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Off-label MRI examination of an MR conditional pacemaker
Jonathon Delve1, Peter Wright2, Ashish Patwala3
1Radiology Physics, University Hospitals of North Midlands NHS Trust, Royal Stroke University Hospital, Stroke on Trent, UK.
BJR Case Reports
|October 27, 2018
Summary
An MR-conditional pacemaker with a lead plug, negating its conditional status, underwent a successful lumbar spine MRI. The procedure was deemed low-risk and manageable with a modified protocol and informed consent.
Area of Science:
- Medical Imaging
- Cardiovascular Devices
- Patient Safety
Background:
- An 18-year-old patient had an MR-conditional pacemaker with a lead plug, which invalidated its MR conditional status.
- The patient required a lumbar spine MRI, presenting a clinical dilemma regarding scan safety.
Observation:
- The clinical team deemed proceeding with the MRI acceptable due to limited alternatives.
- Risk assessment indicated very low additional risk, manageable with established techniques.
Findings:
- Informed consent was obtained from the patient.
- The MRI scan was completed without incident using a modified MR-conditional pacemaker protocol.
Implications:
- This case demonstrates the feasibility of performing MRI in patients with non-conditional pacemakers under strict protocols.
- It highlights the importance of individualized risk assessment and informed consent in managing device-related safety concerns during medical imaging.
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