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Review
. 2019 Dec;46(12):e757-e788.
doi: 10.1002/mp.13838. Epub 2019 Nov 1.

Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: A Report of the AAPM TG-203†

Moyed Miften  1 , Dimitris Mihailidis  2 , Stephen F Kry  3 , Chester Reft  4 , Carlos Esquivel  5 , Jonathan Farr  6 , David Followill  3 , Coen Hurkmans  7 , Arthur Liu  8 , Olivier Gayou  9 , Michael Gossman  10 , Mahadevappa Mahesh  11 , Richard Popple  12 , Joann Prisciandaro  13 , Jeffrey Wilkinson  14
Affiliations
Free article
Review

Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: A Report of the AAPM TG-203†

Moyed Miften et al. Med Phys. 2019 Dec.
Free article

Abstract

Managing radiotherapy patients with implanted cardiac devices (implantable cardiac pacemakers and implantable cardioverter-defibrillators) has been a great practical and procedural challenge in radiation oncology practice. Since the publication of the AAPM TG-34 in 1994, large bodies of literature and case reports have been published about different kinds of radiation effects on modern technology implantable cardiac devices and patient management before, during, and after radiotherapy. This task group report provides the framework that analyzes the potential failure modes of these devices and lays out the methodology for patient management in a comprehensive and concise way, in every step of the entire radiotherapy process.

Keywords: cardiac implantable electronic devices (CIED); device malfunction; implantable cardiac pacemakers (ICP); implantable cardioverter-defibrillators (ICD); patient management; radiation damage.

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References

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