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Schenk CD, Gebker R, Berger A, Pieske B, Stehning C, Kelle S. Review of safety reports of cardiac MR-imaging in patients with recently implanted coronary artery stents at various field strengths. Expert Rev Med Devices 2020; 18:83-90. [PMID: 33295208 DOI: 10.1080/17434440.2021.1860017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Background: Aim of this study was to review current literature and data regarding the effects of MRI-examination post stent implantation on re-occlusion rates.Methods: We focused on representative studies in the database MEDLINE. Inclusion criteria were: clinical studies with the main focus on the safety of coronary artery stents after MRI-examination in the time interval of 8 weeks post stent implantation. During a follow up period the incidence of cardiac events was recorded. In addition, the time interval between stent implantation and MRI-examination should be defined.Results: Our search resulted in a total of relevant 17 studies. There were in-vivo as well as in-vitro studies and in addition three further publications f.e. guidelines. Concerning the patients, we differentiated between MRI performed shortly after acute cardiac event and in stable CAD. MRI-examinations were performed at different field strengths and reported different stent types. Considered were the incidences of cardiac events.Conclusion: Independent of MRI field strength (1.5 Tesla or 3.0 Tesla) or used stent type (BMS or DES), there was no increased rate for cardiac events in patients, who underwent MRI < 8 weeks after stent placement. MRI < 8 weeks after stent placement seems to be safe.
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Affiliation(s)
- Christian David Schenk
- German Heart Center Berlin, Department of Internal Medicine/Cardiology, Berlin, Germany.,Charité Campus Virchow Klinikum, Department of Internal Medicine/Cardiology, Berlin, Germany
| | - Rolf Gebker
- German Heart Center Berlin, Department of Internal Medicine/Cardiology, Berlin, Germany
| | - Alexander Berger
- German Heart Center Berlin, Department of Internal Medicine/Cardiology, Berlin, Germany
| | - Burkert Pieske
- German Heart Center Berlin, Department of Internal Medicine/Cardiology, Berlin, Germany.,Charité Campus Virchow Klinikum, Department of Internal Medicine/Cardiology, Berlin, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site, Berlin, Germany
| | | | - Sebastian Kelle
- German Heart Center Berlin, Department of Internal Medicine/Cardiology, Berlin, Germany.,Charité Campus Virchow Klinikum, Department of Internal Medicine/Cardiology, Berlin, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site, Berlin, Germany
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