دورية أكاديمية
Interference of cardiac implantable electronic devices and computed tomography imaging in the current era with a phantom model
| العنوان: | Interference of cardiac implantable electronic devices and computed tomography imaging in the current era with a phantom model |
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| المؤلفون: | Akihito Ideishi, Kenichiro Yamagata, Tatsuya Nishii, Hideto Miyanooi, Yuichiro Miyazaki, Akinori Wakamiya, Keiko Shimamoto, Nobuhiko Ueda, Kenzaburo Nakajima, Mitsuru Wada, Tsukasa Kamakura, Kohei Ishibashi, Yuko Inoue, Koji Miyamoto, Takashi Noda, Satoshi Nagase, Takeshi Aiba, Kengo Kusano |
| المصدر: | Journal of Arrhythmia, Vol 39, Iss 4, Pp 580-585 (2023) |
| بيانات النشر: | Wiley, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | cardiac implantable electronic device, computed tomography, oversensing, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Abstract Introduction Cardiac implantable electronic devices are used in patients with cardiac rhythm disorders. Computed tomography irradiation is not prohibited for patients with cardiac implantable electronic devices, despite adverse events being reported. Hence, appropriate preparation and knowledge are required before computed tomography irradiation can be carried out in these patients. Since there is limited knowledge or literature about the influence of computed tomography irradiation in cases with recent cardiac implantable electronic devices, we aimed to evaluate the adverse events and elucidate the necessary and sufficient safety measures associated with this therapy. Methods and Results We placed cardiac implantable electronic devices on an anthropomorphic phantom model and observed their electrical activity in electrograms, while various protocols of computed tomography irradiation were implemented and adverse events evaluated. Oversensing with pauses of up to 3.2 s was observed in standard computed tomography protocols, but ventricular tachyarrhythmia or other clinically significant events could not be confirmed. Oversensing with pauses of up to 8.0 s was observed and ventricular tachyarrhythmia was detected in the maximum‐dose protocols. However, treatments such as antitachycardia pacing or shock therapy for ventricular tachyarrhythmia were not observed because of their absence. Conclusion Computed tomography irradiation for patients using cardiac implantable electronic devices is highly unlikely to cause clinically significant adverse events with the device settings and computed tomography protocols currently being used. Changing or monitoring the device settings routinely before computed tomography irradiation is not necessarily required for most patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1883-2148 1880-4276 |
| Relation: | https://doaj.org/toc/1880-4276; https://doaj.org/toc/1883-2148 |
| DOI: | 10.1002/joa3.12853 |
| URL الوصول: | https://doaj.org/article/29d606924e0743219d62764accc99021 |
| رقم الأكسشن: | edsdoj.29d606924e0743219d62764accc99021 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 18832148 18804276 |
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| DOI: | 10.1002/joa3.12853 |