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在植入式起搏器和除颤器患者中进行磁共振成像:一项欧洲心律协会调查的结果。

Performing magnetic resonance imaging in patients with implantable pacemakers and defibrillators: results of a European Heart Rhythm Association survey.

机构信息

Clinic of Heart Diseases, Vilnius University Hospital Santariskiu Klinikos, Vilnius University, Vilnius, Lithuania.

出版信息

Europace. 2012 Dec;14(12):1807-9. doi: 10.1093/europace/eus379. Epub 2012 Nov 6.

Abstract

The purpose of our survey was to evaluate the experience, current practice and attitudes of performing magnetic resonance imaging (MRI) studies in patients with cardiac implantable electronic devices. Fifty-one centre-members of European Heart Rhythm Association Research network have responded to the survey. According to the obtained data, 55.2% of responding centres do not perform MRI scans in patients with non-MRI-certified pacemakers and 65.8% in patients with such implantable cardioverter defibrillators (ICDs). Reported complication rate in patients with non-MRI-certified devices is low and conforms to the literature data. Experience with newer MRI-compatible pacemakers and ICDs is limited to single cases in most centres. This survey shows limited experience with performing MRI studies in patients with implanted pacemakers and ICDs. In concordance with available guidelines, most centres limit MRI scans in patients with non-MRI-certified devices. The implant numbers for MRI-certified devices and experience with performing MRI scans in these patients are still low.

摘要

我们调查的目的是评估在患有心脏植入式电子设备的患者中进行磁共振成像(MRI)研究的经验、当前实践和态度。欧洲心脏节律协会研究网络的 51 个中心成员对该调查做出了回应。根据获得的数据,55.2%的回应中心不会对未获得 MRI 认证的起搏器患者进行 MRI 扫描,而 65.8%的中心不会对植入式心脏复律除颤器(ICD)患者进行 MRI 扫描。报告的未获得 MRI 认证设备的并发症发生率较低,符合文献数据。大多数中心对新型 MRI 兼容起搏器和 ICD 的经验仅限于单个病例。这项调查显示,在植入式起搏器和 ICD 患者中进行 MRI 研究的经验有限。与现有指南一致,大多数中心限制对未获得 MRI 认证设备的患者进行 MRI 扫描。MRI 认证设备的植入数量和对这些患者进行 MRI 扫描的经验仍然较少。

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