Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

23.05.2018 | Original Article | Ausgabe 13-14/2018 Open Access

Wiener klinische Wochenschrift 13-14/2018

Visualization and appearance of artifacts of leadless pacemaker systems in cardiac MRI

An experimental ex vivo study

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 13-14/2018
Autoren:
Christoph Edlinger, Marcel Granitz, Vera Paar, Christian Jung, Alexander Pfeil, Sarah Eder, Bernhard Wernly, Jürgen Kammler, Klaus Hergan, Uta C. Hoppe, Clemens Steinwender, Michael Lichtenauer, MD Alexander Kypta
Wichtige Hinweise

Author’s contribution

Protocol/project development: C. Edlinger, M. Lichtenauer, C. Jung, A. Pfeil. Data collection or management: V. Paar, B. Wernly, S. Eder, A. Kypta, J. Kammler. Data analysis: M. Granitz, K. Hergan, U.C. Hoppe, C. Steinwender
C. Edlinger and M. Granitz contributed equally.

Summary

Background

Leadless pacemaker systems are an important upcoming device in clinical rhythmology. Currently two different products are available with the Micra system (Medtronic) being the most used in the clinical setting to date. The possibility to perform magnetic resonance imaging (MRI) is an important feature of modern pacemaker devices. Even though the Micra system is suitable for MRI, little is yet known about its impact on artifacts within the images.

Objective

The aim of our ex vivo study was to perform cardiac MRI to quantify the artifacts and to evaluate if artifacts limit or inhibit the assessment of the surrounding myocardium.

Methods

After ex vivo implantation of the leadless pacemaker (LP) in a porcine model, hearts were filled with saline solution and fixed on wooden sticks on a plastic container. The model was examined at 1.5 T and at 3 T using conventional sequences and T2 mapping sequences. In addition, conventional X‑rays and computed tomography (CT) scans were performed.

Results

Correct implantation of the LP could be performed in all hearts. In almost all MRI sequences the right ventricle and the septal region surrounding the (LP) were altered by an artifact and therefore would sustain limited assessment; however, the rest of the myocardium remained free of artifacts and evaluable for common radiologic diagnoses. A characteristic shamrock-shaped artifact was generated which appeared to be even more intense in magnitude and brightness when using 3 T compared to 1.5 T.

Conclusion

The use of the Micra system in cardiac MRI appeared to be feasible. In our opinion, it will still be possible to make important clinical cardiac MRI diagnoses (the detection of major ischemic areas or inflammatory processes) in patients using the Micra system. We suggest the use of 1.5 T as the preferred method in clinical practice.
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 13-14/2018

Wiener klinische Wochenschrift 13-14/2018 Zur Ausgabe

mitteilungen der gesellschaft der ärzte in wien

Vorschau auf das Wintersemester 2018/19:

MUW researcher of the month

MUW researcher of the month