Turkish Abstract Full Text PDF Similar Articles Mail to Author

¹Department of Radiation Oncology, Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul-Turkey DOI : 10.5505/tjo.2022.S1010 In recent years, the number of cancer patients with cardiac implantable electronic devices (CIEDs) undergoing radiotherapy has been increasing with prolonged life expectancy and the aging population. Ionizing radiation, electromagnetic interference, and scattered radiation can cause permanent damages or temporary malfunctions on such devices. Appropriate management of patients with CIEDs undergoing radiotherapy is more challenging due to recent developments in radiation therapy techniques, image guidance methods, and device technology. The effects of radiation on devices depend on the model of the cardiac devices, clinical condition, and pacing dependency of the patient, cumulative dose to device and the treatment parameters such as beam energy, beam modality, total dose, dose rate, scattered radiation, radiotherapy fields, and imaging modality. A close collaboration among the radiation oncologist, medical physicist, patients" cardiologist, device technologist, radiation therapist, and nurse is crucial before, during, and after the radiotherapy sessions. Clinical guidelines and consensus of experts have been published regarding the management of patients with devices undergoing radiotherapy. We reviewed these guidelines and the literature on this issue and present recommendations for safer and more successful radiotherapy of patients with cardiac implanted electronic devices. Keywords : Implantable cardiac pacemakers; implantable cardioverter-defibrillators; patient management; radiotherapy