Evidence map›Paper›PMID 34164862›Full record

ArticleJournal of cardiovascular electrophysiology2021

Transforming a pre-existing MRI environment into an interventional cardiac MRI suite.

Geertruida P Bijvoet, Robert J Holtackers, Jouke Smink, Tom Lloyd, Cristy L M van den Hombergh, Luuk J B M Debie, Joachim E Wildberger, Kevin Vernooy, Casper Mihl, Sevasti-Maria Chaldoupi

Open access · hybridAbstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. New concepts in atrial fibrillation pathophysiology.Herzschrittmachertherapie & Elektrophysiologie · 2022
    Review
  8. Improved catheter tracking during cardiovascular magnetic resonance-guided cardiac catheterization using overlay visualization.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
  9. High-power short-duration ablation: The new standard for pulmonary vein isolation?International journal of cardiology. Heart & vasculature · 2021
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Geertruida P BijvoetDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-3475-0155
Robert J HoltackersDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Jouke SminkDepartment of Clinical Research, Philips Healthcare, Best, The Netherlands.
Tom LloydDepartment of Clinical Research, Imricor Medical Systems, Burnsville, Minnesota, USA.
Cristy L M van den HomberghDepartment of Anaesthesiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Luuk J B M DebieDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Joachim E WildbergerDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Kevin VernooyDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Casper MihlDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Sevasti-Maria ChaldoupiDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Maastricht University · NLRadboud University Nijmegen · NLImricor (United States) · USPhilips (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo illustrate the practical and technical challenges along with the safety aspects when performing MRI-guided electrophysiological procedures in a pre-existing diagnostic magnetic resonance imaging (MRI) environment. METHODS AND

resultsA dedicated, well-trained multidisciplinary interventional cardiac MRI team (iCMR team), consisting of electrophysiologists, imaging cardiologists, radiologists, anaesthesiologists, MRI physicists, electrophysiological (EP) and MRI technicians, biomedical engineers, and medical instrumentation technologists is a prerequisite for a safe and feasible implementation of CMR-guided electrophysiological procedures (iCMR) in a pre-existing MRI environment. A formal dry run "mock-up" to address the entire spectrum of technical, logistic, and safety issues was performed before obtaining final approval of the Board of Directors. With this process we showed feasibility of our workflow, safety protocol, and bailout procedures during iCMR outside the conventional EP lab. The practical aspects of performing iCMR procedures in a pre-existing MRI environment were addressed and solidified. Finally, the influence on neighbouring MRI scanners was evaluated, showing no interference.

conclusionTransforming a pre-existing diagnostic MRI environment into an iCMR suite is feasible and safe. However, performing iCMR procedures outside the conventional fluoroscopic lab, poses challenges with technical, practical, and safety aspects that need to be addressed by a dedicated multi-disciplinary iCMR team.

Indexed as

Catheter AblationMagnetic Resonance Imaging, InterventionalFluoroscopyHeartHumansMagnetic Resonance Imagingbasic: atrial fibrillation/atrial arrhythmiasclinical: cardiac anatomyclinical: catheter ablation-atrial flutterclinical: electrophysiology-atrial arrhythmiasclinical: noninvasive techniques-MRI

Identifiers

PMID34164862
PMCPMC8456838
OpenAlexW3177494172

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.