Capsule endoscopy in patients with cardiac pacemakers, implantable cardioverter defibrillators and left heart assist devices

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Φορέας Ελληνική Γαστροεντερολογική Εταιρία
Συλλογή Annals of Gastroenterology Capsule endoscopy in patients with
cardiac pacemakers, implantable cardioverter defibrillators and
left heart assist devices
Επιμέρους συλλογή Invited Reviews
ΠεριγραφήAccording to the recommendations of the US Food and Drug Administration and manufacturers, capsule endoscopy should not be used in patients carrying implanted cardiac devices. For this review we considered studies indexed (until 30.06.2013) in Medline [keywords: capsule endoscopy, small bowel endoscopy, cardiac pacemaker, implantable cardioverter defibrillator, interference, left heart assist device], technical information from Given Imaging and one own publication (not listed in Medline). Several in vitro and in vivo studies included patients with implanted cardiac devices who underwent capsule endoscopy. No clinically relevant interference was noticed. Initial reports on interference with a simulating device were not reproduced. Furthermore technical data of PillCam (Given Imaging) demonstrate that the maximum transmission power is below the permitted limits for cardiac devices. Hence, impairment of cardiac pacemaker, defibrillator or left ventricular heart assist device function by capsule endoscopy is not expected. However, wireless telemetry can cause dysfunction of capsule endoscopy recording. Application of capsule endoscopy is feasible and safe in patients with implanted cardiac devices such as pacemakers, cardioverter defibrillators, and left heart assist devices. Development of new technologies warrants future re-evaluation.Keywords Capsule endoscopy, cardiac pacemakers, implantable cardioverter defibrillator, interference, left heart assist deviceAnn Gastroenterol 2014; 27 (1): 3-8
Δημιουργοί Bandorski, Dirk Medical Clinic II, University Hospital Giessen und Marburg GmbH, Klinikstrasse 36, 35392 Giessen Höltgen, Reinhard Stunder, Dominik Keuchel, Martin
ΕκδότηςAnnals of Gastroenterology
Ημερομηνία2013-12-19
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ΠηγήAnnals of Gastroenterology; Volume 27, No 1 (2014); 3
Σχέσηhttp://www.annalsgastro.gr/index.php/annalsgastro/article/do
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