Evidence map›Paper›PMID 39452284›Full record

ArticleJournal of cardiovascular development and disease2024

Safety of Magnetic Resonance Imaging in Patients with Cardiac Implantable Electronic Devices.

Hugo Lanz, Katharina Strauß, Julia Höpler, Marie Kraft, Sabine Hoffmann, Leonhard Binzenhöfer, Nils Gade, Daniel Roden, Inas Saleh, Stefan Kääb and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07155135 (Magnetic Resonance Imaging Safety in Patients With Non-Conditional, Mixed-Manufacturer Cardiac Implantable Electronic Devices), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07155135 completednot on this map

Magnetic Resonance Imaging Safety in Patients With Non-Conditional, Mixed-Manufacturer Cardiac Implantable Electronic Devices

TypeobservationalSponsorSocal HeartRan2021 to 2025Enrolled16ConditionsSafety of MRIArmsMRI
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

17 authors.

Hugo LanzDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Katharina StraußDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Julia HöplerInstitute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-Universität München, 81377 Munich, Germany.ORCID 0009-0006-7604-6744
Marie KraftInstitute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-Universität München, 81377 Munich, Germany.ORCID 0009-0000-7689-7887
Sabine HoffmannInstitute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-Universität München, 81377 Munich, Germany.
Leonhard BinzenhöferDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.ORCID 0000-0001-8302-9391
Nils GadeDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.ORCID 0009-0004-0510-7736
Daniel RodenDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Inas SalehDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Stefan KääbDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Korbinian LackermairDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Sebastian SadoniDZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, 80636 Munich, Germany.ORCID 0000-0002-1796-4434
Christian HaglDZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, 80636 Munich, Germany.
Steffen MassbergDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Heidi EstnerDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Stephanie FichtnerDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.
Enzo LüsebrinkDepartment of Medicine I, LMU University Hospital, 81377 Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMRI (magnetic resonance imaging) represents the diagnostic image modality of choice in several conditions. With an increasing number of patients requiring MRI for diagnostic purposes, the issue of safety in patients with cardiac implantable electronic devices (CIED) undergoing this imaging modality will play an ever more important role. The purpose of this study was to assess the safety and device function following MRI in an unrestricted real-world cohort of patients with a wide array of cardiac devices.

methodsWe conducted a retrospective single-center study including 1010 MRI studies conducted in adult patients (≥18 years) with an implanted CIED treated in the University Hospital of Munich (LMU) between July 2012 and March 2024. Patients with non-MR conditionally labeled leads, abandoned or epicardial leads, as well as lead fragments, were included for analysis.

resultsAcross a total of 1010 MRIs (920 total MR-conditional device generators) performed in patients with an implanted CIED, there were no deaths, reports of discomfort, palpitations, heating, or ventricular arrythmias in the 24 h following MRI. Only 2/1010 MRIs were followed by a reported atrial arrhythmia within 24 h, both in patients with an MR-conditional pacemaker (PM) device without an abandoned lead. No significant changes in device function following MRI from baseline were observed across all included CIEDs. Lastly, no instances of severe malfunction, such as generator failure, loss of capture, electrical reset, or inappropriate inhibition of pacing, were found in post-MRI interrogation reports across all MRI studies.

conclusionsBased on the analysis of 1010 MRIs undergone by patients with CIEDs, following standardized device interrogation, manufacturer-advised device programming, monitoring of vital function, and manufacturer-advised reprogramming, MRI can be performed safely and without adverse events or changes in device function.

Indexed as

cardiac implantable electronic devicedefibrillatormagnetic resonance imagingpacemaker

Identifiers

PMID39452284
PMCPMC11509009

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Registered trials

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.