Interventional device implantation, Part I: Basic techniques to avoid complications: A hands-on approach
| Autor: | Vijaywant Brar, Seth J. Worley, Fengwei Zou |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Time Factors medicine.medical_treatment Heart Ventricles Cardiac resynchronization therapy Reviews cardiac resynchronization therapy Review 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Humans 030212 general & internal medicine Implantation procedure Cardiac Resynchronization Therapy Devices left ventricular lead implantation Coronary sinus Procedure time Heart Failure coronary sinus business.industry Patient exposure vein selector Treatment Outcome Amplatz wire CS cannulation Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Electrophysiology |
| ISSN: | 1540-8167 |
| Popis: | Introduction The essence of cardiac resynchronization therapy (CRT) is biventricular (BiV) pacing, which involves implanting pacing leads in both the right ventricle (RV) and left ventricle (LV). Unlike traditional RV pacing, many hurdles lie ahead of successful LV lead implantation. Methods and Results In this review, we first highlight the importance of optimizing the patient and the tools. Next, we describe the CRT tools developed over several decades, to facilitate successful implantation. Thereafter, we provide a streamlined step‐by‐step summary of the basic BiV implantation procedure. Lastly, we discuss some commonly encountered challenges during implantation and the techniques to tackle them. Conclusion A systematic approach to every step of the implantation process can reduce procedure time, decrease patient exposure to radiation and contrast, and minimize complications. The use of right tools and techniques can enable all implanters to become more successful with BiV implantation. |
| Databáze: | OpenAIRE |
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