Safety of Capsule Endoscopy Using Human Body Communication in Patients with Cardiac Devices
Safety of Capsule Endoscopy Using Human Body Communication in Patients with Cardiac Devices
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DOI：
10.1007/s10620-012-2067-x
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发表时间：
2012-06-01
影响因子：
3.1
通讯作者：
Song, Si Young
中科院分区：
文献类型：
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作者：
Chung, Joo Won;Hwang, Hye Jin;Song, Si Young
MiroCam（IntroMedic，Ltd.，首尔，韩国）是一种利用人体通信传输数据的小肠胶囊内窥镜。心脏器械与胶囊式内窥镜之间的潜在相互作用值得关注，但尚无相关数据。本临床研究旨在评价MiroCam胶囊对心脏器械的潜在影响。本研究前瞻性入组了因小肠疾病而转诊的心脏起搏器或植入式心脏起搏器患者。在胶囊式内窥镜检查前，心脏病专家检查基线心电图和心脏器械的功能。在医院进行胶囊内镜检查期间，通过24小时遥测连续监测心律。手术完成后，再次检查心脏器械的功能是否存在干扰。本研究共纳入6例患者，其中3例植入心脏起搏器，3例植入植入心脏起搏器。我们在胶囊式内窥镜检查期间的遥测监测中未发现心脏器械干扰和心律失常。胶囊式内窥镜检查后，未观察到心脏器械的程控参数发生显著变化。胶囊内窥镜检查没有心脏器械的成像干扰。在心脏起搏器或植入式心脏起搏器的患者中，使用人体通信传输数据的胶囊内窥镜检查是安全的。胶囊式内窥镜的图像不受心脏器械的影响。需要进行进一步的大规模研究，以确认胶囊式内窥镜与各种类型心脏器械配合使用的安全性。
The MiroCam (IntroMedic, Ltd., Seoul, Korea) is a small-bowel capsule endoscope that uses human body communication to transmit data. The potential interactions between cardiac devices and the capsule endoscope are causes for concern, but no data are available for this matter.This clinical study was designed to evaluate the potential influence of the MiroCam capsules on cardiac devices.Patients with cardiac pacemakers or implantable cardiac defibrillators referred for evaluation of small bowel disease were prospectively enrolled in this study. Before capsule endoscopy, a cardiologist checked baseline electrocardiograms and functions of the cardiac devices. Cardiac rhythms were continuously monitored by 24-h telemetry during capsule endoscopy in the hospital. After completion of procedures, functions of the cardiac devices were checked again for interference. Images from the capsule endoscopy were reviewed and analyzed for technical problems.Six patients, three with pacemakers and three with implantable cardiac defibrillators, were included in the study. We identified no disturbances in the cardiac devices and no arrhythmias detected on telemetry monitoring during capsule endoscopy. No significant changes in the programmed parameters of the cardiac devices were noted after capsule endoscopy. There were no imaging disturbances from the cardiac devices on capsule endoscopy.Capsule endoscopy using human body communication to transmit data was safely performed in patients with cardiac pacemakers or implantable cardiac defibrillators. Images from the capsule endoscopy were not affected by cardiac devices. A further large-scale study is required to confirm the safety of capsule endoscopy with various types of cardiac devices.