Table 2: Steps to Minimise Issues During Deep Brain Stimulation and Cardiovascular Implantable Electronic Device Implantation.

Multidisciplinary team approach with neurology input. Implant cardiac device on the contralateral side to the implanted pulse generator. Ensure there is at least 20 cm between the two generators. Use bipolar sensing configuration for the cardiac device. Ideally, use bipolar deep brain stimulation settings with a minimum frequency of 60 Hz. Consider leadless pacemaker in patients with bilateral IPGs. Avoid diathermy during cardiovascular implantable electronic device implantation. Programme devices for ‘worst case scenario’ settings during testing.