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; E. Gandjbakhch; J. Taieb; M. Chauvin; F. Anselme; A. Bartoli; L. Boyer; L. Cassagnes; H. Cochet; B. Dubourg; L. Fauchier; D. Gras; D. Klug; G. Laurent; J. Mansourati; E. Marijon; P. Maury; O. Piot; F. Pontana; F. Sacher; N. Sadoul; S. Boveda; A. Jacquier

doi:10.1016/j.diii.2020.02.003

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 ¹⁵ O. Piot ¹⁶ F. Pontana ¹⁷ F. Sacher ¹⁸ N. Sadoul ¹⁹ S. Boveda ²⁰ A. Jacquier ²¹

1 EnVI - Nouvelles Cibles Pharmacologiques de la Protection Endothéliale et de l'Insuffisance Cardiaque

2 CHU Pitié-Salpêtrière [APHP]

3 DAM/DIF - DAM Île-de-France

4 Service de cardiologie [Strasbourg]

5 Service de cardiologie [CHU Rouen]

6 ISIT - Image Science for Interventional Techniques

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 LMD - Laboratoire de Météorologie Dynamique (UMR 8539)

16 BIOSPECT - Biospectroscopie Translationnelle - EA 7506

17 EGID - Récepteurs nucléaires, maladies cardiovasculaires et diabète

18 UB - Université de Bordeaux

19 Service de Cardiologie [CHRU Nancy]

20 Clinique Pasteur, Toulouse, France.

21 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 : Cardiac pacing Defibrillators Magnetic resonance imaging (MRI) Pacemaker Safety artificial medical device

Document type :

Journal articles

Domain :

Life Sciences [q-bio] / Human health and pathology / Cardiology and cardiovascular system

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https://www.hal.inserm.fr/inserm-02495037
Contributor : Jean Nicolas Dacher <>
Submitted on : Saturday, February 29, 2020 - 8:29:25 PM
Last modification on : Saturday, March 28, 2020 - 1:56:00 AM

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.. Diagnostic and Interventional Imaging, Elsevier, 2020, pp.S2211-5684(20)30035-8. ⟨10.1016/j.diii.2020.02.003⟩. ⟨inserm-02495037⟩

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