MRI and CIEDS: Workflows, Challenges & Solutions-MRI and CIEDS: Workflows, Challenges & Solutions

Video Transcription

Video Summary

The Heart Rhythm Society's 46th annual meeting in San Diego included a session focused on the latest developments and guidelines regarding MRIs for patients with Cardiac Implantable Electronic Devices (CIEDs). Residents and practitioners were encouraged to download the HRS mobile app for live Q&A participation. This session emphasized current guidelines and challenges, particularly highlighting the Expert Consensus from 2017 on MRI Imaging and Radiation Exposure for these devices. Eileen Farrick, a practitioner from White Plains Hospital, detailed how an MRI works and the potential interactions with CIEDs, such as magnetic field-induced forces and heating. She underscored the importance of standardized institutional workflows for MRI procedures in these patients.<br /><br />Additionally, the session touched on existing barriers such as lack of trained personnel, equipment, or interdisciplinary support, reiterating the need for further improvement in access and technology. Recent updates and a call to action for better MRI access for CIED patients were announced, including new collaborations between cardiology and radiology societies and potential changes in device labeling.<br /><br />Speaker Uloma Ijeoma discussed implementing MRI workflows at her institution, emphasizing conditional versus non-conditional device systems and conditionality checks before MRI scans. Automated systems provided by certain manufacturers for efficient MRI procedures were also highlighted.<br /><br />The session concluded with insights from Khadim Khadim of Freeman Hospital, who emphasized the general safety of MRIs for non-conditional devices, including those with abandoned leads, and drew attention to the necessity of informed consent and interdisciplinary cooperation to improve workflow efficiencies and safe practice.

Keywords

Heart Rhythm Society

MRIs

Cardiac Implantable Electronic Devices

CIEDs

guidelines

MRI workflows

interdisciplinary cooperation

device labeling

conditional devices

safety