Magnetic resonance imaging in a patient with temporary external pacemaker

Kovach, Christopher P.; Swirka, Mallory; McGuinn, Erin; Honce, Justin M.; Groves, Daniel W.; Tumolo, Alexis Z.

doi:10.1016/j.hrcr.2020.06.012

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…9 Existing data showed the feasibility of cardiac or non-cardiac MRI in patients with TPP within a median of 6 days of implantation. 4,10,11 However, feasibility and safety in pediatric patients is unknown.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of cardiac magnetic resonance imaging in temporary permanent pacemaker implants in pediatric myocarditis and complete atrioventricular block

Kakarla,

Abhilash,

Valakkada

et al. 2024

Journal of Arrhythmia

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BackgroundDiagnosing myocarditis in children presenting with complete AV block (CAVB) is challenging. Temporary permanent pacing support using standard transvenous active fixation lead can be inserted percutaneously until recovery. However, access to cardiac magnetic resonance (CMR) imaging may be limited due to safety concerns.CasesWe report three cases where CMR was performed using temporary permanent pacemaker in situ. We evaluated the effect of device artefacts on image quality and examined any instances of device malfunction.ConclusionIn children with CAVB and myocarditis, a temporary permanent pacemaker can provide reliable pacing until recovery, and CMR can be safely performed with the implanted pacemaker without compromising image quality.

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Section: Discussionmentioning

confidence: 99%

“…However, recent guidelines suggest that performing an MRI earlier, if clinically warranted, is reasonable 9 . Existing data showed the feasibility of cardiac or non‐cardiac MRI in patients with TPP within a median of 6 days of implantation 4,10,11 . However, feasibility and safety in pediatric patients is unknown.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of cardiac magnetic resonance imaging in temporary permanent pacemaker implants in pediatric myocarditis and complete atrioventricular block

Kakarla,

Abhilash,

Valakkada

et al. 2024

Journal of Arrhythmia

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“…In contrast, in the temporary permanent pacemaker (TPPM) approach, actively fixated leads, dedicated for permanent pacing, connected to a reusable extracorporeal pacing generator, have a lower risk for lead displacement (Figure 1 ). 9 , 10 …”

Section: Figurementioning

confidence: 99%

Cardiac Magnetic Resonance Imaging–Based Screening for Cardiac Sarcoidosis in Patients With Atrioventricular Block Requiring Temporary Pacing

Vuorinen

Lehtonen

Pakarinen

et al. 2022

JAHA

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Background Some myocardial diseases, such as cardiac sarcoidosis, predispose to complete atrioventricular block. The European Society of Cardiology Guidelines on cardiac pacing in 2021 recommend myocardial disease screening in patients with conduction disorder requiring pacemaker with multimodality imaging, including cardiac magnetic resonance (CMR) imaging. The ability of CMR imaging to detect myocardial disease in patients with a temporary pacing wire is not well documented. Methods and Results Our myocardial disease screening protocol is based on using an active fixation pacing lead connected to a reusable extracorporeal pacing generator (temporary permanent pacemaker) as a bridge to a permanent pacemaker. From 2011 to 2019, we identified 17 patients from our CMR database who underwent CMR imaging with a temporary permanent pacemaker for atrioventricular block. We analyzed their clinical presentations, CMR data, and pacemaker therapy. All CMRs were performed without adverse events. Pacing leads induced minor artifacts to the septal myocardial segments. The extent of late gadolinium enhancement in CMR imaging was used to screen patients for the presence of myocardial disease. Patients with evidence of late gadolinium enhancement underwent endomyocardial biopsy. If considered clinically indicated, also 18‐F‐fluorodeoxyglucose positron emission tomography and extracardiac tissue biopsy were performed if sarcoidosis was suspected. Eventually, 8 of 17 patients (47.1%) were diagnosed with histologically confirmed granulomatous inflammatory cardiac disease. Importantly, only 1 had a previously diagnosed extracardiac sarcoidosis at the time of presentation with high‐degree atrioventricular block. Conclusions CMR imaging with temporary permanent pacemaker protocol is an effective and safe early screening tool for myocardial disease in patients presenting with atrioventricular block requiring immediate, continuous pacing for bradycardia.

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EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices

et al. 2022

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Magnetic resonance imaging in a patient with temporary external pacemaker

Cited by 4 publications

References 10 publications

Feasibility of cardiac magnetic resonance imaging in temporary permanent pacemaker implants in pediatric myocarditis and complete atrioventricular block

Feasibility of cardiac magnetic resonance imaging in temporary permanent pacemaker implants in pediatric myocarditis and complete atrioventricular block

Cardiac Magnetic Resonance Imaging–Based Screening for Cardiac Sarcoidosis in Patients With Atrioventricular Block Requiring Temporary Pacing

EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices

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