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Remote Programming of Cardiac Implantable Electronic Devices: A Novel Approach to Program Cardiac Devices for Magnetic Resonance Imaging
  • Sisir Siddamsetti,
  • Alexander Shinn,
  • Sandeep Gautam
Sisir Siddamsetti
University of Missouri

Corresponding Author:[email protected]

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Alexander Shinn
University of Missouri System
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Sandeep Gautam
University of Missouri School of Medicine
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Background Magnetic Resonance imaging (MRI) in patients (pts) with MRI-conditional cardiovascular implantable electronic devices (CIED) remain a logistical issue for device programming during the scan. In current practice, a trained person needs to be present on-site to program CIED for MRI scan. This can cause delay in patient care, rescheduling of tests and increase healthcare costs. A novel remote programming (RP) strategy can be utilized to reprogram the CIED remotely. We sought to explore the feasibility and safety of RP of CIED’s in pts undergoing MRI scan. Methods We implemented the Medtronic CIED RP software at our institution after ensuring HIPAA compliance. The MRI technician started the session by contacting an off-site remote operator and placing a programmer wand from 2090 Medtronic programmer over CIED. The remote operator logged into a remote access software and provided a unique access code to the MRI technician. After entering the access code into the programmer, the remote operator was able to program the device as needed. We conducted a periodic audit of the first 209 pts who underwent RP of CIED’s for MRI. Outcomes analyzed were safety parameters during RP. Results Of the 209 MRI scans, 51 scans were performed urgently. There were no connectivity and programming problems or need for MRI rescheduling. In-person reprogramming was not required for any pt. All scans were completed safely in a timely manner, and there were no reports of CIED malfunction. Conclusions Remote programming of CIED’s for MRI scans is a safe and effective strategy.
21 Oct 2021Submitted to Journal of Cardiovascular Electrophysiology
12 Nov 2021Submission Checks Completed
12 Nov 2021Assigned to Editor
14 Nov 2021Reviewer(s) Assigned
01 Dec 2021Review(s) Completed, Editorial Evaluation Pending
02 Dec 2021Editorial Decision: Revise Minor
26 Dec 20211st Revision Received
29 Dec 2021Assigned to Editor
29 Dec 2021Submission Checks Completed
29 Dec 2021Reviewer(s) Assigned
10 Jan 2022Review(s) Completed, Editorial Evaluation Pending
13 Jan 2022Editorial Decision: Revise Minor
14 Jan 20222nd Revision Received
17 Jan 2022Submission Checks Completed
17 Jan 2022Assigned to Editor
17 Jan 2022Reviewer(s) Assigned
31 Jan 2022Review(s) Completed, Editorial Evaluation Pending
03 Feb 2022Editorial Decision: Accept
May 2022Published in Journal of Cardiovascular Electrophysiology volume 33 issue 5 on pages 1005-1009. 10.1111/jce.15434