Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Background and Study Aims. The presence of an implantable electromechanical cardiac device (IED) has long been considered a relative contraindication to the performance of video capsule endoscopy (CE). The primary aim of this study was to evaluate the safety of CE in patients with IEDs. A secondary...

Full description

Bibliographic Details
Main Authors:	Harris, Lucinda A., Hansel, Stephanie L., Rajan, Elizabeth, Srivathsan, Komandoor, Rea, Robert, Crowell, Michael D., Fleischer, David E., Pasha, Shabana F., Gurudu, Suryakanth R., Heigh, Russell I., Shiff, Arthur D., Post, Janice K., Leighton, Jonathan A.
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3654345/

id	pubmed-3654345
recordtype	oai_dc
spelling	pubmed-36543452013-05-24 Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe Harris, Lucinda A. Hansel, Stephanie L. Rajan, Elizabeth Srivathsan, Komandoor Rea, Robert Crowell, Michael D. Fleischer, David E. Pasha, Shabana F. Gurudu, Suryakanth R. Heigh, Russell I. Shiff, Arthur D. Post, Janice K. Leighton, Jonathan A. Clinical Study Background and Study Aims. The presence of an implantable electromechanical cardiac device (IED) has long been considered a relative contraindication to the performance of video capsule endoscopy (CE). The primary aim of this study was to evaluate the safety of CE in patients with IEDs. A secondary purpose was to determine whether IEDs have any impact on images captured by CE. Patients and Methods. A retrospective chart review of all patients who had a capsule endoscopy at Mayo Clinic in Scottsdale, AZ, USA, or Rochester, MN, USA, (January 2002 to June 2010) was performed to identify CE studies done on patients with IEDs. One hundred and eighteen capsule studies performed in 108 patients with IEDs were identified and reviewed for demographic data, method of preparation, and study data. Results. The most common indications for CE were obscure gastrointestinal bleeding (77%), anemia (14%), abdominal pain (5%), celiac disease (2%), diarrhea (1%), and Crohn's disease (1%). Postprocedure assessments did not reveal any detectable alteration on the function of the IED. One patient with an ICD had a 25-minute loss of capsule imaging due to recorder defect. Two patients with LVADs had interference with capsule image acquisition. Conclusions. CE did not interfere with IED function, including PM, ICD, and/or LVAD and thus appears safe. Additionally, PM and ICD do not appear to interfere with image acquisition but LVAD may interfere with capsule images and require that capsule leads be positioned as far away as possible from the IED to assure reliable image acquisition. Hindawi Publishing Corporation 2013 2013-04-03 /pmc/articles/PMC3654345/ /pubmed/23710168 http://dx.doi.org/10.1155/2013/959234 Text en Copyright © 2013 Lucinda A. Harris et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Harris, Lucinda A. Hansel, Stephanie L. Rajan, Elizabeth Srivathsan, Komandoor Rea, Robert Crowell, Michael D. Fleischer, David E. Pasha, Shabana F. Gurudu, Suryakanth R. Heigh, Russell I. Shiff, Arthur D. Post, Janice K. Leighton, Jonathan A.
spellingShingle	Harris, Lucinda A. Hansel, Stephanie L. Rajan, Elizabeth Srivathsan, Komandoor Rea, Robert Crowell, Michael D. Fleischer, David E. Pasha, Shabana F. Gurudu, Suryakanth R. Heigh, Russell I. Shiff, Arthur D. Post, Janice K. Leighton, Jonathan A. Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
author_facet	Harris, Lucinda A. Hansel, Stephanie L. Rajan, Elizabeth Srivathsan, Komandoor Rea, Robert Crowell, Michael D. Fleischer, David E. Pasha, Shabana F. Gurudu, Suryakanth R. Heigh, Russell I. Shiff, Arthur D. Post, Janice K. Leighton, Jonathan A.
author_sort	Harris, Lucinda A.
title	Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
title_short	Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
title_full	Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
title_fullStr	Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
title_full_unstemmed	Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe
title_sort	capsule endoscopy in patients with implantable electromedical devices is safe
description	Background and Study Aims. The presence of an implantable electromechanical cardiac device (IED) has long been considered a relative contraindication to the performance of video capsule endoscopy (CE). The primary aim of this study was to evaluate the safety of CE in patients with IEDs. A secondary purpose was to determine whether IEDs have any impact on images captured by CE. Patients and Methods. A retrospective chart review of all patients who had a capsule endoscopy at Mayo Clinic in Scottsdale, AZ, USA, or Rochester, MN, USA, (January 2002 to June 2010) was performed to identify CE studies done on patients with IEDs. One hundred and eighteen capsule studies performed in 108 patients with IEDs were identified and reviewed for demographic data, method of preparation, and study data. Results. The most common indications for CE were obscure gastrointestinal bleeding (77%), anemia (14%), abdominal pain (5%), celiac disease (2%), diarrhea (1%), and Crohn's disease (1%). Postprocedure assessments did not reveal any detectable alteration on the function of the IED. One patient with an ICD had a 25-minute loss of capsule imaging due to recorder defect. Two patients with LVADs had interference with capsule image acquisition. Conclusions. CE did not interfere with IED function, including PM, ICD, and/or LVAD and thus appears safe. Additionally, PM and ICD do not appear to interfere with image acquisition but LVAD may interfere with capsule images and require that capsule leads be positioned as far away as possible from the IED to assure reliable image acquisition.
publisher	Hindawi Publishing Corporation
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3654345/
_version_	1611977848421089280

Capsule Endoscopy in Patients with Implantable Electromedical Devices is Safe

Similar Items