植入式心脏设备和磁共振成像(MRI)的使用

J. Vázquez, Federico De la Rosa, Luis Dibarboure, D. Freire
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引用次数: 0

摘要

磁共振成像(MRI)在不同医学领域的应用已大大扩展,每天都有大量的手术需要进行磁共振成像。由于共振器可能与某些物体发生相互作用,装有心脏设备的病人历来被认为是绝对禁忌症而被拒绝接受核磁共振成像。设备技术的进步和越来越多的证据改变了这一观念。我们打算回顾一下植入式设备与共振器相互作用的机制以及可能产生的临床影响。大多数患者都可以接受这些研究,但要确定进行核磁共振成像的安全性,必须了解植入装置的特性和具体类型。最后,我们将为这些患者提供需要考虑的要点和算法。
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Dispositivos cardíacos implantables y uso de resonancia magnética
The use of magnetic resonance imaging (MRI) in different areas of medicine has expanded significantly and nume - rous procedures are indicated daily. The fact that resonators could interact with some objects has historically led to patients with cardiac devices being denied an MRI on the understanding that they suppose an absolute contraindica - tion. Advances in device technology and the increasing evidence have changed this concept. We intend to review the mechanisms by which an implantable device could interact with the resonator and the clinical implications that this could have if any. Most patients will be able to undergo these studies, but to determine the safety of performing an MRI it is important to know the characteristics and specific type of implanted device. Finally, we provide key points and algorithms to take into account for these patients.
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