Key result
1.5 Tesla MRI in 40 pediatric and adult congenital heart disease patients with CIEDs, including epicardial or abandoned leads, caused no clinically significant complications.
Why the study?
Heart Rhythm Society guidelines on MRI in patients with CIEDs excluded children and epicardial or abandoned leads due to theoretical risks, but research investigating these risks is lacking.
Does 1.5 Tesla MRI imaging cause adverse events in pediatric and congenital heart disease patients with CIEDs and epicardial or abandoned leads?
Comparison
1.5 Tesla MRI in patients <18 years, with epicardial leads, abandoned endocardial leads, or abandoned epicardial leads
Design
Single-center retrospective review
Follow-up
Within 1.5 years
Authors
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Supports 1.5T MRI safety in pediatric CHD patients with CIEDs including abandoned leads; leaves open guideline changes pending larger prospective studies.
Observational (n=40)
No
Does 1.5 Tesla MRI imaging cause adverse events in pediatric and congenital heart disease patients with CIEDs and epicardial or abandoned leads?
1.5 Tesla MRI can be performed without clinically significant complications in pediatric and congenital heart disease patients with CIEDs, including those with epicardial or abandoned leads, challenging previous guideline exclusions.
Gakenheimer‐Smith et al. (2020) conducted an observational in Pediatric and congenital heart disease with CIEDs (n=40). 1.5 Tesla MRI was evaluated on Incidence of adverse events to patients or CIEDs from MRI imaging. 1.5 Tesla MRI in 40 pediatric and adult congenital heart disease patients with CIEDs, including epicardial or abandoned leads, caused no clinically significant complications.
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