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心血管植入式电子设备患者的影像学检查:第 2 部分-设备植入后的影像学检查。欧洲心血管影像协会(EACVI)和欧洲心脏病学会(ESC)的欧洲心律协会(EHRA)的临床共识声明。

Imaging in patients with cardiovascular implantable electronic devices: part 2-imaging after device implantation. A clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association (EHRA) of the ESC.

机构信息

Clinical Hospital Centre Zemun, Department of Cardiology, Faculty of Medicine, University of Belgrade, Vukova 9, 11080 Belgrade, Serbia.

Department of Cardiovascular Diseases, University Hospitals Leuven/Department of Cardiovascular Sciences, Catholic University of Leuven, Herestraat 49, 3000 Leuven, Belgium.

出版信息

Eur Heart J Cardiovasc Imaging. 2023 Dec 21;25(1):e33-e54. doi: 10.1093/ehjci/jead273.


DOI:10.1093/ehjci/jead273
PMID:37861420
Abstract

Cardiac implantable electronic devices (CIEDs) improve quality of life and prolong survival, but there are additional considerations for cardiovascular imaging after implantation-both for standard indications and for diagnosing and guiding management of device-related complications. This clinical consensus statement (part 2) from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date, and evidence-based guidance to cardiologists, cardiac imagers, and pacing specialists regarding the use of imaging in patients after implantation of conventional pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy (CRT) devices. The document summarizes the existing evidence regarding the role and optimal use of various cardiac imaging modalities in patients with suspected CIED-related complications and also discusses CRT optimization, the safety of magnetic resonance imaging in CIED carriers, and describes the role of chest radiography in assessing CIED type, position, and complications. The role of imaging before and during CIED implantation is discussed in a companion document (part 1).

摘要

心脏植入式电子设备 (CIEDs) 可提高生活质量并延长生存期,但在植入后还需要考虑心血管成像的问题——无论是用于标准适应证,还是用于诊断和指导设备相关并发症的管理。这份来自欧洲心血管成像协会与欧洲心律协会合作的临床共识声明(第 2 部分),为心脏病专家、心脏成像专家和起搏专家提供了关于在植入传统起搏器、除颤器和心脏再同步治疗 (CRT) 设备后的患者中使用影像学的全面、最新和基于证据的指导。该文件总结了关于各种心脏成像方式在疑似 CIED 相关并发症患者中的作用和最佳使用的现有证据,还讨论了 CRT 优化、CIED 携带者行磁共振成像的安全性,以及描述了胸部 X 线摄影在评估 CIED 类型、位置和并发症方面的作用。植入 CIED 之前和期间的影像学作用在配套文件(第 1 部分)中进行了讨论。

相似文献

[1]
Imaging in patients with cardiovascular implantable electronic devices: part 2-imaging after device implantation. A clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association (EHRA) of the ESC.

Eur Heart J Cardiovasc Imaging. 2023-12-21

[2]
Imaging in patients with cardiovascular implantable electronic devices: part 1-imaging before and during device implantation. A clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association (EHRA) of the ESC.

Eur Heart J Cardiovasc Imaging. 2023-12-21

[3]
Cardiac Implantable Electronic Device Therapy: Permanent Pacemakers, Implantable Cardioverter Defibrillators, and Cardiac Resynchronization Devices.

Med Clin North Am. 2019-7-5

[4]
European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).

Europace. 2020-4-1

[5]
European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).

Eur J Cardiothorac Surg. 2020-1-1

[6]
Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation.

Cardiology. 2025

[7]
Complications arising from cardiac implantable electrophysiological devices: review of epidemiology, pathogenesis and prevention for the clinician.

Postgrad Med. 2016

[8]
European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID), and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).

Eur Heart J. 2020-6-1

[9]
Access to and clinical use of cardiac implantable electronic devices and interventional electrophysiological procedures in the European Society of Cardiology Countries: 2016 Report from the European Heart Rhythm Association.

Europace. 2016-8

[10]
Follow-up of patients with new cardiovascular implantable electronic devices: is adherence to the experts' recommendations associated with improved outcomes?

Heart Rhythm. 2013-6-14

引用本文的文献

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Clin Res Cardiol. 2025-4-14

[2]
Key Imaging Factors for Transcatheter Management of Tricuspid Regurgitation: Device and Patient Selection.

J Clin Med. 2024-10-15

[3]
Impactful Cardiac CT and MRI Articles from 2023.

Radiol Cardiothorac Imaging. 2024-10

[4]
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Cardiovasc Drugs Ther. 2024-12

[5]
Transcatheter Therapy for the Tricuspid Valve: A Focused Review of Edge-to-Edge Repair and Orthotopic Valve Replacement.

Curr Cardiol Rep. 2024-6

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