Imaging in patients with cardiovascular implantable electronic devices: part 2—imaging after device implantation. A clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association (EHRA) of the ESC

Abstract Cardiac implantable electronic devices (CIEDs) improve quality of life and prolong survival, but there are additional considerations for cardiovascular imaging after implantation—both for standard indications and for diagnosing and guiding management of device-related complications. This cl...

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Published in:European heart journal cardiovascular imaging 2023-12, Vol.25 (1), p.e33-e54
Main Authors: Stankovic, Ivan, Voigt, Jens-Uwe, Burri, Haran, Muraru, Denisa, Sade, Leyla Elif, Haugaa, Kristina Hermann, Lumens, Joost, Biffi, Mauro, Dacher, Jean-Nicolas, Marsan, Nina Ajmone, Bakelants, Elise, Manisty, Charlotte, Dweck, Marc R, Smiseth, Otto A, Donal, Erwan
Format: Article
Language:English
Subjects:
Cardiac Resynchronization Therapy - methods
Cardiac Resynchronization Therapy Devices
Defibrillators, Implantable - adverse effects
Humans
Magnetic Resonance Imaging
Pacemaker, Artificial - adverse effects
Quality of Life
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Summary:Abstract Cardiac implantable electronic devices (CIEDs) improve quality of life and prolong survival, but there are additional considerations for cardiovascular imaging after implantation—both for standard indications and for diagnosing and guiding management of device-related complications. This clinical consensus statement (part 2) from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date, and evidence-based guidance to cardiologists, cardiac imagers, and pacing specialists regarding the use of imaging in patients after implantation of conventional pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy (CRT) devices. The document summarizes the existing evidence regarding the role and optimal use of various cardiac imaging modalities in patients with suspected CIED-related complications and also discusses CRT optimization, the safety of magnetic resonance imaging in CIED carriers, and describes the role of chest radiography in assessing CIED type, position, and complications. The role of imaging before and during CIED implantation is discussed in a companion document (part 1).
ISSN:2047-2404
2047-2412
2047-2412
DOI:10.1093/ehjci/jead273