Clinical and histopathological outcome of cervical and chest MRI involving non‑MRI‑conditional cardiac pacemakers: a study using sheep models

Clinical and histopathological outcome of cervical and chest MRI involving non‑MRI‑conditional cardiac pacemakers: a study using sheep models


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نویسندگان: علی کیانی نظرلو , منیره حلیمی , فریبرز اکبرزاده , محمد حسین دقیقی , دانیال فدایی فولادی

کلمات کلیدی: Non-MRI-conditional pacemakers · MRI · Safety · Histopathology

نشریه: 0 , 2020 , 125 , 2020

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نویسنده ثبت کننده مقاله فریبرز اکبرزاده
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 71846
عنوان فارسی مقاله Clinical and histopathological outcome of cervical and chest MRI involving non‑MRI‑conditional cardiac pacemakers: a study using sheep models
عنوان لاتین مقاله Clinical and histopathological outcome of cervical and chest MRI involving non‑MRI‑conditional cardiac pacemakers: a study using sheep models
ناشر 9
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق) La radiologia medica
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Abstract Aim To examine the clinical and histopathological consequences of MRI in sheep implanted with non-MRI-conditional cardiac pacemakers. Materials and methods Under general anesthesia, active fixation leads of two dual-chamber, non-MRI-conditional cardiac pacemakers (St. Jude Medical and Medtronic) were implanted either at the right ventricular apex or at the right atrium of two male sheep and connected to the V and A channels of the pacemakers, respectively. The generators were placed in cervical subcutaneous pockets. On day 5, both sheep underwent 1.5 T cervical and chest MRI with continuous electrocardiogram monitoring. Obtained sequences were T1-weighted (T1W), T2-weighted (T2W), T2-gradient echo and diffusion weighted (DW). The employed modes were OVO, VOO and VVI for one sheep and OAO, AOO and AAI for the other (unipolar and bipolar configuration of pacing and sensing for both). Battery impedance, pacing lead impedance, intrinsic amplitude and capture thresholds were checked at baseline and after each sequence, as well as 48 h after imaging. Histopathological examination of the cardiac tissue around the lead tip was performed 4 weeks post-imaging. Results No significant changes in device position or configuration were observed during or after MRI. Clinical outcome was uneventful in both sheep. Minor inflammatory and necrotic changes were reported after histopathological examination of the cardiac tissue around the lead tip. Conclusion 1.5 T MRI of two implanted non-MRI-conditional pacemakers was found safe in terms of device configuration and stability, clinical outcome and cardiac tissue histopathological findings.

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نویسنده نفر چندم مقاله
علی کیانی نظرلوسوم
منیره حلیمیپنجم
فریبرز اکبرزادهششم
محمد حسین دقیقیهشتم
دانیال فدایی فولادینهم

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