1.5T磁共振成像引导下聚焦超声消融治疗伴有磁共振成像非条件性起搏器患者的腰椎小关节
Magnetic Resonance Imaging-Guided Focused Ultrasound Ablation of Lumbar Facet Joints of a Patient With a Magnetic Resonance Image Non-Conditional Pacemaker at 1.5T.
作者信息
Browne Jacinta E, Tiegs-Heiden Christin A, Lehman Vance T, Long Zaiyang, Hangiandreou Nicholas J, Watson Robert E, Hesley Gina K, Gorny Krzysztof R
机构信息
Department of Radiology, Mayo Clinic, Rochester, MN 55905.
出版信息
Mayo Clin Proc Innov Qual Outcomes. 2020 Aug 5;4(4):464-468. doi: 10.1016/j.mayocpiqo.2020.04.010. eCollection 2020 Aug.
OBJECTIVE
To provide an initial report that patients with magnetic resonance imaging (MRI) non-conditional cardiac implanted electronic device (CIED) can undergo state-of-the-art magnetic resonance imaging-guided focused (MRgFUS) ablation procedures with careful planning and integration of the procedure into an established CIED MRI practice.
PATIENT AND METHODS
We describe an MRgFUS ablation treatment of lumbar facet joints in a patient with an MRI non-conditional CIED (pacemaker), completed in accordance with our institutional CIED/MRI practice guidelines.
RESULTS
A risk-benefit analysis by a coordinated multidisciplinary team before this treatment was performed to account for the risks associated with the MRI non-conditional pacemaker in the context of the MRgFUS procedure.
CONCLUSION
The patient had no adverse cardiac event during or following this procedure.
目的
提供一份初步报告，表明磁共振成像（MRI）非条件性心脏植入式电子设备（CIED）患者在经过精心规划并将该手术纳入既定的CIED MRI操作流程后，能够接受先进的磁共振成像引导聚焦超声（MRgFUS）消融手术。
患者与方法
我们描述了一名患有MRI非条件性CIED（起搏器）患者的腰椎小关节MRgFUS消融治疗，该治疗按照我们机构的CIED/MRI操作指南完成。
结果
在进行该治疗前，由多学科协作团队进行了风险效益分析，以考虑在MRgFUS手术背景下与MRI非条件性起搏器相关的风险。
结论
该患者在手术期间及术后未发生不良心脏事件。
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