MSGID: 1:317/3 62735306   
   PID: hpt/lnx 1.9.0-cur 2019-01-08   
   TID: hpt/lnx 1.9.0-cur 2019-01-08   
    Remote programming of cardiac implantable devices is safe for MRI scan,   
   study suggests    
      
     Date:   
         May 4, 2022   
     Source:   
         University of Missouri-Columbia   
     Summary:   
         More than 60 million magnetic resonance imaging (MRI) scans are   
         performed worldwide each year, but imaging for the millions of   
         patients with cardiac implantable electronic devices (CIEDs) such   
         as pacemakers is a logistical challenge, because of concerns with   
         how the magnetic field affects the implants. Now, a newly published   
         study reveals safe and effective reprogramming of these devices   
         is possible, even from a remote location.   
      
      
      
   FULL STORY   
   ==========================================================================   
   More than 60 million magnetic resonance imaging (MRI) scans are performed   
   worldwide each year, but imaging for the millions of patients with   
   cardiac implantable electronic devices (CIEDs) such as pacemakers is a   
   logistical challenge, because of concerns with how the magnetic field   
   affects the implants. Now, a newly published study from the University   
   of Missouri School of Medicine reveals safe and effective reprogramming   
   of these devices is possible, even from a remote location.   
      
      
   ==========================================================================   
   Researchers conducted an observational study of 209 patients at MU Health   
   Care's University Hospital who underwent remote programming of their   
   device for MRI using Medtronic RM CareLink technology. Of those scans,   
   51 were performed urgently. An MRI technician started each session by   
   contacting an off-site operator and placing a programming wand on the   
   patient's CIED, enabling the programmer to access the device remotely   
   and switch to an MRI-safe mode. After completing the scan, the remote   
   programmer returned the device to the patient's baseline settings.   
      
   "During this study, none of the patients experienced any symptoms during   
   the scan, no one needed any changes to the baseline settings afterward,   
   and there were no technology issues," said senior author Sandeep Gautam,   
   MD, associate professor of clinical medicine. "The estimated time saved   
   per scan was 18 to 38 minutes per patient, calculated by measuring the   
   device representative's travel time to the MRI suite."  Remote programming   
   could reduce the need to reschedule MRI scans and other procedures that   
   require device programming in case there is no device representative or   
   other qualified personnel present on-site to perform the task.   
      
   "We believe this technology will reduce unnecessary use of health care   
   resources and manpower," Gautam said. "This will eventually lead to   
   reduction in health care costs, as it will require a smaller number   
   of personnel for device programming, eliminate travel cost and may be   
   especially helpful in rural areas where access to health care is limited."   
   Gautam said future studies are needed to evaluate the safety and efficacy   
   of remote programming in larger patient populations, with different   
   vendors and more diverse settings.   
      
   Gautam's co-authors include principal investigator Sisir Siddamsetti,   
   MD, cardiology fellow; and Alexander Shinn, DO, medical resident.   
      
      
   ==========================================================================   
   Story Source: Materials provided by University_of_Missouri-Columbia. Note:   
   Content may be edited for style and length.   
      
      
   ==========================================================================   
   Journal Reference:   
      1. Sisir Siddamsetti, Alexander Shinn, Sandeep Gautam. Remote   
      programming of   
         cardiac implantable electronic devices: A novel approach to   
         program cardiac devices for magnetic resonance imaging. Journal   
         of Cardiovascular Electrophysiology, 2022; 33 (5): 1005 DOI:   
         10.1111/jce.15434   
   ==========================================================================   
      
   Link to news story:   
   https://www.sciencedaily.com/releases/2022/05/220504110421.htm   
      
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