Safety of capsule endoscopy using human body communication in patients with cardiac devices.

Chung, Joo Won; Hwang, Hye Jin; Chung, Moon Jae; Park, Jeong Youp; Pak, Hui-Nam; Song, Si Young
Digestive diseases and sciences
2012Jun ; 57 ( 6 ) :1719-23.
저자 상세정보
Chung, Joo Won -
Hwang, Hye Jin -
Chung, Moon Jae -
Park, Jeong Youp -
Pak, Hui-Nam -
Song, Si Young -
ABSTRACT
BACKGROUND: 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. AIM: This clinical study was designed to evaluate the potential influence of the MiroCam capsules on cardiac devices.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.
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MESH
Aged, *Capsule Endoscopes, Capsule Endoscopy/*adverse effects/methods, Defibrillators, Implantable/*adverse effects, Equipment Safety, Female, Follow-Up Studies, Humans, Intestinal Diseases/diagnosis, Intestine, Small/pathology, Male, Middle Aged, Monitoring, Physiologic, Nonverbal Communication, Pacemaker, Artificial/*adverse effects, Patient Safety, Prospective Studies, Republic of Korea, Risk Assessment, Sampling Studies
링크

주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Capsule endoscopy using human body communication to transmit data was safely performed in patients with cardiac pacemakers or implantable cardiac defibrillators.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
10.1007/s10620-012-2067-x.
KCD코드
ICD 03
건강보험코드