Table 5.

Advice table for CMR imaging in active device patients

Advice for MR imaging in active device patients	Strength of advice
(1) It is advised to carefully evaluate indication to perform CMR in patients with CIED
(2) In patients with CIEDs CCT may be preferred to CMR if primary anatomic information is warranted
(3) CMR may be appropriate in patients with CIED to specify the underlying cardiac abnormalities and target regions for VT ablation
(4) A dedicated team of imaging specialist and electrophysiologist may be implemented to consensus on indication, optimum mode of imaging, goal of imaging, and need for follow-up
(5) CMR in patients with CIED is advised to only be performed if an expert in device handling is available on site
(6) Complete interrogation of PMs and ICDs is advised to be performed directly before and after CMR imaging
(7) Emergency standard operating procedures for device malfunction during CMR are advised to be in place
(8) Close follow-up of patients with CIED after CMR following a predefined plan is advised to identify potential malfunction, most effectively using frequent remote monitoring

CIED, cardiovascular implantable electronic device; CCT, cardiac computed tomography; CMR, cardiac magnetic resonance imaging; ICD, implantable cardioverter–defibrillator; MR, magnetic resonance; PM, pacemaker; VT, ventricular tachycardia.