Guidelines for Performing Nuclear Magnetic Resonance Imaging Examinations in Patients with Cardiac Electronic Devices

Orientações para Realização de Exames de Ressonância Magnética Nuclear em Pacientes com Dispositivos Eletrônicos Cardíacos

  • Antonio Vitor Moraes Junior
  • Bruno Pereira Valdigem
  • Cecilia Monteiro Boya Barcelos
  • Celso Salgado de Melo
  • Wilson Lopes Pereira
  • Hilton Muniz Leão Filho
  • Marco Antônio Rocha Mello
  • Cyro Antônio F Fonseca Junior
  • Fernando Eduardo Nunes Mariz
  • Marcelo Rodrigues de Abreu
  • Patrícia Prando Cardia
  • Paulo Roberto Vieira de Andrade
  • Simone Kodlulovich Renha
  • Alexander dal Forno
  • Andre Luiz Buchele D´Avila
  • Ricardo Alkmin Teixeira
  • Veridiana Silva de Andrade

Abstract

It is estimated that up to 75% of patients with cardiac implantable electronic devices (CIEDs) will have an indication for nuclear magnetic resonance imaging (MRI) throughout their lives. Th is population has been historically excluded from the list of patients considered eligible for this examination due to the characteristics of the devices.

References

Literatura adicional sugerida/Suggested Additional Literature

Indik JH, Gimbel JR, Abe H, et al. HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices Heart Rhythm. 2017;14(7):e97-e153. https://doi.org/10.1016/j.hrthm.2017.04.025

Mayo Foundation for Medical Education and Research. New protocols allow for MRI in selected patients with pacemakers [Internet]. Mayo Clinic; Disponível em: https://www.mayoclinic.org/medical-professionals/clinical-updates/cardiovascular/new-protocolsallow-mri-selected-pacemaker-patients.

Mattei E, Gentili G, Censi F, et al. Impact of capped and uncapped abandoned leads on the heating of an MR-conditional pacemaker implant. Magn Reson Med. 2015;73(1):390-400. https://doi.org/10.1002/mrm.25106

Boilson BA, Wokhlu A, Acker NG, et al. Safety of magnetic resonance imaging in patients with permanent pacemakers: a collaborative clinical approach. J Interv Card Electrophysiol. 2012;33(1):59-67. https://doi.org/10.1007/s10840-011-9615-8

Burke PT, Ghanbari H, Alexander PB, et al. A protocol for patients with cardiovascular implantable devices undergoing magnetic resonance imaging (MRI): should defibrillation threshold testing be performed post-(MRI). J Interv Card Electrophysiol. 2010;28(1):59-66. https://doi.org/10.1007/s10840-009-9463-y

Published
19-10-2019
Section
Artificial Heart Stimulation