دورية أكاديمية
أعرض في EDS

Safety of thoracic magnetic resonance imaging for patients with pacemakers and defibrillators.

التفاصيل البيبلوغرافية
العنوان: Safety of thoracic magnetic resonance imaging for patients with pacemakers and defibrillators.
المؤلفون: Padmanabhan D; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Kella DK; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Deshmukh AJ; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Mulpuru SK; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Mehta RA; Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota., Dalzell CM; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Olson NE; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Felmlee JP; Department of Radiology, Mayo Clinic, Rochester, Minnesota; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota., Jondal ML; Department of Radiology, Mayo Clinic, Rochester, Minnesota., Asirvatham SJ; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota; Division of Pediatric and Adolescent Gynecology, Mayo Clinic, Rochester, Minnesota., Watson RE Jr; Department of Radiology, Mayo Clinic, Rochester, Minnesota., Cha YM; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota., Friedman PA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota. Electronic address: friedman.paul@mayo.edu.
المصدر: Heart rhythm [Heart Rhythm] 2019 Nov; Vol. 16 (11), pp. 1645-1651. Date of Electronic Publication: 2019 May 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101200317 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-3871 (Electronic) Linking ISSN: 15475271 NLM ISO Abbreviation: Heart Rhythm Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Elsevier, c2004-
مواضيع طبية MeSH: Defibrillators, Implantable* , Magnetic Resonance Imaging* , Pacemaker, Artificial* , Patient Safety*, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies
مستخلص: Background: During magnetic resonance imaging (MRI), cardiac implantable electronic device (CIED) leads can be antennae to focus energy onto myocardium, leading to heating and arrhythmias. Clinical data on thoracic MRI safety for patients with legacy devices are limited.
Objective: The purpose of this study was to identify patients undergoing thoracic MRI with legacy devices, compare the incidence of adverse events of those patients with control patients undergoing brain MRI with legacy devices, and compare paired cardiac troponin T (cTnT) values.
Methods: In this single-center study, we reviewed a prospectively collected database of patients with CIED undergoing MRI from January 25, 2008, through February 28, 2017.
Results: Of 952 patients (1290 scans), 120 patients (12.6%) underwent 134 thoracic MRI scans with legacy CIEDs (median [range] age 61.98 [21.24-86.96] years; male 71.1%). Median (range; interquartile range [IQR]) age of leads across devices was 3.5 (1.6-7.1; 5.5) years; implantable cardioverter-defibrillators (ICDs) were oldest (median [range; IQR], 3.7 [1.1-8.0; 6.9] years). No difference was observed in incidence of adverse events between groups. Paired cTnT values were compared for 19 patients (19 scans) with no difference between pre- and postimaging values. No significant difference was present in device setting values before and after MRI (mean follow-up 72.5 days). Incidence of adverse events was no different after adjustment for ICD coil number.
Conclusion: Thoracic MRI is relatively safe in an institutional multidisciplinary program. It does not represent greater risk than brain MRI for patients with legacy CIEDs.
(Copyright © 2019 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Brain magnetic resonance imaging; Cardiovascular implantable electronic devices; Multiple magnetic resonance imaging; Power on reset; Thoracic magnetic resonance imaging
تواريخ الأحداث: Date Created: 20190601 Date Completed: 20201209 Latest Revision: 20201214
رمز التحديث: 20221213
DOI: 10.1016/j.hrthm.2019.05.031
PMID: 31150818
قاعدة البيانات: MEDLINE
الوصف
تدمد:1556-3871
DOI:10.1016/j.hrthm.2019.05.031