Open AccessOff-label MRI examination of an MR conditional pacemaker
Author(s) -
Jonathon Delve,
P.J. Wright,
Ashish Patwala,
Dipti Patel,
M Stevenson
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150219
Subject(s) - medicine , radiology , protocol (science) , informed consent , lumbar , nuclear medicine , pathology , alternative medicine
An 18-year-old patient was implanted with an MR-conditional pacemaker using a lead plug which negated the manufacturer CE approved MR conditional status of the pacing system. The patient was referred for a lumbar spine MRI. The clinical opinion was that the risk of proceeding with the MRI was acceptable given the alternatives of: (a) changing the pacing system or (b) not performing the scan. A risk assessment revealed that the additional risk was very low and easily mitigated by an established technique. Informed consent was obtained and the scan was completed without incident following a slightly modified MR-conditional pacemaker scanning protocol.