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SU-E-T-183: Managing and Assessing Patients Receiving Radiotherapy with Implantable Cardiac Devices.

J Prisciandaro1,1,2,1,2,3,1, C Fox1,1,2,1,2,3,1, L Horwood1,1,2,1,2,3,1

  • 1University of Michigan, Ann Arbor, MI.

Medical Physics
|May 19, 2017
PubMed
Summary
This summary is machine-generated.

A new management process for patients with cardiac electronic implantable devices (CEIDs) undergoing radiotherapy proved effective. Few device events occurred, demonstrating the safety of this collaborative approach for managing pacemakers and implantable cardioverter defibrillators.

Keywords:
BioinformaticsCancerCardiac dynamicsDosimetryElectrophysiologyExposure assessmentRadiation therapyRadiation therapy equipmentRadiation treatmentTherapeutics

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Area of Science:

  • Cardiology
  • Radiation Oncology
  • Medical Physics

Background:

  • Patients with cardiac electronic implantable devices (CEIDs) require careful management during radiotherapy.
  • Established protocols are crucial for minimizing risks associated with radiation exposure to these devices.

Purpose of the Study:

  • To evaluate the effectiveness of a collaborative management process for patients with CEIDs receiving radiotherapy.
  • To assess the incidence of device-related events in patients undergoing radiation treatment.

Main Methods:

  • A formal communication process between Radiation Oncology and Cardiac Electrophysiology (EP) was implemented in 2005.
  • This process involved pre-treatment EP consults, dose estimation, and in vivo measurements when necessary.
  • A retrospective analysis of 69 patients (2005-2011) with CEIDs undergoing radiotherapy was conducted.

Main Results:

  • Sixty-nine patients with CEIDs, including 19 implantable cardioverter defibrillators (ICDs) and 50 pacemakers, were treated.
  • Only two patients with ICDs experienced a partial reset of diagnostic data; no major device failures occurred.
  • Radiation doses were estimated, and in vivo measurements were performed for devices near institutional tolerance levels.

Conclusions:

  • A multi-disciplinary approach effectively manages patients with permanent implantable cardiac devices during radiotherapy.
  • The implemented process resulted in a low incidence of device-related events.
  • Continued adherence to this management methodology ensures appropriate EP oversight during radiation therapy.