Pooled Analysis of the Efficacy and Safety of Video Capsule Endoscopy in Patients with Implantable Cardiac Devices
Joint Authors
Tabet, Rabih
Nassani, Najib
Karam, Boutros
Shammaa, Youssef
Akhrass, Philippe
Deeb, Liliane
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
To date, video capsule endoscopy (VCE) is still contraindicated by the FDA and the main manufacturers of Cardiac Implantable Electronic Devices (CIED) in patients with CIED, given a theoretical electromagnetic interference and possible device malfunction.
Objectives.
The objective of this study was to assess the safety profile and efficacy of VCE in patients with implantable cardiac devices through analyzing the risk of mutual interference.
Methods.
A systematic review of PubMed, Web of Science, and Embase databases was conducted.
Peer-reviewed original articles, published in the English language and containing “capsule endoscopy” AND “pacemaker”, “defibrillator” OR “left ventricular assist device” as keywords, were selected.
Studies performed in vitro, isolated case reports, and abstracts/posters were excluded.
Results.
A total of 735 VCE procedures were performed in patients with cardiac devices in various clinical settings.
Cardiac events were not seen in any case.
Interference on capsule images transmission was noted in 5 cases (left ventricular assist device (LVAD)) where few images were lost when the capsule was closest to the device.
Finally, interference between capsule and telemetry leads was noted in 6 cases (4 Permanent Pacemakers (PPM), 2 Implantable Cardioverter-Defibrillator (ICD)) leading to image artifacts.
Discussion.
Adverse cardiac events were not seen in any study.
Loss of images occurred when the VCE was in proximity to the device (only with LVAD) or after telemetry leads installation without affecting the completion rate and diagnostic yield of VCE.
Conclusion.
VCE is safe and remains efficient in patients with cardiac devices.
If cardiac monitoring is required, wired systems are preferable.
American Psychological Association (APA)
Tabet, Rabih& Nassani, Najib& Karam, Boutros& Shammaa, Youssef& Akhrass, Philippe& Deeb, Liliane. 2019. Pooled Analysis of the Efficacy and Safety of Video Capsule Endoscopy in Patients with Implantable Cardiac Devices. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129830
Modern Language Association (MLA)
Tabet, Rabih…[et al.]. Pooled Analysis of the Efficacy and Safety of Video Capsule Endoscopy in Patients with Implantable Cardiac Devices. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1129830
American Medical Association (AMA)
Tabet, Rabih& Nassani, Najib& Karam, Boutros& Shammaa, Youssef& Akhrass, Philippe& Deeb, Liliane. Pooled Analysis of the Efficacy and Safety of Video Capsule Endoscopy in Patients with Implantable Cardiac Devices. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129830
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129830