Cardiovascular magnetic resonance imaging for intensive care infants: safe and effective?

Pediatric Cardiology
Samir SarikouchPhilipp Beerbaum

Abstract

Cardiac magnetic resonance imaging (MRI) is an important diagnostic tool for congenital heart disease (CHD), as reflected by class 1 recommendations for the use of cardiac MRI by various consensus panels. However, little is known about the safety and clinical utility of cardiac MRI for these critically ill infants with CHD, whose further management cannot be directed by echocardiography. This study aimed to assess the safety, the potential hemodynamic side effects, and the clinical benefits of cardiac MRI for infants with complex CHD during their intensive care unit stay. Infants referred from the pediatric cardiac intensive care unit (PCICU) to the authors' cardiac MRI program in the past 2 years were retrospectively analyzed using the electronic chart system available at their institution. Data collected included age, diagnosis, inotropic support, urine output, diuretic medication, body temperature and lactate levels, length of MRI examination, adverse effects during and after the procedure, clinical implications of MRI, length of stay in the PCICU, and mean blood pressure and heart rate before, during, and after MRI. Among 592 patients in the past 2 years, 20 (3.4%) were referred for MRI testing during their stay in the PCIC...Continue Reading

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Citations

May 30, 2013·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Marcelo Felipe KozakLars Grosse-Wortmann
Jun 15, 2013·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Sohrab FratzAndrew J Powell
Oct 18, 2011·Pediatric Cardiology·Hao-Chuan LiuPi-Chang Lee
Jan 25, 2013·Pediatric Cardiology·Alicia H ChavesMargaret M Samyn
Aug 5, 2014·Pediatric Radiology·Kim-Lien NguyenJ Paul Finn
Feb 11, 2016·World Journal of Clinical Pediatrics·Frances M MitchellClaire E Raphael
Feb 19, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Masakazu YamagishiUNKNOWN Japanese Circulation Society Working Group

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