MRI conditionally safe pacemakers. Design and technology considerations

Omair Yousuf; Joseph E. Marine; Saman Nazarian

doi:10.1016/j.ccep.2014.02.001

MRI conditionally safe pacemakers. Design and technology considerations

Omair Yousuf, Joseph E. Marine, Saman Nazarian

School of Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

MRI traditionally has been contraindicated in patients with implantable cardiac pacemakers and implantable cardioverter-defibrillators (ICDs). Studies have demonstrated, however, that MRI can be performed safely in selected patients with conventional devices. Given the high lifetime likelihood of a person requiring MRI scanning, new MRI-conditional pacemakers and ICDs have been developed for improved safety in the MRI environment. These devices have been tested and studied mainly in 1.5-T field strength MRI; hence, their use should be limited to that environment. This review discusses the literature regarding the safety of conventional implantable cardiac devices in the MRI environment and the benefits and limitations of new MRI-conditional devices.

Original language	English (US)
Pages (from-to)	269-278
Number of pages	10
Journal	Cardiac Electrophysiology Clinics
Volume	6
Issue number	2
DOIs	https://doi.org/10.1016/j.ccep.2014.02.001
State	Published - Jun 2014

Keywords

ICD
MRI-conditional
Magnetic resonance imaging
Pacemaker
Safety

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ccep.2014.02.001

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title = "MRI conditionally safe pacemakers. Design and technology considerations",

abstract = "MRI traditionally has been contraindicated in patients with implantable cardiac pacemakers and implantable cardioverter-defibrillators (ICDs). Studies have demonstrated, however, that MRI can be performed safely in selected patients with conventional devices. Given the high lifetime likelihood of a person requiring MRI scanning, new MRI-conditional pacemakers and ICDs have been developed for improved safety in the MRI environment. These devices have been tested and studied mainly in 1.5-T field strength MRI; hence, their use should be limited to that environment. This review discusses the literature regarding the safety of conventional implantable cardiac devices in the MRI environment and the benefits and limitations of new MRI-conditional devices.",

keywords = "ICD, MRI-conditional, Magnetic resonance imaging, Pacemaker, Safety",

author = "Omair Yousuf and Marine, {Joseph E.} and Saman Nazarian",

note = "Funding Information: Disclosures: None (O. Yousuf, J.E. Marine); Dr S. Nazarian is a scientific advisor to Biosense Webster Inc and Principal investigator for research support to Johns Hopkins University from Biosense Webster Inc. Dr S. Nazarian{\textquoteright}s research is also supported by grants from the National Institutes of Health ( K23HL089333 and R01HL116280 ). Copyright: Copyright 2014 Elsevier B.V., All rights reserved.",

year = "2014",

month = jun,

doi = "10.1016/j.ccep.2014.02.001",

language = "English (US)",

volume = "6",

pages = "269--278",

journal = "Cardiac Electrophysiology Clinics",

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AU - Yousuf, Omair

AU - Marine, Joseph E.

AU - Nazarian, Saman

N1 - Funding Information: Disclosures: None (O. Yousuf, J.E. Marine); Dr S. Nazarian is a scientific advisor to Biosense Webster Inc and Principal investigator for research support to Johns Hopkins University from Biosense Webster Inc. Dr S. Nazarian’s research is also supported by grants from the National Institutes of Health ( K23HL089333 and R01HL116280 ). Copyright: Copyright 2014 Elsevier B.V., All rights reserved.

PY - 2014/6

Y1 - 2014/6

N2 - MRI traditionally has been contraindicated in patients with implantable cardiac pacemakers and implantable cardioverter-defibrillators (ICDs). Studies have demonstrated, however, that MRI can be performed safely in selected patients with conventional devices. Given the high lifetime likelihood of a person requiring MRI scanning, new MRI-conditional pacemakers and ICDs have been developed for improved safety in the MRI environment. These devices have been tested and studied mainly in 1.5-T field strength MRI; hence, their use should be limited to that environment. This review discusses the literature regarding the safety of conventional implantable cardiac devices in the MRI environment and the benefits and limitations of new MRI-conditional devices.

AB - MRI traditionally has been contraindicated in patients with implantable cardiac pacemakers and implantable cardioverter-defibrillators (ICDs). Studies have demonstrated, however, that MRI can be performed safely in selected patients with conventional devices. Given the high lifetime likelihood of a person requiring MRI scanning, new MRI-conditional pacemakers and ICDs have been developed for improved safety in the MRI environment. These devices have been tested and studied mainly in 1.5-T field strength MRI; hence, their use should be limited to that environment. This review discusses the literature regarding the safety of conventional implantable cardiac devices in the MRI environment and the benefits and limitations of new MRI-conditional devices.

KW - ICD

KW - MRI-conditional

KW - Magnetic resonance imaging

KW - Pacemaker

KW - Safety

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SN - 1877-9182

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MRI conditionally safe pacemakers. Design and technology considerations

Abstract

Keywords

ASJC Scopus subject areas

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