Off-label MRI examination of an MR conditional pacemaker | Zendy

Jonathon Delve | Zendy; P.J. Wright | Zendy; Ashish Patwala | Zendy; Dipti Patel | Zendy; Matt Stevenson | Zendy

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Off-label MRI examination of an MR conditional pacemaker

Author(s) -

Jonathon Delve,

P.J. Wright,

Ashish Patwala,

Dipti Patel,

Matt Stevenson

Publication year - 2015

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.

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