PMID- 32389768
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1874-1754 (Electronic)
IS  - 0167-5273 (Linking)
VI  - 316
DP  - 2020 Oct 1
TI  - Evaluation of the right heart using cardiovascular magnetic resonance imaging in 
      patients with cardiac devices.
PG  - 266-271
LID - S0167-5273(19)34880-6 [pii]
LID - 10.1016/j.ijcard.2020.05.021 [doi]
AB  - BACKGROUND: Patients with cardiac implantable electronic devices (CIED) 
      necessitate comprehensive cardiovascular magnetic resonance (CMR) examinations. 
      The aim of this study was to provide data on CMR image quality and feasibility of 
      functional assessment of the right heart in patients with CIED depending on the 
      device type and imaging sequence used. METHODS: 120 CIED carriers (Insertable 
      cardiac monitoring system, n = 13; implantable loop-recorder, n = 22; pacemaker, 
      n = 30; implantable cardioverter-defibrillator (ICD), n = 43; and cardiac 
      resynchronization therapy defibrillator (CRT-D), n = 12) underwent clinically 
      indicated CMR imaging using a 1.5 T. CMR protocols consisted of cine imaging and 
      myocardial tissue characterization including T1-and T2-weighted blackblood 
      imaging and late gadolinium enhancement (LGE) imaging. Image quality was 
      evaluated with regard to device-related imaging artifacts per right-ventricular 
      (RV) segment. RESULTS: RV segmental evaluability was influenced by the device 
      type and CMR imaging sequence: Cine steady-state-free-precision (SSFP) imaging 
      was found to be non-diagnostic in patients with ICD/CRT-D and implantable loop 
      recorders; a significant improvement of image quality was achieved when using 
      cine turbo-field-echo (TFE) sequences with a further improvement on post-contrast 
      TFE imaging. LGE scans were artifact-free in at least 91% of RV segments with 
      best results in patients with a pacemaker or an insertable cardiac monitoring 
      system. CONCLUSIONS: In patients with CIED, artifact-free CMR imaging of the 
      right ventricle was performed in the majority of patients and resulted in highly 
      reproducible evaluability of RV functional parameters. This finding is of 
      particular importance for the diagnosis and follow-up of right-ventricular 
      diseases.
CI  - Copyright (c) 2020 Elsevier B.V. All rights reserved.
FAU - Lobe, S
AU  - Lobe S
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany. Electronic address: Susanneloebe@hotmail.com.
FAU - Paetsch, I
AU  - Paetsch I
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Hilbert, S
AU  - Hilbert S
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Spampinato, R
AU  - Spampinato R
AD  - Department of Cardiac Surgery, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Oebel, S
AU  - Oebel S
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Richter, S
AU  - Richter S
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Doring, M
AU  - Doring M
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Sommer, P
AU  - Sommer P
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
FAU - Bollmann, A
AU  - Bollmann A
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany; Leipzig Heart Institute, Leipzig, Germany.
FAU - Hindricks, G
AU  - Hindricks G
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany; Leipzig Heart Institute, Leipzig, Germany.
FAU - Jahnke, C
AU  - Jahnke C
AD  - Department of Electrophysiology, HELIOS Heart Center Leipzig, University of 
      Leipzig, Germany.
LA  - eng
PT  - Journal Article
DEP - 20200507
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
RN  - 0 (Contrast Media)
RN  - AU0V1LM3JT (Gadolinium)
SB  - IM
MH  - Contrast Media
MH  - *Defibrillators, Implantable
MH  - Gadolinium
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Magnetic Resonance Imaging, Cine
OTO - NOTNLM
OT  - Cardiac implantable electronic devices
OT  - Cardiovascular magnetic resonance imaging
OT  - Device-related artifacts
COIS- Declaration of Competing Interest None.
EDAT- 2020/05/12 06:00
MHDA- 2021/05/15 06:00
CRDT- 2020/05/12 06:00
PHST- 2019/10/16 00:00 [received]
PHST- 2020/03/08 00:00 [revised]
PHST- 2020/05/06 00:00 [accepted]
PHST- 2020/05/12 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/05/12 06:00 [entrez]
AID - S0167-5273(19)34880-6 [pii]
AID - 10.1016/j.ijcard.2020.05.021 [doi]
PST - ppublish
SO  - Int J Cardiol. 2020 Oct 1;316:266-271. doi: 10.1016/j.ijcard.2020.05.021. Epub 
      2020 May 7.