关键词: Cardiac implantable medical devices ICD MRI protocol MRI safety Magnetic resonance imaging Pacemaker

来  源:   DOI:10.1007/s12410-019-9502-8   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this review is to clarify the risks associated with MRI exams for patients with cardiac implantable electronic devices (CIEDs) and to provide information regarding the MRI examination protocol for patients with CIEDs.
UNASSIGNED: Several prospective studies evaluated the feasibility of MRI exams for patients with CIEDs and reported no adverse events. These studies suggest that by following a specific MRI examination protocol and monitoring both CIED parameters and the patient\'s symptoms, an MRI exam can be performed by appropriately trained personnel with an acceptable benefit-to-risk ratio.
UNASSIGNED: Both MR unsafe and MR conditional CIEDs are commercially available, but there are no MR safe CIEDs. The potential risks faced by patients with CIEDs during an MRI exam are always present and warrant careful monitoring. Three magnetic fields in the MRI scanner interact with the device in ways that can damage the CIED or harm the patient. Due to safety concerns and out of an abundance of caution, the majority of MRI exams for patients with CIEDs are currently denied. However, when following a specific MRI exam protocol, these risks can be mitigated.
摘要:
未经评估:本综述的目的是阐明心脏可植入电子设备(CIED)患者的MRI检查相关风险,并提供有关CIED患者的MRI检查方案的信息。
UNASSIGNED:一些前瞻性研究评估了对CIED患者进行MRI检查的可行性,并没有报告不良事件。这些研究表明,通过遵循特定的MRI检查方案并监测CIED参数和患者的症状,MRI检查可以由具有可接受的获益风险比的经过适当培训的人员进行。
未经评估:MR不安全和MR条件CIED均可在市场上购买,但没有MRsafeCIED.在MRI检查期间,CIED患者面临的潜在风险始终存在,需要仔细监测。MRI扫描仪中的三个磁场以可能损坏CIED或伤害患者的方式与设备相互作用。出于安全考虑和出于谨慎考虑,大多数CIED患者的MRI检查目前被拒绝。然而,当遵循特定的MRI检查方案时,这些风险是可以减轻的。
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