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Clinical safety of magnetic resonance imaging early after coronary artery stent placement
Our aim was to examine the rate of adverse cardiac events in patients undergoing magnetic resonance imaging (MRI)
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Published in: | Journal of the American College of Cardiology 2003-10, Vol.42 (7), p.1295-1298 |
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container_end_page | 1298 |
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container_title | Journal of the American College of Cardiology |
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creator | GERBER, Thomas C FASSEAS, Panayotis LENNON, Ryan J VALETI, Venkata U WOOD, Christopher P BREEN, Jerome F BERGER, Peter B |
description | Our aim was to examine the rate of adverse cardiac events in patients undergoing magnetic resonance imaging (MRI) |
doi_str_mv | 10.1016/S0735-1097(03)00993-8 |
format | article |
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The risk of coronary stent thrombosis from dislodgement due to MRI early after stent placement is not well defined. Manufacturers recommend postponing MRI studies until eight weeks after coronary stent placement.
We analyzed the Mayo Clinic Rochester Percutaneous Coronary Intervention Database and examined records of 111 patients who underwent MRI <8 weeks after coronary stent placement treated with aspirin and a thienopyridine. Occurrence of death, myocardial infarction (MI), and repeat revascularization within 30 days of MRI were recorded.
Magnetic resonance imaging (1.5 tesla) was performed within a median of 18 days (range, 0 to 54 days) after coronary stent placement. Four noncardiac deaths occurred, and three patients had repeat revascularization procedures. Stent thrombosis did not occur (95% confidence interval, 0% to 3.3%).
Magnetic resonance imaging <8 weeks after coronary stent placement appears to be safe, and the risk of cardiac death or MI due to stent thrombosis is low. Postponing MRI does not appear to be necessary.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(03)00993-8</identifier><identifier>PMID: 14522498</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Diseases of the cardiovascular system ; Equipment Safety ; Female ; Humans ; Magnetic Resonance Imaging - adverse effects ; Male ; Medical Records ; Medical sciences ; Middle Aged ; Minnesota ; Myocardial Infarction - pathology ; Myocardial Infarction - therapy ; Postoperative Period ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retrospective Studies ; Stents ; Thrombosis - epidemiology ; Thrombosis - etiology</subject><ispartof>Journal of the American College of Cardiology, 2003-10, Vol.42 (7), p.1295-1298</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c289t-7da7b3369a8853f4fd8a64109ae0544288f28c2953f47ee5de5120b6647691a53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15185770$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14522498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GERBER, Thomas C</creatorcontrib><creatorcontrib>FASSEAS, Panayotis</creatorcontrib><creatorcontrib>LENNON, Ryan J</creatorcontrib><creatorcontrib>VALETI, Venkata U</creatorcontrib><creatorcontrib>WOOD, Christopher P</creatorcontrib><creatorcontrib>BREEN, Jerome F</creatorcontrib><creatorcontrib>BERGER, Peter B</creatorcontrib><title>Clinical safety of magnetic resonance imaging early after coronary artery stent placement</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Our aim was to examine the rate of adverse cardiac events in patients undergoing magnetic resonance imaging (MRI) <8 weeks after coronary stent placement.
The risk of coronary stent thrombosis from dislodgement due to MRI early after stent placement is not well defined. Manufacturers recommend postponing MRI studies until eight weeks after coronary stent placement.
We analyzed the Mayo Clinic Rochester Percutaneous Coronary Intervention Database and examined records of 111 patients who underwent MRI <8 weeks after coronary stent placement treated with aspirin and a thienopyridine. Occurrence of death, myocardial infarction (MI), and repeat revascularization within 30 days of MRI were recorded.
Magnetic resonance imaging (1.5 tesla) was performed within a median of 18 days (range, 0 to 54 days) after coronary stent placement. Four noncardiac deaths occurred, and three patients had repeat revascularization procedures. Stent thrombosis did not occur (95% confidence interval, 0% to 3.3%).
Magnetic resonance imaging <8 weeks after coronary stent placement appears to be safe, and the risk of cardiac death or MI due to stent thrombosis is low. Postponing MRI does not appear to be necessary.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>Diseases of the cardiovascular system</subject><subject>Equipment Safety</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - adverse effects</subject><subject>Male</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minnesota</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Postoperative Period</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Thrombosis - epidemiology</subject><subject>Thrombosis - etiology</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpFkMtOwzAQRS0EoqXwCSBvQLAI2LEd20sU8ZIqsQAWrKKpM66C8ih2usjfY0SB1cydezSaO4SccnbNGS9uXpgWKuPM6ksmrhizVmRmj8y5UiYTyup9Mv9DZuQoxg_GWGG4PSQzLlWeS2vm5L1sm75x0NIIHseJDp52sO5xbBwNGIceeoe0SbOmX1OE0E4U_IiBuiEkNyQZkpxoHLEf6aYFh13qjsmBhzbiya4uyNv93Wv5mC2fH57K22XmcmPHTNegV0IUFoxRwktfGyhkOhqQKSlzY3xuXG6_PY2oalQ8Z6uikLqwHJRYkIufvZswfG4xjlXXRIdtCz0O21hppSWX0iTwbAduVx3W1SakVGGqfp-RgPMdADF9xIcUvYn_nOJGac3EFwXcbx8</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>GERBER, Thomas C</creator><creator>FASSEAS, Panayotis</creator><creator>LENNON, Ryan J</creator><creator>VALETI, Venkata U</creator><creator>WOOD, Christopher P</creator><creator>BREEN, Jerome F</creator><creator>BERGER, Peter B</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20031001</creationdate><title>Clinical safety of magnetic resonance imaging early after coronary artery stent placement</title><author>GERBER, Thomas C ; FASSEAS, Panayotis ; LENNON, Ryan J ; VALETI, Venkata U ; WOOD, Christopher P ; BREEN, Jerome F ; BERGER, Peter B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-7da7b3369a8853f4fd8a64109ae0544288f28c2953f47ee5de5120b6647691a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Biological and medical sciences</topic><topic>Diseases of the cardiovascular system</topic><topic>Equipment Safety</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - adverse effects</topic><topic>Male</topic><topic>Medical Records</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minnesota</topic><topic>Myocardial Infarction - pathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Postoperative Period</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Thrombosis - epidemiology</topic><topic>Thrombosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GERBER, Thomas C</creatorcontrib><creatorcontrib>FASSEAS, Panayotis</creatorcontrib><creatorcontrib>LENNON, Ryan J</creatorcontrib><creatorcontrib>VALETI, Venkata U</creatorcontrib><creatorcontrib>WOOD, Christopher P</creatorcontrib><creatorcontrib>BREEN, Jerome F</creatorcontrib><creatorcontrib>BERGER, Peter B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GERBER, Thomas C</au><au>FASSEAS, Panayotis</au><au>LENNON, Ryan J</au><au>VALETI, Venkata U</au><au>WOOD, Christopher P</au><au>BREEN, Jerome F</au><au>BERGER, Peter B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical safety of magnetic resonance imaging early after coronary artery stent placement</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>42</volume><issue>7</issue><spage>1295</spage><epage>1298</epage><pages>1295-1298</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>Our aim was to examine the rate of adverse cardiac events in patients undergoing magnetic resonance imaging (MRI) <8 weeks after coronary stent placement.
The risk of coronary stent thrombosis from dislodgement due to MRI early after stent placement is not well defined. Manufacturers recommend postponing MRI studies until eight weeks after coronary stent placement.
We analyzed the Mayo Clinic Rochester Percutaneous Coronary Intervention Database and examined records of 111 patients who underwent MRI <8 weeks after coronary stent placement treated with aspirin and a thienopyridine. Occurrence of death, myocardial infarction (MI), and repeat revascularization within 30 days of MRI were recorded.
Magnetic resonance imaging (1.5 tesla) was performed within a median of 18 days (range, 0 to 54 days) after coronary stent placement. Four noncardiac deaths occurred, and three patients had repeat revascularization procedures. Stent thrombosis did not occur (95% confidence interval, 0% to 3.3%).
Magnetic resonance imaging <8 weeks after coronary stent placement appears to be safe, and the risk of cardiac death or MI due to stent thrombosis is low. Postponing MRI does not appear to be necessary.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>14522498</pmid><doi>10.1016/S0735-1097(03)00993-8</doi><tpages>4</tpages></addata></record> |
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subjects | Aged Aged, 80 and over Angioplasty, Balloon, Coronary Biological and medical sciences Diseases of the cardiovascular system Equipment Safety Female Humans Magnetic Resonance Imaging - adverse effects Male Medical Records Medical sciences Middle Aged Minnesota Myocardial Infarction - pathology Myocardial Infarction - therapy Postoperative Period Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Stents Thrombosis - epidemiology Thrombosis - etiology |
title | Clinical safety of magnetic resonance imaging early after coronary artery stent placement |
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