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Joint Position Paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology (SFC) and the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) on magnetic resonance imaging in patients with cardiac electronic implantable devices.

Jean Nicolas Dacher 1 E. Gandjbakhch 2 J. Taieb 3 M. Chauvin 4 F. Anselme 5 A. Bartoli 6 L. Boyer 7 L. Cassagnes 8 H. Cochet 9 B. Dubourg 5 L. Fauchier 10 D. Gras 11 D. Klug 12 G. Laurent J. Mansourati 13 E. Marijon 14 P. Maury O. Piot 15 F. Pontana 16 F. Sacher 17 N. Sadoul 18 S. Boveda 19 A. Jacquier 20
1 EnVI - Nouvelles Cibles Pharmacologiques de la Protection Endothéliale et de l'Insuffisance Cardiaque
2 CHU Pitié-Salpêtrière [AP-HP]
3 DAM/DIF - DAM Île-de-France
4 Service de cardiologie [Strasbourg]
5 Service de cardiologie [CHU Rouen]
6 TIMONE - Hôpital de la Timone [CHU - APHM]
7 IES - Institut d’Electronique et des Systèmes
8 service d'Imagerie
9 IHU-LIRYC
10 CHU Trousseau [Tours]
11 LAI - Adhésion et Inflammation
12 Service de cardiologie Pédiatrique [Lille]
13 Département Cardiologie
14 PARCC - UMR-S U970 - Paris-Centre de Recherche Cardiovasculaire
15 BIOSPECT - Biospectroscopie Translationnelle - EA 7506
16 RNMCD - Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011
17 UB - Université de Bordeaux
18 Service de Cardiologie [CHRU Nancy]
19 Clinique Pasteur, Toulouse, France.
20 CRMBM - Centre de résonance magnétique biologique et médicale
Abstract : Magnetic resonance imaging (MRI) has become the reference imaging for the management of a large number of diseases. The number of MR examinations increases every year, simultaneously with the number of patients receiving a cardiac electronic implantable device (CEID). A CEID was considered an absolute contraindication for MRI for years. The progressive replacement of conventional pacemakers and defibrillators by MR-conditional CEIDs and recent data on the safety of MRI in patients with "MR-nonconditional" CEIDs have progressively increased the demand for MRI in patients with a CEID. However, some risks are associated with MRI in CEID carriers, even with "MR-conditional" devices because these devices are not "MR-safe". A specific programing of the device in "MR-mode" and monitoring patients during MRI remain mandatory for all patients with a CEID. A standardized patient workflow based on an institutional protocol should be established in each institution performing such examinations. This joint position paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) describes the effect and risks associated with MRI in CEID carriers. We propose recommendations for patient workflow and monitoring and CEID programming in MR-conditional, "MR-conditional nonguaranteed" and MR-nonconditional devices.
Keywords : medical device Cardiac pacing Defibrillators Magnetic resonance imaging (MRI) Pacemaker Safety artificial
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https://www.hal.inserm.fr/inserm-02495037
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Submitted on : Saturday, February 29, 2020 - 8:29:25 PM
Last modification on : Tuesday, January 11, 2022 - 10:32:03 AM

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INSERM | RIIP | CRMBM | CEA | DAM | MIPS | COMUE-NORMANDIE | UNIV-MONTPELLIER | URCA | UNIROUEN | BIOSPECT | UNIV-AMU | SORBONNE-UNIVERSITE | PARISTECH | CNRS | RIIP_LILLE | UNIV-PARIS | UP-SANTE | UNIV-LILLE | RNMCD | SU-TI

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Jean Nicolas Dacher, E. Gandjbakhch, J. Taieb, M. Chauvin, F. Anselme, et al.. Joint Position Paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology (SFC) and the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) on magnetic resonance imaging in patients with cardiac electronic implantable devices.. 2020, pp.S2211-5684(20)30035-8. ⟨10.1016/j.diii.2020.02.003⟩. ⟨inserm-02495037⟩

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