Aborted Implantable Cardioverter‐Defibrillator Shock During Facial Electrosurgery

A patient with a fourth‐generation transvenous implantable cardioverter‐defibrillator system nearly received an inappropriate defibrillation discharge while undergoing electrofulguration of keratotic facial skin lesions. The incident was confirmed by analyses of the implantable cardioverter‐defibrillator's time/date stamped event log and stored electrogram record. Therapy was withheld by the noncommitted implantable cardioverter‐defibrillator as the pulsed electrocautery was not continued beyond the charging period.