Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

06-02-2018 | Review Article | Uitgave 5/2018 Open Access

Netherlands Heart Journal 5/2018

Are there increased periprocedural complications with the MRI-conditional Medtronic Revo SureScan Pacing System?

A meta-analysis

Tijdschrift:
Netherlands Heart Journal > Uitgave 5/2018
Auteurs:
M. Shurrab, A. Kaoutskaia, A. Baranchuk, C. Lau, T. Singarajah, I. Lashevsky, D. Newman, J. S. Healey, E. Crystal

Abstract

Background

The use of magnetic resonance imaging (MRI)-conditional permanent pacemakers has increased significantly. In this meta-analysis, we examine the safety of MRI-conditional pacing systems in comparison with conventional systems.

Methods

An electronic search was performed using major databases, including studies that compared the outcomes of interest between patients receiving MRI-conditional pacemakers (MRI group) versus conventional pacemakers (control group).

Results

Six studies (5 retrospective and 1 prospective non-randomised) involving 2,118 adult patients were identified. The MRI-conditional pacemakers, deployed in 969 patients, were all from a single manufacturer (Medtronic Pacing System with 5086 leads). The rate of pacemaker lead dislodgement (atrial and ventricular) was significantly higher in the MRI group (3% vs. 1%, OR 2.47 (95% CI 1.26; 4.83), p = 0.008). The MRI group had a significantly higher rate of pericardial complications (2% vs. 1%, OR 4.23 (95% CI 1.18; 15.10), p = 0.03) and a numerically higher overall complication rate in comparison with the conventional group (6% vs. 3%, OR 2.02 (95% CI 0.88; 4.66), p = 0.10) but this was not statistically significant.

Conclusions

In this meta-analysis, the rates of pacemaker lead dislodgement and pericardial complications were significantly higher with the Medtronic MRI-conditional pacing system.

Onze productaanbevelingen

Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Literatuur
Over dit artikel

Andere artikelen Uitgave 5/2018

Netherlands Heart Journal 5/2018 Naar de uitgave

Rhythm Puzzle – Answer

Criss-cross