Posters
« Back
ADVISA PACEMAKER SCANNED AT 3 TESLA MRI SYSTEM: FIRST EXPERIENCE
EP26736
ADVISA PACEMAKER SCANNED AT 3 TESLA MRI SYSTEM: FIRST EXPERIENCE
Submitted on 03 Dec 2017

Gabriele D’Ambrosio (1,2), Laura Anna Leo (2), Maria Luce Caputo (2), Francesco Fulvio Faletra (2), Maria Penco (1), Chiara Bucciarelli-Ducci (2,3)
(1) Department of Life, Health & Environmental Sciences (MESVA), University of L’Aquila, L’Aquila, Italy - (2) Department of Cardiology, Fondazione Cardiocentro Ticino, Lugano, Switzerland - (3) Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust , Bristol, UK
This poster was presented at Euro CMR 2017, Prague 25-27 May 2017
Poster Views: 444
View poster »
Poster Abstract
A 80 years old male with known endovascular exclusion of aortic aneurysm was admitted to our institution
to treat an juxtarenal aortic aneurysm with a fenestrated endovascular graft. After the procedure, the
patient developed an hemorrhagic shock related to a distal renal artery perforation. The hemorrhage was
successfully managed with transcatheter selective embolization. During the shock the patient developed
a non ST segment elevation myocardial infarction (Type 2 NSTE ACS) complicated by second degree AV
block. The patient received a dual chamber Advisa™, Medtronic (a new 3 Tesla MR Conditional pacemaker)
in the right chest wall. After 6 weeks the patient underwent a full CMR protocol including cine imaging,
late gadolinium enhancement (LGE) and stress perfusion which was carried out in a 3.0T Skyra scanner
(Siemens) in order to assess inducible ischaemia and myocardial viability. The pacemaker was checked
before and after the CMR examination. Impedance, thresholds and sensing values of both atrial and
ventricular leads were good. The device was programmed in asynchronous VOO mode. After the CMR
examination the device was reprogrammed as usual. Cine GRE sequences were performed to minimize
artifacts due to the pacemaker (Figure 1). Of note, the most significant image artefact was generated by
the presence of the aortic endoprosthesis obscuring the all inferior wall. The CMR study demonstrates
a small subendocardial late enhancement of basal anterolateral wall consistent with small LCX/OM1
infarction (likely distal embolization) without evidence of inducible ischemia. The quality of the stress
CMR images was affected in the inferior wall mainly due to the presence of the aortic endoprosthesis, but
not related to the pacemaker in right side position (Figure 2).Report abuse »
Questions
Ask the author a question about this poster.
Ask a Question »

Creative Commons

Related Posters


A Novel Method For Discovery of Peripheral Blood Biomarkers in Idiopathic Pulmonary Fibrosis Using Extensive Depletion and TMTcalibratorTM Tissue-Enhanced Plasma Proteomics
I. Pike1, M. Bremang1, P.J. Wolters 2, R. Gaster3, S. Turner3, M. Decaris3

COMBINED HYSTEROLAPAROSCOPY IN EVALUATION OF FEMALE INFERTILITY
Nikita Gandotra

Things just keep changing: Family caregivers' perceptions of the impact of Huntington's disease on caregiver burden
Jess Kaplonyi, Dr Christopher Lind, Catherine Christian, Irene Scott

The EurOPDX EDIReX project: towards a European Research Infrastructure on patient-derived cancer models
E. Vinolo 1, J.P. Morris 1, D.G. Alférez 2, J. Arribas 3,4,5, C. Bernadó 3,4,5, A. Bertotti 6, A. Bruna 7, A.T. Byrne 8, C. Caldas 7, R.B. Clarke 2, N. Conte 9, R. Corsi 10, S. Corso 6, M. Crespo 3, A. Dahmani 11, V. Dangles-Marie 11, D. Decaudin 11, Z. Dudová 12, A. Fiori 6, S. Giordano 6, M. Hauptsmann 13, M. Hidalgo 14, C. Isella 6, S. de Jong 15, J. Jonkers 13, A. Křenek 12, O. Krijgsman 13, D. Kouřil 12, J.C. Lacal 14, L. Lanfrancone 16, E. Leucci 17, G.M. Mælandsmo 18, E. Marangoni 11, J. Mason 9, M.Th. Mayrhofer 19, A. Mazzocca 6, T.S. Meehan 9, E. Montaudon 11, F. Nem

Outcomes of prolotherapy for intra-tendinous Achilles tears: A case series
Ben Havard, Otto Chan, Dylan Morrissey, Sarah Morton