Joint Position Paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology (SFC) and the Société française d’imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) on magnetic resonance imaging in patients with cardiac electronic implantable devices

•This position paper gives the common position of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology (SFC) and the Société française d’imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) on the technical conditions of MRI in patients with MR-...

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Veröffentlicht in:Diagnostic and interventional imaging Jg. 101; H. 9; S. 507 - 517
Hauptverfasser: Dacher, J.-N., Gandjbakhch, E., Taieb, J., Chauvin, M., Anselme, F., Bartoli, A., Boyer, L., Cassagnes, L., Cochet, H., Dubourg, B., Fauchier, L., Gras, D., Klug, D., Laurent, G., Mansourati, J., Marijon, E., Maury, P., Piot, O., Pontana, F., Sacher, F., Sadoul, N., Boveda, S., Jacquier, A.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: France Elsevier Masson SAS 01.09.2020
Elsevier
Schlagworte:
artificial
Cardiac pacing
Defibrillators
Life Sciences
Magnetic resonance imaging (MRI)
medical device
Pacemaker
Radiology
Safety
Magnetic resonance imaging (MRI)
Safety
Defibrillators
Cardiac pacing
Pacemaker
artificial
medical device
ISSN:2211-5684, 2211-5684
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Zusammenfassung:•This position paper gives the common position of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology (SFC) and the Société française d’imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) on the technical conditions of MRI in patients with MR-conditional and -nonconditional CEID that could serve as a basis for institutional MRI protocols in patients with a CEID.•MRI-conditional materials are not “MRI-safe” hence require specific device programing and patient monitoring.•For all patients carrying a MRI-conditional or nonconditional cardiac electronic implantable device (CEID), MRI should be integrated into a standardized workflow defined in an institutional protocol involving both radiologists and device specialists. Magnetic resonance imaging (MRI) has become the reference imaging for the management of a large number of diseases. The number of MR examinations increases every year, simultaneously with the number of patients receiving a cardiac electronic implantable device (CEID). A CEID was considered an absolute contraindication for MRI for years. The progressive replacement of conventional pacemakers and defibrillators by MR-conditional CEIDs and recent data on the safety of MRI in patients with “MR-nonconditional” CEIDs have progressively increased the demand for MRI in patients with a CEID. However, some risks are associated with MRI in CEID carriers, even with “MR-conditional” devices because these devices are not “MR-safe”. A specific programing of the device in “MR-mode” and monitoring patients during MRI remain mandatory for all patients with a CEID. A standardized patient workflow based on an institutional protocol should be established in each institution performing such examinations. This joint position paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the Société française d’imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) describes the effect and risks associated with MRI in CEID carriers. We propose recommendations for patient workflow and monitoring and CEID programming in MR-conditional, “MR-conditional nonguaranteed” and MR-nonconditional devices.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Instructional Material/Guideline-2
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ISSN:2211-5684
2211-5684
DOI:10.1016/j.diii.2020.02.003