- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02815384
Assessment Of MRI In Patients With Implanted Cardiac Devices (MRIPACER)
Study Overview
Status
Conditions
Detailed Description
Cardiac implantable electronic devices (cIEDs) generally refer to implanted pacemakers and defibrillators for patients with cardiac disorders affecting their heart rhythm. Previously, cIEDs have been regarded as a contraindication to magnetic resonance imaging (MRI) scans, with concerns that the magnetic fields of the MRI may cause problems with the patient's cIED. However, this is a major healthcare issue, as approximately 50-75% of patients with implanted cIEDs are expected to need a future MRI as part of their clinical care. The inability to get such a test may negatively impact the ability to diagnose and treat future diseases.
However, many of the initial concerns regarding the capability of performing MRI in patients with cIED have likely been overstated. There is peer-reviewed literature dating back to the 1990s regarding the ability to safely perform MRI in patients with cIEDs, if certain protocols are followed regarding patient selection and monitoring. In 2011, Nazarian et al from Johns Hopkins University published a study on 438 patients with cIED that received MRI. There were no adverse clinical effects from this study. In fact, the American College of Radiology updated it's guidance document for Safe MR Practices, and cIEDs are no longer listed as a relative contraindication to obtaining an MRI. However, the presence of cIEDs are still regarded as a relative contraindication to performing MRI at some centers. In addition, performance of MRI in the setting of cIED is denied by the Centers for Medicare and Medicaid Services. Continued accrual of data regarding the safety of performing MRI in patients with cIEDs is needed, including outcomes studies that document the clinical impact of improved diagnostics provided by the MRI on patient care.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
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Arizona
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Tucson, Arizona, United States, 85724
- Recruiting
- Banner University Medical Center-Tucson
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Contact:
- Bobby Kalb, MD
- Phone Number: 520-626-9444
- Email: bkalb@radiology.arizona.edu
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Contact:
- Shannon Urbina, RPA
- Phone Number: 520-626-7500
- Email: shannonu@email.arizona.edu
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- All patients that require an MRI as part of the normal course of their medical care that also have a cIED and are candidates for MRI .
Exclusion Criteria:
- patient does not require an MRI for their medical care
- patient does not have a cIED
- patient has not been seen or approved by cardiology to be a candidate for MRI
- patients under the age of 18
- pregnant patients
- prisoners
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of MRI, adverse clinical events
Time Frame: immediately post MRI
|
collect safety data
|
immediately post MRI
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Impact to Patient Care
Time Frame: 6 months
|
assess the results of the MRI and how the imaging findings impact patient care
|
6 months
|
Morbidity, Number of hospitalizations
Time Frame: 6 months
|
collected from medical record
|
6 months
|
Mortality, outcome of death
Time Frame: 6 months
|
collected from medical records and phone calls
|
6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Bobby Kalb, MD, University of Arizona
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1605560370
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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