Tula, Russian Federation
Russian Federation
UDK 61 Медицина. Охрана здоровья
More than 60 thousand patients receive implants annually, the work of which is aimed at normalizing the functioning of the cardiovascular system (CIED). Implantable electronic devices prevent the development of life-threatening conditions from the cardiovascular system, however, radiation therapy in this group of patients is associated with a high risk of adverse events, including fatal ones. Stratification of patients with CEEDS into groups depending on the risk of damage to the device helps not only to monitor their health status, but also to effectively manage possible risks. Thus, the maximum safety of radiation therapy is achieved for this group of patients.
breast cancer, malignant tumors, radiation therapy, pacemaker, CEED, oncology
1. Brambatti M, Mathew R, Strang B et al. Management of patients with implantable cardioverter-defibrillators and pacemakers who require radiation therapy. Heart Rhythm. 2015;12:2148–54.
2. Croshaw R, Kim Y, Lappinen E et al. Avoiding mastectomy: Accelerated partial breast irradiation for breast cancer patients with pacemakers or defibrillators. Ann Surg Oncol. 2011;18: 3500–5.
3. Gauter-Fleckenstein, Israel CW, Dorenkamp M et al. DEGRO/DGK guideline for radiotherapy in patients with cardiac implantable electronic devices. Strahlenther Onkol. 2015;191: 393–404.
4. Hurkmans CW, Knegjens JL, Oei BS et al. Management of radiation oncology patients with a pacemaker or ICD: A new comprehensive practical guideline in the Netherlands. Dutch Society of Radiotherapy and Oncology (NVRO). Radiat Oncol. 2012;7:198.
5. Indik JH, Gimbel JR, Abe H et al. 2017 HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices. Heart Rhythm. 2017;14:e97–e153.
6. Nakamura K, Aoyama T, Kaneda N et al. Effect of X-ray dose rates higher than 8 Gy/min on the functioning of cardiac implantable electronic devices. Journal of Radiation Research. 2020;61: 419–25.
7. Salerno F, Gomellini S, Caruso C et al. Management of radiation therapy patients with cardiac defibrillator or pacemaker. Radiol Med. 2016;121:515–20.
8. Zecchin M, Severgnini M, Fiorentino A et al. Management of patients with cardiac implantable electronic devices (CIED) undergoing radiotherapy: A consensus document from Associazione Italiana Aritmologia e Cardiostimolazione (AIAC), Associazione Italiana Radioterapia Oncologica (AIRO), Associazione Italiana Fisica Medica (AIFM). Int J Cardiol. 2018;255: 175-83.
