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小儿患者心脏磁共振成像中的临时经静脉外起搏

Temporary transvenous external pacing for cardiac MRI in a pediatric patient.

作者信息

Rokni Mehrad, Naganawa Shotaro, Piran Misagh, Cortez Daniel, Ghasemiesfe Ahmadreza

机构信息

University of California Davis, 4860 Y St, Suite 3100, Sacramento, 95817, USA.

UC Davis Health System, Sacramento, USA.

出版信息

Pediatr Radiol. 2025 Jul 31. doi: 10.1007/s00247-025-06325-z.

DOI:10.1007/s00247-025-06325-z
PMID:40742405
Abstract

This report discusses the use of temporary transvenous external cardiac pacing during cardiac magnetic resonance imaging (MRI). Despite its feasibility having been explored in adults, its application in pediatric patients is not well established. We present a case of a 6-year-old female with a high-degree atrioventricular (AV) block managed with an externalized temporary pacing system for MRI. This system enabled cardiac MRI for further treatment planning, eliminating the immediate need for permanent pacemaker implantation. This case underscores the feasibility of conducting cardiac MRI in pediatric patients requiring temporary pacing, contingent upon the utilization of appropriate equipment and protocols.

摘要

本报告讨论了心脏磁共振成像(MRI)期间临时经静脉外心脏起搏的应用。尽管其在成人中的可行性已得到探索,但其在儿科患者中的应用尚未得到充分确立。我们报告一例6岁女性患有高度房室传导阻滞,在MRI检查时采用外置临时起搏系统进行治疗。该系统使得能够进行心脏MRI以制定进一步的治疗计划,消除了立即植入永久起搏器的必要性。该病例强调了在需要临时起搏的儿科患者中进行心脏MRI的可行性,这取决于适当设备和方案的使用。

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本文引用的文献

1
New Guidelines of Pediatric Cardiac Implantable Electronic Devices: What Is Changing in Clinical Practice?小儿心脏植入式电子设备新指南:临床实践中有哪些变化?
J Cardiovasc Dev Dis. 2024 Mar 27;11(4):99. doi: 10.3390/jcdd11040099.
2
Feasibility of cardiac magnetic resonance imaging in temporary permanent pacemaker implants in pediatric myocarditis and complete atrioventricular block.心脏磁共振成像在小儿心肌炎合并完全性房室传导阻滞临时永久起搏器植入中的可行性
J Arrhythm. 2024 Feb 29;40(2):385-389. doi: 10.1002/joa3.13007. eCollection 2024 Apr.
3
How we do it: Cardiac implantable devices are not a contraindication to MRI: time for a paradigm shift.
我们如何做:心脏植入式设备并非MRI的禁忌症:是时候进行范式转变了。
Pediatr Radiol. 2024 May;54(6):863-875. doi: 10.1007/s00247-024-05902-y. Epub 2024 Mar 15.
4
State-of-the-Art Imaging of Infiltrative Cardiomyopathies: A Scientific Statement From the American Heart Association.特发性心肌病的先进影像学:美国心脏协会的科学声明。
Circ Cardiovasc Imaging. 2023 Nov;16(11):e000081. doi: 10.1161/HCI.0000000000000081. Epub 2023 Nov 2.
5
Epicardial Versus Endocardial Pacing in Paediatric Patients with Atrioventricular Block or Sinus Node Dysfunction: A Systematic Review and Meta-analysis.心外膜与心内膜起搏在房室传导阻滞或窦房结功能障碍的儿科患者中的比较:系统评价和荟萃分析。
Pediatr Cardiol. 2023 Dec;44(8):1641-1648. doi: 10.1007/s00246-023-03213-x. Epub 2023 Jul 22.
6
Joint British Society consensus recommendations for magnetic resonance imaging for patients with cardiac implantable electronic devices.英国联合学会关于心脏植入式电子设备患者磁共振成像的共识推荐意见。
Heart. 2024 Jan 29;110(4):e3. doi: 10.1136/heartjnl-2022-320810.
7
Magnetic resonance imaging in patients with temporary external pacemakers.临时体外起搏器患者的磁共振成像
Europace. 2022 Dec 9;24(12):1960-1966. doi: 10.1093/europace/euac147.
8
2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients.2021 年 PACES 专家共识声明:儿童患者心血管植入式电子设备的适应证和处理。
Cardiol Young. 2021 Nov;31(11):1738-1769. doi: 10.1017/S1047951121003413. Epub 2021 Aug 2.