RESUMEN
Magnetic resonance has become a first-line imaging modality in various clinical scenarios. The number of patients with different cardiovascular devices, including cardiac implantable electronic devices, has increased exponentially. Although there have been reports of risks associated with exposure to magnetic resonance in these patients, the clinical evidence now supports the safety of performing these studies under specific conditions and following recommendations to minimize possible risks. This document was written by the Working Group on Cardiac Magnetic Resonance Imaging and Cardiac Computed Tomography of the Spanish Society of Cardiology (SEC-GT CRMTC), the Heart Rhythm Association of the Spanish Society of Cardiology (SEC-Heart Rhythm Association), the Spanish Society of Medical Radiology (SERAM), and the Spanish Society of Cardiothoracic Imaging (SEICAT). The document reviews the clinical evidence available in this field and establishes a series of recommendations so that patients with cardiovascular devices can safely access this diagnostic tool.
Asunto(s)
Cardiología , Desfibriladores Implantables , Cardiopatías , Humanos , Consenso , Imagen por Resonancia Magnética , Espectroscopía de Resonancia MagnéticaAsunto(s)
Degeneración del Disco Intervertebral/diagnóstico , Desplazamiento del Disco Intervertebral/diagnóstico , Parestesia/diagnóstico , Prurito/etiología , Vértebras Torácicas/patología , Anciano , Enfermedad Crónica , Diagnóstico Diferencial , Femenino , Humanos , Imagen por Resonancia Magnética , Parestesia/complicaciones , Parestesia/terapiaRESUMEN
BACKGROUND: An 80-year-old woman presented with an abrupt onset of asymptomatic black-to-purple discoloration of her right limb that appeared just before a thyroid gammagraphy. No antecedent of trauma was found. CASE PRESENTATION: On questioning, patient admitted she did not cooperate during intravenous administration of Tc-99m-pertechnetate. Based on the abrupt onset of lesions and the absence of cooperation during intravenous administration of radiotracer, a suspect diagnosis of technetium and blood extravasation was made. This entity was confirmed in basis of evolution, with a spontaneous resolution of lesions within the next 15 days with no complications. CONCLUSION: Patient and physicians must be reassured because of the non-vesicant property of technetium. Recovery of this entity is spontaneous, and no treatment is needed.
