Magnetic resonance imaging in individuals with cardiovascular implantable electronic devices.

Details

Serval ID
serval:BIB_BAC3E4DD0DE5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Magnetic resonance imaging in individuals with cardiovascular implantable electronic devices.
Journal
Europace
Author(s)
Roguin A., Schwitter J., Vahlhaus C., Lombardi M., Brugada J., Vardas P., Auricchio A., Priori S., Sommer T.
ISSN
1532-2092 (Electronic)
ISSN-L
1099-5129
Publication state
Published
Issued date
2008
Volume
10
Number
3
Pages
336-346
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Abstract
Magnetic resonance (MR) imaging has unparalleled soft-tissue imaging capabilities. The presence of devices such as pacemakers and implantable cardioverter-defibrillators (ICDs), however, was historically considered a contraindication to MR imaging. We summarize the potential hazards of the device-MR environment interaction, and present updated information regarding in vitro and in vivo experiments suggesting that certain pacemaker and ICD systems may indeed be MR-safe. Recent reports on several hundred patients with implantable pacemakers and ICDs who underwent MR scan safely indicate that, under certain conditions, individuals with these implanted systems may benefit from MR imaging. We believe that, on a case-by-case basis, the diagnostic benefit from MR imaging outweighs the presumed risks for some pacemaker and ICD patients. Thus for some patients, the risks presented by MR imaging under specific, characterized scanning and monitoring conditions may be acceptable given the diagnostic benefit of this powerful imaging modality. This may have major clinical implications on current imaging practice. A strategy for the performance of MR imaging in these individuals is proposed.
Keywords
Animals, Cardiac Pacing, Artificial/methods, Defibrillators, Implantable, Electrocardiography, Equipment Safety, Humans, Magnetic Resonance Imaging/contraindications, Models, Animal, Pacemaker, Artificial
Pubmed
Web of science
Open Access
Yes
Create date
07/09/2011 19:34
Last modification date
20/08/2019 15:28
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