MRI SAFETY AND MANAGEMENT OF PATIENTS WITH CARDIOVASCULAR IMPLANTABLE ELECTRONIC DEVICES: LITERATURE REVIEW AND CASE PRESENTATION

Matic Godec, Jani Izlakar, Gasper Podobnik
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Abstract

Introduction: MRI has long been contraindicated in patients with CIED devices due to the risk of adverse eff ects through electromagnetic interference. Recent developments in engineering have led to the introduction of MRI conditional CIED devices that do not cause signifi cant clinical harm to patients undergoing MRI, when specifi c imaging conditions are met. Safe access to MRI has become a crucial need for patients with CIED devices. Aim: The purpose of this paper is to present an overview of how to manage patients with implanted CIED devices and to present a case report of a patient with CIED undergoing prostate MRI examination. Methods: This paper explores MRI Safety and the management of patients with implanted CIED devices through an extensive literature review and case presentation. The literature search was conducted using medical scientifi c electronic databases such as PubMed, Cinahl, Wiley Online Library and ScienceDirect. We examined a patient with a CIED device undergoing a prostate MRI examination. Results and discussion: We performed an examination of the described patient in accordance to the guidelines presented in this paper. The MR conditionality status was determined using the device identifi cation card and the manufacturer’s technical manual. The MRI examination of the patient was completed without complications; therefore, no adverse eff ects were reported. The MRI images were without artefacts. Conclusion: Recent clinical studies and published guidelines suggest that MRI of the patients with either an MRI conditional or MRI non-conditional CIED device is relatively safe under specifi c conditions. Multidisciplinary pre-procedure planning, a strict screening process, monitoring and device evaluation protocols are of key importance for ensuring safe MRI imaging in patients with CIED.
心血管植入式电子装置患者的Mri安全性与管理:文献回顾与病例报告
导读:长期以来,由于电磁干扰有不良反应的风险,MRI一直是CIED患者的禁忌症。最近在工程上的发展已经导致引入MRI条件下的CIED装置,当特定的成像条件满足时,不会对接受MRI的患者造成重大的临床伤害。安全获得核磁共振成像已成为使用CIED设备的患者的关键需求。目的:本文的目的是概述如何管理植入CIED设备的患者,并提出一例CIED患者接受前列腺MRI检查的病例报告。方法:通过广泛的文献回顾和病例介绍,探讨植入CIED设备患者的MRI安全性和管理。文献检索使用PubMed、Cinahl、Wiley Online Library和ScienceDirect等医学科学电子数据库。我们检查了一位使用CIED装置进行前列腺MRI检查的患者。结果和讨论:我们按照本文提出的指南对所述患者进行了检查。使用设备识别卡和制造商的技术手册确定MR条件状态。患者完成MRI检查,无并发症;因此,没有不良反应的报道。MRI图像无伪影。结论:最近的临床研究和已发表的指南表明,在特定条件下,MRI条件或MRI非条件CIED装置对患者的MRI检查是相对安全的。多学科的术前计划、严格的筛查过程、监测和设备评估方案对于确保CIED患者的安全MRI成像至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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