Perioperative Interrogation of Medtronic Cardiovascular Implantable Electronic Devices: A Guide for Anesthesiologists

Cronin, Brett; Dalia, Adam A.; Nguyen, Quoc-Sy; Sandoval, Korina; Birgersdotter‐Green, Ulrika; Maus, Timothy M.; Essandoh, Michael

doi:10.1053/j.jvca.2019.09.012

Cited by 6 publications

(2 citation statements)

References 9 publications

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“…Furthermore, obtaining informed consent from the patient regarding the risks associated with the type of examination they are undergoing is essential. It is imperative to inform the patient that if they experience any sensations of movement from the CIED, discomfort, or heat during the examination, they should promptly alert the medical staff to immediately stop the examination [39,63].…”

Section: Clinical Protocol For Patients With Cieds Undergoing Cmrmentioning

confidence: 99%

Cardiac Magnetic Resonance and Cardiac Implantable Electronic Devices: Are They Truly Still “Enemies”?

Fogante,

Volpato,

Esposto Pirani

et al. 2024

Medicina

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The application of cardiac magnetic resonance (CMR) imaging in clinical practice has grown due to technological advancements and expanded clinical indications, highlighting its superior capabilities when compared to echocardiography for the assessment of myocardial tissue. Similarly, the utilization of implantable cardiac electronic devices (CIEDs) has significantly increased in cardiac arrhythmia management, and the requirements of CMR examinations in patients with CIEDs has become more common. However, this type of exam often presents challenges due to safety concerns and image artifacts. Until a few years ago, the presence of CIED was considered an absolute contraindication to CMR. To address these challenges, various technical improvements in CIED technology, like the reduction of the ferromagnetic components, and in CMR examinations, such as the introduction of new sequences, have been developed. Moreover, a rigorous protocol involving multidisciplinary collaboration is recommended for safe CMR examinations in patients with CIEDs, emphasizing risk assessment, careful monitoring during CMR, and post-scan device evaluation. Alternative methods to CMR, such as computed tomography coronary angiography with tissue characterization techniques like dual-energy and photon-counting, offer alternative potential solutions, although their diagnostic accuracy and availability do limit their use. Despite technological advancements, close collaboration and specialized staff training remain crucial for obtaining safe diagnostic CMR images in patients with CIEDs, thus justifying the presence of specialized centers that are equipped to handle these type of exams.

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Section: Clinical Protocol For Patients With Cieds Undergoing Cmrmentioning

confidence: 99%

Cardiac Magnetic Resonance and Cardiac Implantable Electronic Devices: Are They Truly Still “Enemies”?

Fogante,

Volpato,

Esposto Pirani

et al. 2024

Medicina

View full text Add to dashboard Cite

show abstract

“…There are many iterations of CIEDs, including magnetic resonance imaging (MRI)Àconditional ICDs, subcutaneous ICDs, cardiac resynchronization therapy devices, and leadless pacemakers. [3][4][5][6][7][8][9][10] These newer devices behave differently than the typical ICD or pacemaker. Anesthesiologists are challenged not only by the increased number and complexity of these devices, but also by the decreased availability of expert assistance in an era when operating room efficiency is paramount.…”

mentioning

confidence: 99%