NDLI: 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).

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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).

Content Provider	Semantic Scholar
Author	Zecchin, Massimo Severgnini, Mara Fiorentino, Alba Malavasi, Vincenzo Menegotti, Loris Alongi, Filippo Catanzariti, Domenico Jereczek-Fossa, Barbara Alicja Stasi, Michele Russi, Elvio Grazioso Boriani, Giuseppe
Copyright Year	2018
Abstract	The management of patients with a cardiac implanted electronic device (CIED) receiving radiotherapy (RT) is challenging and requires a structured multidisciplinary approach. A consensus document is presented as a result of a multidisciplinary working group involving cardiac electrophysiologists, radiation oncologists and physicists in order to stratify the risk of patients with CIED requiring RT and approaching RT sessions appropriately. When high radiation doses and beam energy higher than 6MV are used, CIED malfunctions can occur during treatment. In our document, we reviewed the different types of RT and CIED behavior in the presence of ionizing radiations and electromagnetic interferences, from the cardiologist's, radiation oncologist's and medical physicist's point of view. We also reviewed in vitro and in vivo literature data and other national published guidelines on this issue so far. On the basis of literature data and consensus of experts, a detailed approach based on risk stratification and appropriate management of RT patients with CIEDs is suggested, with important implications for clinical practice.
Starting Page	175
Ending Page	183
Page Count	9
File Format	PDF HTM / HTML
DOI	10.1016/j.ijcard.2017.12.061
PubMed reference number	29310933
Journal	Medline
Volume Number	255
Alternate Webpage(s)	https://www.fisicamedica.it/sites/default/files/1-s2.0-S0167527317352877-main.pdf
Alternate Webpage(s)	https://doi.org/10.1016/j.ijcard.2017.12.061
Journal	International journal of cardiology
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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