Bhuva, Anish;
Charles-Edwards, Geoff;
Ashmore, Jonathan;
Lipton, Alexandra;
Benbow, Matthew;
Grainger, David;
Lobban, Trudie;
... Manisty, Charlotte; + view all
(2022)
Joint British Society consensus recommendations for magnetic resonance imaging for patients with cardiac implantable electronic devices.
Heart
10.1136/heartjnl-2022-320810.
(In press).
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Device_MRI_Guidelines_Final for RCR Feb 2022.pdf - Accepted Version Download (4MB) | Preview |
Abstract
Magnetic Resonance Imaging (MRI) is increasingly a fundamental component of the diagnostic pathway across a range of conditions. Historically, the presence of a cardiac implantable electronic device (CIED) has been a contraindication for MRI, however, development of MR Conditional devices that can be scanned under strict protocols has facilitated the provision of MRI for patients. Additionally, there is growing safety data to support MR scanning in patients with CIEDs that do not have MR safety labelling or with MR Conditional CIEDs where certain conditions are not met, where the clinical justification is robust. This means that almost all patients with cardiac devices should now have the same access to MRI scanning in the National Health Service as the general population. Provision of MRI to patients with CIED, however, remains limited in the UK, with only half of units accepting scan requests even for patients with MR Conditional CIEDs. Service delivery requires specialist equipment and robust protocols to ensure patient safety and facilitate workflows, meanwhile demanding collaboration between healthcare professionals across many disciplines. This document provides consensus recommendations from across the relevant stakeholder professional bodies and patient groups to encourage provision of safe MRI for patients with CIEDs.
| Type: | Article |
|---|---|
| Title: | Joint British Society consensus recommendations for magnetic resonance imaging for patients with cardiac implantable electronic devices |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/heartjnl-2022-320810 |
| Publisher version: | https://doi.org/10.1136/heartjnl-2022-320810 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Cardiac & Cardiovascular Systems, Cardiovascular System & Cardiology, CARDIOVERTER-DEFIBRILLATOR, 1.5 TESLA, CONDITIONAL PACEMAKER, EUROPEAN-SOCIETY, LEAD EXTRACTION, RHYTHM DEVICES, TASK-FORCE, SAFETY, MRI, GUIDELINES |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Clinical Science |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10159083 |
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