Key result
MRgFUS ablation of lumbar facet joints was successfully performed in a patient with an MRI non-conditional pacemaker without any adverse cardiac events during or following the procedure.
Why the study?
To provide an initial report that patients with an MRI non-conditional cardiac implanted electronic device can undergo MRgFUS ablation procedures with careful planning and integration into established CIED MRI practice.
Can a patient with an MRI non-conditional pacemaker safely undergo MRgFUS ablation at 1.5T?
Case Report (n=1)
No
Can a patient with an MRI non-conditional pacemaker safely undergo MRgFUS ablation at 1.5T?
MRgFUS ablation at 1.5T can be safely performed in a patient with an MRI non-conditional pacemaker with careful multidisciplinary planning.
OBJECTIVE: To provide an initial report that patients with magnetic resonance imaging (MRI) non-conditional cardiac implanted electronic device (CIED) can undergo state-of-the-art magnetic resonance imaging-guided focused (MRgFUS) ablation procedures with careful planning and integration of the procedure into an established CIED MRI practice. PATIENT AND METHODS: We describe an MRgFUS ablation treatment of lumbar facet joints in a patient with an MRI non-conditional CIED (pacemaker), completed in accordance with our institutional CIED/MRI practice guidelines. RESULTS: A risk-benefit analysis by a coordinated multidisciplinary team before this treatment was performed to account for the risks associated with the MRI non-conditional pacemaker in the context of the MRgFUS procedure. CONCLUSION: The patient had no adverse cardiac event during or following this procedure.
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Browne et al. (2020) conducted a case report in Lumbar facet joint pain in a patient with an MRI non-conditional pacemaker (n=1). Magnetic resonance imaging-guided focused ultrasound (MRgFUS) ablation was evaluated on Adverse cardiac events during or following the procedure. MRgFUS ablation of lumbar facet joints was successfully performed in a patient with an MRI non-conditional pacemaker without any adverse cardiac events during or following the procedure.
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