Allied Professionals Community of Practice

  • 1.  MRIs and Subcutaneous coils

    Posted 01-08-2020 11:23
    Is anyone aware of any data published on the safety of subcutaneous coils with MRI?  The coils are not MRI conditional. My pubmed search turned up empty. Have a patient with personality changes that neuro would iike to get an MRI on, but would like to know if there is any safety data out there before we make a decision. 


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    Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
    Advanced Nurse Practitioner
    Alaska Heart and Vascular Inst
    Anchorage AK
    (907) 529-1628
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  • 2.  RE: MRIs and Subcutaneous coils

    Posted 01-08-2020 11:32

    If anyone has info or studies on this it would be the manufacturer.  I would check with them.  However, the problem is you can't monitor the coil. 

     

     

    Eileen Yeisley, DNP, ARNP, NP-C

    Adult Cardiac Electrophysiology

    The University of Iowa, Hospitals and Clinics

    200 Hawkins Drive

    C 138-c General Hospital

    Iowa City, Iowa 52242

    Phone: (319) 353-8883

    Pager: 9545

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  • 3.  RE: MRIs and Subcutaneous coils

    Posted 01-08-2020 11:36
    Already checked with them. Just wondering if anyone has done them and seen issues after the MRI. I am inclined to not authorize the MRI. My feeling is that if a patient needs to coil for successful defibrillation, I am not eager to risk the coil.

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    Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
    Advanced Nurse Practitioner
    Alaska Heart and Vascular Inst
    Anchorage AK
    (907) 529-1628
    ------------------------------

    Original Message


  • 4.  RE: MRIs and Subcutaneous coils

    Posted 01-09-2020 22:18
    My understanding is that current conditional protocols can only be applied to systems with endovascular leads.  If part of the system is epicardial or subQ, then there is no cooling blood flow around that component to mitigate against potential heating effects. 


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