Author/Editor     Godec, Matic; Izlakar, Jani; Podobnik, Gašper
Title     MRI safety and management of patients with cardiovascular implantable electronic devices
Translated title     Magnetnoresonančna varnost in obravnava pacientov z vstavljenimi kardiovaskularnimi elektronskimi napravami
Type     članek
Vol. and No.     Letnik 38, št. 2
Publication year     2021
Volume     str. 15-21
ISSN     2712-2492
Language     eng
Abstract     Introduction: MRI has long been contraindicated in patients with CIED devices due to the risk of adverse effects through electromagnetic interference. Recent developments in engineering have led to the introduction of the MRI conditional CIED devices that do not cause significant clinical harm to patients undergoing MRI, when specific imaging conditions are meet. Safe access to MRI has become a crucial need for patients with CIED devices. Aim: The purpose of this paper is to present an overview of managing patients with implanted CIED devices and to present a case report of a patient with CIED undergoing prostate MRI examination. Methods: This paper explores the MRI Safety and managing of patients with implanted CIED devices through an extensive literature review and case presentation. The literature search was conducted using medical scientific electronic databases such as PubMed, Cinahl, Wiley Online Library and ScienceDirect. We examined a patient with CIED device undergoing prostate MRI examination. Results and discussion: We performed the examination of the described patient with accordance to the guidelines presented in this paper. MR conditionality status was determined using device identification card and manufacturers technical manual. The MRI examination of the patient was completed without complications therefore; no adverse effects were reported. MRI images were without artefacts. Conclusion: Recent clinical studies and published guidelines suggest that MRI of the patients with either MRI conditional or MRI non conditional CIED device is relatively safe under specific conditions. Multidisciplinary pre-procedure planning, strict screening process, monitoring and device evaluation protocols are of key importance for ensuring safe MRI imaging in patients with CIED.
Keywords     MRI safety
CIED devices
technological progress
magnetnoresonančna varnost
CIED naprave
tehnološki napredek