Safety of Capsule Endoscopy Using Human Body Communication in Patients with Cardiac Devices

Chung, Joo Won; Hwang, Hye Jin; Chung, Moon Jae; Park, Jeong Youp; Pak, Hui Nam; Song, Si Young

doi:10.1007/s10620-012-2067-x

Cited by 18 publications

(12 citation statements)

References 23 publications

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“…Additionally, few clinical applications of MiroCam in patients with PM or ICD have been conducted without problems [27]. No reports are as yet available for OMOM capsule.…”

Section: Discussionmentioning

confidence: 99%

“…A modulated 3V current is tapped by standard ECG electrodes that are attached to the patient’s abdomen [26]. Although this principle might be more critical for PM/ICDs than radiotransmission, no interference was observed with MiRoCam and PM/ICD in a recent small series with six patients [27]. No disturbances in cardiac devices or arrhythmias were detected on telemetry monitoring during CE.…”

Section: Ce In Patients With Pmmentioning

confidence: 99%

See 1 more Smart Citation

Capsule Endoscopy in Patients with Cardiac Pacemakers, Implantable Cardioverter Defibrillators, and Left Heart Devices: A Review of the Current Literature

Bandorski

Keuchel

Brück³

et al. 2011

Diagnostic and Therapeutic Endoscopy

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Background and Study Aims. Capsule endoscopy is an established tool for investigation of the small intestine. Because of limited clinical experience in patients with cardiac devices, the Food and Drug Administration and the manufacturer recommended not to use capsule endoscopy in these patients. The vast majority of investigations did not reveal any interference between capsule endoscopy and cardiac devices. Methods. Studies investigating interference between CE and cardiac devices were analysed. For the review we considered studies published in English or German and indexed in Medline, as well as highly relevant abstracts. Results. In vitro and in vivo studies mainly revealed no interference between capsule endoscopy and cardiac devices. Technical data of capsule endoscopy (Given Imaging) reveal that interference with cardiac pacemakers and implantable cardioverter defibrillator is impossible. Telemetry can interfere with CE video. Conclusion. The clinical use of capsule endoscopy (Given Imaging) is unproblematic in patients with cardiac pacemakers.

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“…Additionally, few clinical applications of MiroCam in patients with PM or ICD have been conducted without problems [27]. No reports are as yet available for OMOM capsule.…”

Section: Discussionmentioning

confidence: 99%

Section: Ce In Patients With Pmmentioning

confidence: 99%

Capsule Endoscopy in Patients with Cardiac Pacemakers, Implantable Cardioverter Defibrillators, and Left Heart Devices: A Review of the Current Literature

Bandorski

Keuchel

Brück³

et al. 2011

Diagnostic and Therapeutic Endoscopy

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“…Only one study investigated EMI between the MiroCam endoscope that uses human body communication to transmit data and PMs ( n = 3) and ICDs ( n = 3)[70]. VCE was safely performed in patients with PMs and ICDs, and images from capsule endoscopy were not affected by cardiac devices.…”

Section: Vce In Patients With Implantable Cardiac Devicesmentioning

confidence: 99%

Contraindications for video capsule endoscopy

Bandorski¹,

Kurniawan²,

Baltes³

et al. 2016

WJG

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Video capsule endoscopy (VCE) has been applied in the last 15 years in an increasing field of applications. Although many contraindications have been put into perspective, some precautions still have to be considered. Known stenosis of the gastrointestinal tract is a clear contraindication for VCE unless surgery is already scheduled or at least has been considered as an optional treatment modality. In patients with a higher incidence of stenosis, as in an established diagnosis of Crohn’s disease, clinical signs of obstruction, prior radiation or surgical small bowel resection, a preceding test with the self-dissolving patency capsule can override this contraindication. Endoscopic placement of the capsule should be considered in patients with swallowing disorders to avoid aspiration. Esophageal or gastric motility disorders may require endoscopic capsule transport or application of prokinetics if the real-time viewer proofs delayed transit. In pregnant women, VCE should be restricted to urgent cases where diagnosis cannot be postponed after delivery, as data on safety are missing. There is theoretical and clinical evidence that patients with implanted cardiac devices such as a pacemaker, cardioverters or left heart assist devices, can safely undergo VCE in spite of still existing contraindication by manufacturers. Children from the age of 2 years have safely undergone VCE. Although video capsules are not proven safe with magnetic resonance imaging (MRI), first single cases of patients incidentally undergoing MRI with an incorporated capsule have been reported, showing susceptibility artifacts but no signs of clinical harm.

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“…Based on these theories, clinical study was conducted in six patients with three pacemakers and three implantable cardiac defibrillators [77]. No disturbance in cardiac devices or arrhythmia was detected on telemetry monitoring during capsule endoscopy.…”

Section: Clinical Studies Of Mirocammentioning

confidence: 99%