State-of-the-art approach towards magnetic resonance imaging of the nervous system structures in patients with cardiac implantable electronic devices

Publication date: Available online 20 July 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Katarzyna Gniadek-Olejniczak, Karol Makowski, Adam Olszewski, Kazimierz Tomczykiewicz, Andrzej Krawczyk, Józef MrózAbstractIntroductionMRI generated forces are the source of potential complications in patients with cardiac implantable electronic devices (CIED). The technological progress, and growing clinical evidence concerning the operation of the contemporary MR non-conditional CIEDs during MRI, have started to significantly change our every-day clinical practice. Nevertheless, a lot of patients who could have an MRI performed safely, still have been refused the examination.State-of-the-artIn many clinical situations, an MRI examination in a patient with a CIED is reasonable, and is linked to a negligible risk of complications if performed under strict precautions. The MagnaSave Registry that evaluated the influence of nonthoracic MRI on the function of MR non-conditional CIEDs, and numerous studies involving thoracic and non-thoracic MRIs in patients with legacy CIEDs, have confirmed the feasibility and safety of such examinations. In this article, practical tips aimed towards improving the safety of MRI in MR conditional and non-conditional CIED patients are largely based on the very recently released (2017) HRS expert consensus statement.Clinical implicationsClinical data emphasize the necessity of making the MRI more accessible to CIED patients, also in the case of MR ...
Source: Polish Journal of Neurology and Neurosurgery - Category: Neurosurgery Source Type: research