Three-Dimensional Electroanatomic Mapping System-Enhanced Cardiac Resynchronization Therapy Device Implantation: Results From a Multicenter Registry

2016 ◽  
Vol 28 (1) ◽  
pp. 85-93 ◽  
Author(s):  
MAURIZIO DEL GRECO ◽  
MASSIMILIANO MAINES ◽  
MASSIMILIANO MARINI ◽  
ANDREA COLELLA ◽  
MASSIMO ZECCHIN ◽  
...  
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Three Dimensional ◽  
Electroanatomic Mapping ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Electroanatomic Mapping System ◽  
Device Implantation ◽  
Mapping System ◽  
Multicenter Registry ◽  
Cardiac Resynchronization Therapy Device

scholarly journals B-PO03-192 REDUCTION IN QRS AREA CORRELATES WITH HEMODYNAMIC RESPONSE DURING CARDIAC RESYNCHRONIZATION THERAPY - DEVICE IMPLANTATION

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S267
Author(s):  
Mohammed Ali Ghossein ◽  
Antonius M.W. van Stipdonk ◽  
Floor CWM. Salden ◽  
Elien B. Engels ◽  
Francesco Zanon ◽  
...  
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Hemodynamic Response ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Device Implantation ◽  
Cardiac Resynchronization Therapy Device

How to perform electroanatomic mapping-guided cardiac resynchronization therapy using Carto 3 and ESI NavX three-dimensional mapping systems

EP Europace ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. 1742-1749 ◽  
Author(s):  
Henry D Huang ◽  
Parikshit S Sharma ◽  
Hemal M Nayak ◽  
Nicholas Serafini ◽  
Richard G Trohman
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Three Dimensional ◽  
Electroanatomic Mapping ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Jude Medical ◽  
Lead Placement ◽  
Significant Difference ◽  
Qrs Duration ◽  
Mapping Systems

Abstract Aims  To examine the feasibility and safety of a novel protocol for low fluoroscopy, electroanatomic mapping (EAM)-guided Cardiac resynchronization therapy with a defibrillator (CRT-D) implantation and using both EnSite NavX (St. Jude Medical, St. Paul, MN, USA) and Carto 3 (Biosense Webster, Irvine, CA, USA) mapping systems. Methods and results Twenty consecutive patients underwent CRT implantation using either a conventional fluoroscopic approach (CFA) or EAM-guided lead placement with Carto 3 and EnSite NavX mapping systems. We compared fluoroscopy and procedural times, radiopaque contrast dose, change in QRS duration pre- and post-procedure, and complications in all patients. Fluoroscopy time was 86% lower in the EAM group compared to the conventional group [mean 37.2 min (CFA) vs. 5.5 min (EAM), P = 0.00003]. There was no significant difference in total procedural time [mean 183 min (CFA) vs. 161 min (EAM), P = 0.33] but radiopaque contrast usage was lower in the EAM group [mean 16 mL (CFA) vs. 4 mL (EAM), P = 0.006]. Likewise, there was no significant change in QRS duration with BiV pacing between the groups [mean −13 (CFA) vs. −25 ms (EAM), P = 0.09]. Conclusion  Electroanatomic mapping-guided lead placement using either Carto or ESI NavX mapping systems is a feasible alternative to conventional fluoroscopic methods for CRT-D implantation utilizing the protocol described in this study.

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