Mayo Clinic Proceedings: Innovations, Quality & Outcomes (Aug 2020)

Magnetic Resonance Imaging–Guided Focused Ultrasound Ablation of Lumbar Facet Joints of a Patient With a Magnetic Resonance Image Non-Conditional Pacemaker at 1.5T

  • Jacinta E. Browne, PhD,
  • Christin A. Tiegs-Heiden, MD,
  • Vance T. Lehman, MD,
  • Zaiyang Long, PhD,
  • Nicholas J. Hangiandreou, PhD,
  • Robert E. Watson, MD, PhD,
  • Gina K. Hesley, MD,
  • Krzysztof R. Gorny, PhD

Journal volume & issue
Vol. 4, no. 4
pp. 464 – 468

Abstract

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Objective: To provide an initial report that patients with magnetic resonance imaging (MRI) non-conditional cardiac implanted electronic device (CIED) can undergo state-of-the-art magnetic resonance imaging–guided focused (MRgFUS) ablation procedures with careful planning and integration of the procedure into an established CIED MRI practice. Patient and Methods: We describe an MRgFUS ablation treatment of lumbar facet joints in a patient with an MRI non-conditional CIED (pacemaker), completed in accordance with our institutional CIED/MRI practice guidelines. Results: A risk-benefit analysis by a coordinated multidisciplinary team before this treatment was performed to account for the risks associated with the MRI non-conditional pacemaker in the context of the MRgFUS procedure. Conclusion: The patient had no adverse cardiac event during or following this procedure.