Interventional device implantation, Part I: Basic techniques to avoid complications: A hands‐on approach.

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 Re...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 32; no. 2; pp. 523 - 533
Autores principales: Zou, Fengwei, Brar, Vijaywant, Worley, Seth J.
Formato: diagnostic images pictorial Journal Article
Publicado: Wiley-Blackwell Feb2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Interventional device implantation, Part I: Basic techniques to avoid complications: A hands‐on approach.
      aug:
        au:
          Zou, Fengwei
          Brar, Vijaywant
          Worley, Seth J.
        affil: School of Medicine, Georgetown University School of Medicine, Washington District of Columbia,, USA
      sug:
        subj:
          Heart Ventricle Surgery
          Cardiac Resynchronization Therapy Education
          Electrodes, Implanted Education
          Postoperative Complications Prevention and Control
          Cardiac Resynchronization Therapy Equipment and Supplies
          Electrodes, Implanted Adverse Effects
          Heart Failure Surgery
          Heart Catheterization Methods
          Catheters, Vascular
      ab: 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.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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