Imaging in patients with cardiovascular implantable electronic devices: part 1-imaging before and during device implantation. A clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association (EHRA) of the ESC

Ivan Stankovic*, Jens-Uwe Voigt, Haran Burri, Denisa Muraru, L Elif Sade, Kristina Hermann Haugaa, Joost Lumens, Mauro Biffi, Jean-Nicolas Dacher, Nina Ajmone Marsan, Elise Bakelants, Charlotte Manisty, Marc R Dweck, Otto A Smiseth, Erwan Donal

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

More than 500,000 cardiovascular implantable electronic devices (CIED) are implanted in the European Society of Cardiology countries each year. The role of cardiovascular imaging in patients being considered for CIED is distinctly different from imaging in CIED recipients. In the former group, imaging can help identify specific or potentially reversible causes of heart block, the underlying tissue characteristics associated with malignant arrhythmias, the mechanical consequences of conduction delays and can also aid challenging lead placements. On the other hand, cardiovascular imaging is required in CIED recipients both for standard indications, and to assess the response to device implantation, to diagnose immediate and delayed complications after implantation, and to guide device optimization. The present clinical consensus statement (Part 1) 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 undergoing implantation of conventional pacemakers, cardioverter defibrillators and resynchronization therapy devices. The document summarizes the existing evidence regarding the use of imaging in patient selection and during the implantation procedure and also underlines gaps in evidence in the field. The role of imaging after CIED implantation is discussed in the second document (Part 2).
Original languageEnglish
Pages (from-to)e1–e32
Number of pages32
JournalEuropean Heart Journal Cardiovascular Imaging
Volume25
Issue number1
Early online date20 Oct 2023
DOIs
Publication statusPublished - Jan 2024

Keywords

  • cardiac resynchronization therapy
  • cardiovascular implantable electronic devices
  • defibrillator
  • multimodality imaging
  • pacemaker

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