MRI in patients with pacemakers: overview and procedural management.

Deutsches Ärzteblatt International
Henning BovenschulteCarsten Zobel

Abstract

Magnetic resonance imaging (MRI) is generally contraindicated for patients with a pacemaker (PM) or implantable cardiac defibrillator (ICD), because of the risk of life-threatening interference with the device. Nevertheless, the question whether to perform MRI despite the presence of these devices can still arise when MRI is vitally indicated. In some hospitals, special precautionary measures are taken so that MRI can be performed in such cases. This review is based on the authors' experience in 42 patients who underwent MRI at our university hospital, on the pertinent literature, and on the recommendations of medical societies. Because of its excellent image quality, MRI is often an indispensable diagnostic tool. Structured multidisciplinary management enables it to be performed safely even in patients with a PM or ICD. Pre- and post-MRI checks of the device are recommended, as well as extensive monitoring and the availability of the necessary personnel to deal with an emergency. In general, the pacing and defibrillator functions should be deactivated; for pacemaker-dependent patients, the asynchronous pacing mode should be activated. No serious incidents have occurred when these precautions have been observed, either among ou...Continue Reading

References

Jun 20, 1998·Pacing and Clinical Electrophysiology : PACE·J M FontaineF E Marchlinski
Mar 29, 2001·Pacing and Clinical Electrophysiology : PACE·R LuechingerR Candinas
Apr 6, 2004·Journal of the American College of Cardiology·Edward T MartinKim Jenkins
Dec 25, 2004·European Heart Journal·Roger LuechingerPeter Boesiger
Apr 14, 2005·Pacing and Clinical Electrophysiology : PACE·Ron Kalin, Marshall S Stanton
May 5, 2005·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·A SchmiedelT Sommer
Jun 10, 2005·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Werner IrnichGuenter Weiler
Oct 14, 2005·Pacing and Clinical Electrophysiology : PACE·J Rod GimbelBruce L Wilkoff
Apr 26, 2006·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Claas Philip NaehleTorsten Sommer
Jun 17, 2006·Journal of Neurosurgery. Spine·Chris WoertgenCarsten Neumann
Mar 1, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Ariel RoguinTorsten Sommer
Aug 8, 2008·Pacing and Clinical Electrophysiology : PACE·J Rod Gimbel
Sep 25, 2008·Pacing and Clinical Electrophysiology : PACE·Michael MollerusJill Lucca
Jun 27, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·J Rod Gimbel
Oct 2, 2009·Pacing and Clinical Electrophysiology : PACE·Claas P NaehleTorsten Sommer
Jan 30, 2010·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Peter Thomas BurkeChristian Machado
Apr 1, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michael MollerusJill Lucca
Apr 2, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Katharina StrachTorsten Sommer
Oct 12, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Bruce L WilkoffUNKNOWN EnRhythm MRI SureScan Pacing System Study Investigators
Jan 29, 2011·Journal of Magnetic Resonance Imaging : JMRI·Deborah A LangmanDaniel B Ennis
Jun 22, 2011·Deutsches Ärzteblatt International·Hans-Joachim Trappe, Jan Gummert

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Citations

Jul 2, 2014·Deutsches Ärzteblatt International·Florian DammannSabrina Kösling
Mar 8, 2018·Journal of Neural Engineering·Johannes B ErhardtJan G Korvink
Oct 25, 2012·Deutsches Ärzteblatt International·Claas P Nähle, Roger Lüchinger

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