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Strategy for Safe Performance of Magnetic Resonance Imaging on a Patient with Implantable Cardioverter Defibrillator
Author(s) -
NAEHLE CLAAS PHILIP,
SOMMER TORSTEN,
MEYER CARSTEN,
STRACH KATHARINA,
KREUZ JENS,
LITT HAROLD,
LEWALTER THORSTEN,
SCHILD HANS,
SCHWAB JOERG OTTO
Publication year - 2006
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2006.00285.x
Subject(s) - medicine , implantable cardioverter defibrillator , magnetic resonance imaging , ventricular fibrillation , radiology , cardiology
Clinically indicated magnetic resonance imaging (MRI) of the brain was safely performed at 1.5 T on a patient with an implantable cardioverter defibrillator (ICD). The ICD was reprogrammed to detection only, and imaging hardware and protocols were modified to minimize radiofrequency power deposition to the ICD system. The integrity of the ICD system was verified immediately post‐MRI and after 6 weeks, including an ICD test with induction of ventricular fibrillation. This case demonstrates that in exceptional circumstances, in carefully selected patients, and using special precautions, an MRI exam of the brain may be possible in patients with ICDs.