The purpose of this policy is to establish guidelines for the Department of Radiology of the UAB medical system in regards to processing requests for MRI examinations of patients with Cardiac Implantable Electronic Devices (CIEDs).
Scope
This standard applies to all departments of Radiology within the UAB University Medical System.
Poliicy
Conditional devices: Conditional devices will be treated as outlined in manufacturer guidelines for lead placement or cardiothoracic surgery timeline. Non-conditional components (broken, abandoned lead remnants, lead extenders or adaptors) will need to be reviewed for scanning under the Non-conditional device policy.
Benefits and Risks
The benefits of the examination and risks associated with it will be explained to the patient; the patient should consent to the examination in writing before the examination can proceed.
Procedure
The referring physician has determined that a patient needs an MRI; places the MRI order into IMPACT and indicates the patient has a CIED. The MR tech will then discuss the case with the appropriate radiologist.
Exclusion Criteria
Conditional devices: CIEDs found not explicitly labeled as MR Safe or MR Conditional CIEDs will be considered labeled as Non-conditional CIEDs.
Adverse Events
The study will be terminated if the patient complains of unusual sensation, movement; or chest discomfort. If this occurs, the following physicians are notified immediately: The EP Consult Attending will be paged via the paging operator.
Post MRI Examination
A post interrogation includes the following: Recheck all lead impedances, Recheck all lead capture thresholds, Recheck sensing, Recheck battery voltage and projected longevity, Reprogram to pre-procedure settings or settings determined appropriate by the EP team.
Manual:
Download: UBMEDICINE Radiology Policy: MRI: Cardiac Implantable Electronic Device
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