MRI in pediatric and congenital heart disease patients with CIEDs and epicardial or abandoned leads.

Pacing and Clinical Electrophysiology : PACE
Lindsey Gakenheimer-SmithThomas Pilcher

Abstract

Heart Rhythm Society guidelines outlining magnetic resonance imaging (MRI) in patients with cardiac implantable electronic devices (CIEDs) excluded children and epicardial or abandoned leads due to theoretical risks of harm. Research investigating these risks is lacking. The primary objective of our study is to determine the incidence of adverse events to patients or CIEDs from MRI imaging. The secondary objective is to describe CIED-related artifact on MRI images. A single-center retrospective review was performed on all patients with CIEDs who underwent 1.5 Tesla MRI between July 2007 and May 2019. We subdivided patients among four cohorts: (1) patients <18 years of age, (2) epicardial leads, (3) abandoned endocardial leads, and (4) abandoned epicardial leads. Descriptive statistics pre- and post-MRI and at follow-up within 1.5 years were conducted. Fifty-four MRIs were performed on 40 patients. Median age was 21.2 years (IQR 12.0-25.0). Eighteen (33%) MRIs contained abandoned leads; 20 (37%) contained epicardial leads. Three patients, one with abandoned epicardial leads and two with abandoned endocardial leads, experienced mild discomfort at the CIED site. One adult with endocardial leads experienced a pause in the heart rat...Continue Reading

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Citations

Feb 11, 2021·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Demetrios A RaptisSanjeev Bhalla
Feb 12, 2021·International Journal of Cardiology·Andrea BarisonUNKNOWN Working Group on Cardiac Magnetic Resonance of the Italian Society of Cardiology
Jun 4, 2021·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Aiping YaoWolfgang Kainz
Aug 2, 2021·Indian Pacing and Electrophysiology Journal·UNKNOWN Writing Committee MembersUNKNOWN Document Reviewers
Aug 2, 2021·Indian Pacing and Electrophysiology Journal·UNKNOWN Writing Committee MembersUNKNOWN Document Reviewers
Aug 8, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·UNKNOWN Writing Committee MembersPhilip L Wackel
Aug 8, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·UNKNOWN Writing Committee MembersPhilip L Wackel
Nov 20, 2021·Cardiology in the Young·Michael J SilkaUNKNOWN Document Reviewers: Philip M. Chang, Fabrizio Drago, Anne M. Dubin, Susan P. Etheridge, Apichai Kongpatanayothin, Jose Manue
Aug 3, 2021·Cardiology in the Young·Maully J ShahUNKNOWN Document Reviewers: Philip M. Chang, Fabrizio Drago, Anne M. Dubin, Susan P. Etheridge, Apichai Kongpatanayothin, Jose Manue
Jan 7, 2022·European Radiology·Aino-Maija VuorinenTouko Kaasalainen

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