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Joint Position Paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the French Society of Diagnostic and Interventional Cardiac and Vascular Imaging on magnetic resonance imaging in patients with cardiac electronic implantable devices.
Archives of Cardiovascular Diseases ( IF 2.3 ) Pub Date : 2020-05-27 , DOI: 10.1016/j.acvd.2020.03.015
Estelle Gandjbakhch 1 , Jean-Nicolas Dacher 2 , Jerome Taieb 3 , Michel Chauvin 4 , Frederic Anselme 5 , Axel Bartoli 6 , Louis Boyer 7 , Lucie Cassagnes 7 , Hubert Cochet 8 , Pascal Defaye 9 , Jean-Claude Deharo 10 , Benjamin Dubourg 2 , Laurent Fauchier 11 , Daniel Gras 12 , Didier Klug 13 , Gabriel Laurent 14 , Jacques Mansourati 15 , Eloi Marijon 16 , Philippe Maury 17 , Olivier Piot 18 , François Pontana 19 , Frederic Sacher 20 , Nicolas Sadoul 21 , Alexis Jacquier 6 , Serge Boveda 22 ,
Affiliation  

Magnetic resonance imaging (MRI) has become the reference imaging technique for the management of a large number of diseases. The number of MRI examinations increases every year, simultaneously with the number of patients receiving a cardiac electronic implantable device (CEID). The presence of a CEID was considered an absolute contraindication for MRI for many years. The progressive replacement of conventional pacemakers and defibrillators by “magnetic resonance (MR)-conditional” CEIDs and recent data on the safety of MRI in patients with “MR-non-conditional” CEIDs have gradually increased the demand for MRI in patients with a CEID. However, some risks are associated with MRI in CEID carriers, even with MR-conditional devices, because these devices are not “MR safe”. Specific programming of the device in “MR mode” and monitoring patients during MRI remain mandatory for all patients with a CEID. A standardized patient workflow based on an institutional protocol should be established in each institution performing such examinations. This joint position paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the French Society of Diagnostic and Interventional Cardiac and Vascular Imaging describes the effect of and risks associated with MRI in CEID carriers. We propose recommendations for patient workflow and monitoring and CEID programming in MR-conditional, “MR-conditional non-guaranteed” and MR-non-conditional devices.



中文翻译:

法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起搏和电生理学工作组关于在心脏电子植入设备中进行磁共振成像的联合立场文件。

磁共振成像(MRI)已成为处理大量疾病的参考成像技术。MRI检查的数量每年都在增加,同时接受心脏电子植入设备(CEID)的患者数量也在增加。CEID的存在被认为是MRI的绝对禁忌症。用“磁共振(MR)-条件” CEID逐步取代传统的起搏器和除颤器,以及有关“ MR-无条件” CEID患者的MRI安全性的最新数据,逐渐增加了CEID患者的MRI需求。但是,即使使用MR条件设备,CEID载体中的MRI也有一些风险,因为这些设备不是“ MR安全的”。对于所有具有CEID的患者,仍必须在“ MR模式”下对设备进行特殊编程并在MRI期间监视患者。应在执行此类检查的每个机构中建立基于机构协议的标准化患者工作流程。法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起草的这份联合立场文件描述了MRI在CEID携带者中的作用和相关风险。我们为MR条件,“ MR条件无保证”和MR无条件设备中的患者工作流程和监测以及CEID编程提出建议。应在执行此类检查的每个机构中建立基于机构协议的标准化患者工作流程。法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起草的这份联合立场文件描述了MRI在CEID携带者中的作用和相关风险。我们为MR条件,“ MR条件无保证”和MR无条件设备中的患者工作流程和监测以及CEID编程提出建议。应在执行此类检查的每个机构中建立基于机构协议的标准化患者工作流程。法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起草的这份联合立场文件描述了MRI在CEID携带者中的作用和相关风险。我们为MR条件,“ MR条件无保证”和MR无条件设备中的患者工作流程和监测以及CEID编程提出建议。法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起草的这份联合立场文件描述了MRI在CEID携带者中的作用和相关风险。我们为MR条件,“ MR条件无保证”和MR无条件设备中的患者工作流程和监测以及CEID编程提出建议。法国心脏病学会起搏和电生理学工作组以及法国诊断和介入性心脏与血管成像学会起草的这份联合立场文件描述了MRI在CEID携带者中的作用和相关风险。我们为MR条件,“ MR条件无保证”和MR无条件设备中的患者工作流程和监测以及CEID编程提出建议。

更新日期:2020-05-27
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