MRI-conditional pacemakers: current perspectives

Ferreira, António Miguel; Costa, Francisco; Tralhão, António; Marques, Hugo; Cardim, Nuno; Adragão, Pedro

doi:10.2147/mder.s44063

Cited by 42 publications

(24 citation statements)

References 65 publications

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“…Currently, there is no consensus regarding who should receive an MRI‐conditional pacemaker or ICD. Opinions range from universal adoption to almost complete dismissal . Our results demonstrated that older patients and subjects from emerging countries were less likely to be implanted with an MRI‐compatible device.…”

Section: Discussionmentioning

confidence: 80%

Real‐world geographic variations in the use of cardiac implantable electronic devices—The PANORAMA 2 observational cohort study

Bastian

Ebrahim

Chen

et al. 2018

Pacing Clinical Electrophis

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We provide comprehensive descriptive data on patients receiving Medtronic CIEDs from several geographies, some of which are understudied in randomized controlled trials. We found significant variations in patient characteristics. Several medical decisions appear to be affected by socioeconomic factors. Long-term follow-up data will help evaluate if these variations require adjustments to outcome expectations.

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Section: Discussionmentioning

confidence: 80%

Real‐world geographic variations in the use of cardiac implantable electronic devices—The PANORAMA 2 observational cohort study

Bastian

Ebrahim

Chen

et al. 2018

Pacing Clinical Electrophis

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“…No validated guideline exists for this subset of patients but asynchronous VOO mode with deactivation of ICD parameters appears to be a reasonable approach [31]. …”

Section: Mri Modesmentioning

confidence: 99%

Cardiovascular implantable electronic devices: a review of the dangers and difficulties in MR scanning and attempts to improve safety

et al. 2017

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An increasing number of patients are being treated with cardiovascular implantable electronic devices (CIEDs), many of which are MR conditional. There is a lack of literature on the safe scanning of MR conditional CIEDs. This review article discusses MR imaging safety in patients with implanted CIEDs. Guidelines on safe use and indications of imaging patients with MR conditional CIEDs are described, followed by a pictorial essay of the radiographic features of these devices. We also discuss the challenges of monitoring the patient in the MR environment, advances in MRI conditional imaging of devices, availability, limitations and workflow including vendor-specific and other collaborative efforts to simplify the scanning process. Radiologists must be able to facilitate the safe utilization of MR imaging in patients who have CIEDs. A thorough knowledge of the hazards of imaging non-MR compatible devices is required as well as knowing how to correctly identify and manage the imaging of patients with MR conditional CIEDs. Finally, we propose steps required to facilitate the safe scanning of patients with MR conditional CIEDs adopted in our institution and a contingency plan in the event that an inadvertent MR scan of a patient with a MRI unsafe CIED should occur.Main Messages• Risks of MR imaging in patients who have CIEDs have been worked around. • There are many technical limitations in enabling safe MR scanning of CIEDs. • Radiological identification of MRI-conditional status of CIEDs is useful. • Standardizing conditions for safe MRI scanning is important. • We offer example algorithms for facilitating safe MRI scanning of CIEDs.

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“…In recent years the use of both magnetic resonance imaging (MRI) and cardiovascular implanted electronic devices has undergone remarkable growth [1,2]. It is estimated that during their lifetime, up to 75% of patients with pacemaker develop a medical condition for which an MRI may be useful or even critically necessary for optimal diagnosis and treatment [3].…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging in patients with conventional cardiac devices: a case report

Bras¹,

Sousa²,

Januário³

et al. 2016

IJCNMH

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Introduction: Many patients with pacemaker develop a medical condition for which a magnetic resonance imaging (MRI) may be necessary. The evidence around conventional pacemaker being a contraindication to MRI is controversial.Case report: A 73-year-old man presented with a 12-month worsening history of neck pain radiating to both arms with paresthesias and weakness in both arms. He had a conventional pacemaker implanted 5 years before. A week later he became quadriparetic, losing the ability to walk. MRI was deemed necessary and it was successfully performed with collaboration of cardiology and anesthesiology specialist. MRI revealed an intramedullary lesion suggestive of neoplasm and he was submitted to neurosurgical intervention. AbstractMagnetic resonance imaging in patients with conventional cardiac devices 2 ARC Publishing

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MRI-conditional pacemakers: current perspectives

Cited by 42 publications

References 65 publications

Real‐world geographic variations in the use of cardiac implantable electronic devices—The PANORAMA 2 observational cohort study

Real‐world geographic variations in the use of cardiac implantable electronic devices—The PANORAMA 2 observational cohort study

Cardiovascular implantable electronic devices: a review of the dangers and difficulties in MR scanning and attempts to improve safety

Magnetic resonance imaging in patients with conventional cardiac devices: a case report

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