/b><\/h1>\n<p>Une communication r\u00e9cente de s\u00e9curit\u00e9 met en \u00e9vidence une <b>interaction sp\u00e9cifique entre le cath\u00e9ter d\u2019ablation Sphere-9\u2122 (Medtronic) et certains DAI\/CRT-D Biotronik<\/b>, pouvant conduire \u00e0 l\u2019induction de <b>TV ou FV pendant l\u2019ablation par radiofr\u00e9quence<\/b><\/p>\n<p><b>Points cl\u00e9s \u00e0 retenir :<\/b><\/p>\n<ul data-start=\"513\" data-end=\"890\">\n<li><span role=\"presentation\">33 cas rapport\u00e9s d\u2019induction de TV\/FV pendant ablation RF (dont 22 lors d\u2019ablation de l&#8217;ICT)<\/span><\/li>\n<li><span role=\"presentation\">Aucun d\u00e9c\u00e8s ni complication grave rapport\u00e9s<\/span><\/li>\n<li><span role=\"presentation\">M\u00e9canisme : interaction entre le <b>courant RF du cath\u00e9ter<\/b>\u00a0et une <b>fonction de s\u00e9curit\u00e9 des DAI Biotronik<\/b><\/span><\/li>\n<li><span role=\"presentation\">Pas d\u2019\u00e9v\u00e9nement observ\u00e9 avec l\u2019<b>\u00e9lectroporation (PFA)<\/b><\/span><\/li>\n<\/ul>\n<p><b>Message pratique pour les \u00e9quipes :<\/b><\/p>\n<ul data-start=\"935\" data-end=\"1180\">\n<li><span role=\"presentation\">Vigilance renforc\u00e9e lors de l\u2019utilisation du cath\u00e9ter AFFERA chez les patients porteurs de DAI\/CRT-D Biotronik<\/span><\/li>\n<li><span role=\"presentation\">Disponibilit\u00e9 imm\u00e9diate d\u2019une <b>d\u00e9fibrillation externe indispensable<\/b><\/span><\/li>\n<li>\n<div role=\"presentation\">ne pas d\u00e9livrer d&#8217;\u00e9nergie lorsque le cath\u00e9ter est en contact avec des sondes de stimulation et de d\u00e9fibrillation<\/div>\n<div role=\"presentation\"><\/div>\n<\/li>\n<\/ul>\n<div>lien vers le site ANSM: <a href=\"https:\/\/ansm.sante.fr\/informations-de-securite\/catheter-de-cartographie-et-ablation-a-double-energie-combinant-lelectroporation-et-la-radiofrequence-sphere-9-compatible-avec-le-systeme-dablation-affera-medtronic\" target=\"_blank\" rel=\"noopener\" data-outlook-id=\"24000d1d-36c3-47c3-b17f-7c28153541a5\">https:\/\/ansm.sante.fr\/informations-de-securite\/catheter-de-cartographie-et-ablation-a-double-energie-combinant-lelectroporation-et-la-radiofrequence-sphere-9-compatible-avec-le-systeme-dablation-affera-medtronic<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Alerte de mat\u00e9riovigilance en \u00e9lectrophysiologie : interaction inattendue entre dispositifs Une communication r\u00e9cente de s\u00e9curit\u00e9 met en \u00e9vidence une interaction sp\u00e9cifique entre le cath\u00e9ter d\u2019ablation Sphere-9\u2122 (Medtronic) et certains DAI\/CRT-D Biotronik, pouvant conduire \u00e0 l\u2019induction de TV ou FV pendant l\u2019ablation par radiofr\u00e9quence Points cl\u00e9s \u00e0 retenir : 33 cas rapport\u00e9s d\u2019induction de TV\/FV pendant&hellip;<\/p>\n","protected":false},"author":2,"featured_media":6473,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[55,22],"tags":[],"class_list":["post-6472","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ansm","category-articles","category-55","category-22","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/6472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=6472"}],"version-history":[{"count":2,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/6472\/revisions"}],"predecessor-version":[{"id":6475,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/6472\/revisions\/6475"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media\/6473"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=6472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/categories?post=6472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/tags?post=6472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}