Guidelines

MRI scanning for patients with CIEDs requires some additional steps to be taken both prior to imaging, and on attendance. Growing experience with over 10,000 MRI scans in device patients has allowed a number of guidelines to be established.

Guidelines can be found below (access may be required):

2017 French Society of Cardiovascular Imaging Protocol

2017 International Heart Rhythm Society

2015 UK consensus statement

2015 German Roentgen Society Statement

2014 Canadian Position Statement

2013 European Society of Cardiology 

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2013 ESC guidelines:  Safety precautions for magnetic resonance imaging (MRI) in patients with conventional cardiac devices.  ATP = anti-tachycardiac pacing; ECG = electrocardiogram; ICD = implantable cardioverter defibrillator; PM = pacemaker.

Non-MRI conditional device guidelines:

‘Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator’ (The MagnaSafe registry) N Engl J Med 2017; 376:755-764
MagnaSafe registry protocol

‘Safety of Magnetic Resonance Imaging in patients with cardiac devices’
2017 N Engl J Med 377;26

Review articles

Overview of logistical burdens and legislation

Safety and clinical risk review