Joint Position Paper of the Working Group of Pacing and Etectrophysiotogy of the French Society of Cardiology (SFC) and the Societe franca se d'imagerie cardiaque et vasculaire diagnostique et interventionnelte (SFICV) on magnetic resonance imaging in patients with cardiac electronic implantable devices

Magnetic resonance imaging (MRI) has become the reference imaging for the management of a large number of diseases. The number of MR examinations increases every year, simultaneously with the number of patients receiving a cardiac electronic implantable device (CEID). A CEID was considered an absolute contraindication for MRI for years. The progressive replacement of conventional pacemakers and defibrillators by MR-conditional CEIDs and recent data on the safety of MRI in patients with MR-nonconditional CEIDs have progressively increased the demand for MRI in patients with a CEID. However, some risks are associated with MRI in CEID carriers, even with MR-conditional devices because these devices are not MR-safe. A specific programing of the device in MR-mode and monitoring patients during MRI remain mandatory for all patients with a CEID. A standardized patient workflow based on an institutional protocol should be established in each institution performing such examinations. This joint position paper of the Working Group of Pacing and Electrophysiology of the French Society of Cardiology and the Societe francaise d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) describes the effect and risks associated with MRI in CEID carriers. We propose recommendations for patient workflow and monitoring and CEID programming in MR-conditional, MR-conditional nonguaranteed and MR-nonconditional devices. (C) 2020 The Authors. Published by Elsevier Masson SAS on behalf of Societe francaise de radiologie.