Clinical routine implantation of a dual chamber pacemaker system designed for safe use with MRI

Wollmann, Christian; Thudt, Karin; Vock, P; Globits, Sebastian; Mayr, Harald

doi:10.1007/s00399-011-0161-y

Cited by 11 publications

(2 citation statements)

References 13 publications

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“…Indeed, the first device of its kind, produced by Medtronic, received FDA approval in 2011, with several others receiving more recent approval, including similar devices produced by Biotronik and Boston Scientific [ 13 ]. These devices have not only been proven to be safe from an imaging perspective but also to carry no additional statistically significant surgical risks when compared to conventional pacemakers [ 14 ]. Given these readily available alternatives and their comparable safety profile to conventional pacemakers, we propose that going forward, all patients requiring pacemakers be implanted with MRI-compatible devices thus eliminating any potential future conflict between MR imaging and their implanted device.…”

Section: Discussionmentioning

confidence: 99%

The Utility of Magnetic Resonance Imaging-compatible Pacemakers in Neurosurgical Patients

Basil

Madhavan

Komotar

et al. 2018

Cureus

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Artificial implantable pacemakers have long been a challenge to neurosurgeons seeking to perform advanced diagnostic imaging on their patients. Unfortunately, while the use of implantable pacemakers has been a life-saving advance for those with cardiac arrhythmias, they also often prevent these patients from undergoing magnetic resonance imaging (MRI). There have been multiple reported cases of pacemaker failure in the context of MRI use. Recent technological advances, however, have allowed the development of pacemakers that are not affected by the MRI scanner. Similar technology has also been applied to the development of MRI-compatible spinal cord stimulators and other neurostimulation devices. In this paper, we discuss four specific neurosurgical cases where the use of MRI was critical for diagnostic and therapeutic decision-making. Current non-MRI-compatible pacemakers were exchanged for MRI-compatible pacemaker technology with some associated cost and risk. The diagnostic cranial and spinal MRIs subsequently obtained were critical for forging the ensuing neurosurgical care. Based on these cases, we extrapolate the importance of MRI-compatible pacemakers to society at large and advocate for the use of such devices in all patients going forward.

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Section: Discussionmentioning

confidence: 99%

The Utility of Magnetic Resonance Imaging-compatible Pacemakers in Neurosurgical Patients

Basil

Madhavan

Komotar

et al. 2018

Cureus

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“…Despite newly developed MRI-safe devices and leads [2,3], the majority of cardiac pacemaker patients will still present with conventional cardiac pacing devices for the next decade. Thus, the presence of a permanent pacemaker is still often considered a contraindication to MRI [4], and device manufacturers warn against MRI procedures for patients with such devices [5-7].…”

Section: Introductionmentioning

confidence: 99%

Immediate and 12 months follow up of function and lead integrity after cranial MRI in 356 patients with conventional cardiac pacemakers

Muehling

Wakili²,

Martin³

et al. 2014

Journal of Cardiovascular Magnetic Resonance

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BackgroundConventional cardiac pacemakers are still often regarded as a contraindication to magnetic resonance imaging (MRI). We conducted this study to support the hypothesis that it is safe to scan patients with cardiac pacemakers in a 1.5 Tesla MRI, if close supervision and monitoring as well as adequate pre- and postscan programming is provided.MethodsWe followed up 356 patients (age 61.3 ± 9.1 yrs., 229 men) with single (n = 132) or dual chamber (n = 224) cardiac pacemakers and urgent indication for a cranial MRI for 12 months. The scans were performed at 1.5T. During the scan patients were monitored with a 3-lead ECG and pulse oximetry. Prior to the scan pacemakers were programmed according to our own protocol.ResultsAll 356 scans were completed without complications. No arrhythmias were induced, programmed parameters remained unchanged. No pacemaker dysfunction was identified. Follow-up examinations were performed immediately, 2 weeks, 2, 6, and 12 months after the scan. There was no significant change of pacing capture threshold (ventricular 0.9 ± 0.4 V@0.4 ms, atrial 0.9 ± 0.3 V@0.4 ms) immediately (ventricular 1.0 ± 0.3 V@0.4 ms, atrial 0.9 ± 0.4 V@0.4 ms) or at 12 months follow-up examinations (ventricular 0.9 ± 0.2 V@0.4 ms, atrial 0.9 ± 0.3 V@0.4 ms). There was no significant change in sensing threshold (8.0 ± 4.0 mV vs. 8.1 ± 4.2 mV ventricular lead, 2.0 ± 0.9 mV vs. 2.1 ± 1.0 mV atrial lead) or lead impedance (ventricular 584 ± 179 Ω vs. 578 ± 188 Ω, atrial 534 ± 176 Ω vs. 532 ± 169 Ω) after 12 months.ConclusionsThis supports the evidence that patients with conventional pacemakers can safely undergo cranial MRI in a 1.5T system with suitable preparation, supervision and precautions. Long term follow-up did not reveal significant changes in pacing capture nor sensing threshold.

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Components of a Pacing and ICD System: Basic Concepts of Pacing

Kalahasty

Suraj

Cooper

2014

Cardiac Pacing and ICDs

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Clinical routine implantation of a dual chamber pacemaker system designed for safe use with MRI

Abstract: Our study demonstrates favorable lead measurements of lead model 5086MRI in comparison to lead 4592 and 4092 in a short-term follow-up. The number of re-operations was higher in the MRI-PM group, but not statistically different in comparison with the standard dual chamber PM group.

Cited by 11 publications

References 13 publications

The Utility of Magnetic Resonance Imaging-compatible Pacemakers in Neurosurgical Patients

The Utility of Magnetic Resonance Imaging-compatible Pacemakers in Neurosurgical Patients

Immediate and 12 months follow up of function and lead integrity after cranial MRI in 356 patients with conventional cardiac pacemakers

Components of a Pacing and ICD System: Basic Concepts of Pacing

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