植入式心脏装置患者使用无线胶囊内镜的安全性。
Safety of wireless capsule endoscopy in patients with implantable cardiac devices.
作者信息
Kasia Christopher, Appannagari Anoop, Joshi Anjali, Venu Mukund
机构信息
Department of Internal Medicine Loyola University Medical Center Maywood Illinois USA.
Division of Gastroenterology and Nutrition Loyola University Medical Center Maywood Illinois USA.
出版信息
JGH Open. 2019 Sep 4;4(2):241-244. doi: 10.1002/jgh3.12251. eCollection 2020 Apr.
BACKGROUND AND AIM
Wireless capsule endoscopy (WCE) has become an increasingly utilized imaging modality for the evaluation of gastrointestinal bleeding. There is a paucity of data evaluating the safety and use of WCE in patients with implantable cardiac devices.
METHODS
A retrospective chart review of all patients who had a WCE at Loyola University Medical Center in Maywood, IL, USA completed between January 2007 and December 2016 identified patients with internal cardiac devices and obscure gastrointestinal bleeding. Patient WCE footage was viewed in its entirety before creating a final report to ensure no gaps in footage and video quality.
RESULTS
No patient complaints were documented during the 8-h procedure duration, and there were no cardiac abnormalities noted on telemetry. There were no device-related complications documented in the 30-day postprocedure time period. Postprocedure analysis of the WCE recordings demonstrated no interference in WCE image quality (loss of images or gaps in video) or duration.
CONCLUSIONS
There is no significant interference between WCE and implantable cardiac devices, and it appears to be safe to use.
背景与目的
无线胶囊内镜检查（WCE）已成为评估胃肠道出血越来越常用的成像方式。关于植入式心脏装置患者使用WCE的安全性及应用情况的数据较少。
方法
对2007年1月至2016年12月期间在美国伊利诺伊州梅伍德市洛约拉大学医学中心接受WCE检查的所有患者进行回顾性病历审查，确定有植入式心脏装置且存在不明原因胃肠道出血的患者。在生成最终报告之前，对患者的WCE影像进行了全面查看，以确保影像无间隙且视频质量良好。
结果
在8小时的检查过程中未记录到患者的任何不适主诉，遥测也未发现心脏异常。在术后30天内未记录到与装置相关的并发症。对WCE记录的术后分析显示，WCE图像质量（图像丢失或视频间隙）及时长均未受干扰。
结论
WCE与植入式心脏装置之间无明显干扰，使用似乎是安全的。
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