GuidelineStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2015
DEGRO/DGK guideline for radiotherapy in patients with cardiac implantable electronic devices.
Guideline in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Systematic review of physical and dosimetric criteria for managing CIEDs in radiotherapy: A medical physicist's perspective.Journal of applied clinical medical physics · 2026Pooled it
- Technical aspects of SBRT for therapy-refractory ventricular tachycardia: a systematic review for radiation oncologists.Radiation oncology (London, England) · 2025Pooled it
- The impact of particle radiotherapy on the functioning of cardiac implantable electronic devices: a systematic review of in vitro and in vivo studies according to PICO criteria.La Radiologia medica · 2022Pooled it
- Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review.The Libyan journal of medicine · 2019Pooled it
- Quantifying three-dimensional displacement of cardiac implantable electronic devices and implications for safety margins in radiotherapy.Radiological physics and technology · 2026Article
- Dose rate dependence of incorrect sensing and triggering of defibrillation in cardiac implantable electronic devices: single manufacturer result with kV beam.Radiological physics and technology · 2026Article
- In vivo dosimetry of cardiac implantable electronic devices with a radiophotoluminescent glass dosimeter in patients undergoing radiotherapy.Radiological physics and technology · 2026Article
- Management of Implantable Cardiovascular Devices in Patients Undergoing Radiotherapy.Diagnostics (Basel, Switzerland) · 2026Review
- Article
- Dosimetric feasibility of stereotactic arrhythmia radioablation for ventricular tachycardia in patients with a subcutaneous implantable cardioverter defibrillator.Physics and imaging in radiation oncology · 2025Article
- In-vitro effects of modern radiotherapy regimes on cardiac implanted electrical devices.Physics and imaging in radiation oncology · 2025Article
- Influence of radiotherapy on cardiac implantable devices and leads-a single-institution analysis and critical evaluation of current guidelines.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025Article
- High-Dose Direct Irradiation to a Cardiac Resynchronization Therapy Defibrillator Infiltrated by Metastatic Thyroid Papillary Carcinoma in the Sternum: A Case Report.Advances in radiation oncology · 2025Article
- What do national radiotherapy guidelines for patients with cardiac devices teach us?Heart rhythm O2 · 2024Review
- Effect of simultaneous integrated boost concepts on photoneutron and distant out-of-field doses in VMAT for prostate cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024Article
- Article
- Safety Review of Radiotherapy for Tumor Patients with Implantable Cardiac Pacemaker.Acta Cardiologica Sinica · 2023Review
- Impact of Radiotherapy on Malfunctions and Battery Life of Cardiac Implantable Electronic Devices in Cancer Patients.Cancers · 2023Article
- Diagnosis and management of complications from the treatment of primary central nervous system tumors in adults.Neuro-oncology · 2023Article
- Neutron dose from a 6-MV X-ray beam in radiotherapy.Radiological physics and technology · 2023Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An increasing number of patients undergoing radiotherapy (RT) have cardiac implantable electronic devices [CIEDs, cardiac pacemakers (PMs) and implanted cardioverters/defibrillators (ICDs)]. Ionizing radiation can cause latent and permanent damage to CIEDs, which may result in loss of function in patients with asystole or ventricular fibrillation. Reviewing the current literature, the interdisciplinary German guideline (DEGRO/DGK) was developed reflecting patient risk according to type of CIED, cardiac condition, and estimated radiation dose to the CIED. Planning for RT should consider the CIED specifications as well as patient-related characteristics (pacing-dependent, previous ventricular tachycardia/fibrillation). Antitachyarrhythmia therapy should be suspended in patients with ICDs, who should be under electrocardiographic monitoring with an external defibrillator on stand-by. The beam energy should be limited to 6 (to 10) MV CIEDs should never be located in the beam, and the cumulative scatter radiation dose should be limited to 2 Gy. Personnel must be able to respond adequately in the case of a cardiac emergency and initiate basic life support, while an emergency team capable of advanced life support should be available within 5 min. CIEDs need to be interrogated 1, 3, and 6 months after the last RT due to the risk of latent damage.
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