The road to successful CRT implantation : a step-by-step approach / Daniel Gras, Angel R. León, Westby G. Fisher ; foreword by William T. Abraham.

Author/creator Gras, Daniel
Other author León, Angel R.
Other author Fisher, Westby G.
Format Book
Publication InfoMalden, MA : Blackwell Futura, ©2004.
Descriptionx, 99 pages : illustrations ; 22 cm
Subjects
Cardiac Pacing, Artificial--methods.
Cardiac Output, Low--therapy.
Defibrillators, Implantable.
Heart Failure--therapy.
Pacemaker, Artificial.
Patient Selection.

Contents How does ventricular dyssynchrony alter hemodynamic function? -- What clinical benefits can we expect from CRT? -- How to select candidates for CRT -- Assessment of ventricular dyssynchrony by new echocardiographic analyses -- What are the mechanisms of improvement during CRT? -- Clinical situations where CRT is unlikely to be of therapeutic value -- Preimplantation checklist -- Right versus left-sided approach to implant the CRT system -- Right ventricular pacing in CRT -- How to achieve reliable sensing and pacing of the right atrium -- Is it safe to pace the left ventricle via a coronary sinus tributary? -- Why perform a coronary sinus venogram before placement of the left ventricular lead? -- Optimal LV lead positioning -- How to manage difficult coronary sinus cannulation -- How to avoid a dissection of the coronary sinus ostium -- How to overcome a myocardial bridge over the coronary sinus -- What to do in the absence of a lateral branch on the venogram -- How to manage high left ventricular pacing thresholds -- How to proceed in the presence of a complex coronary sinus anatomy -- How to manage diminutive target coronary sinus tributaries -- What to do when valves are in the way -- How to implant a CRT system in the presence of a left superior vena cava -- Dilatation of the target cardiac vein by angioplasty techniques -- Stenting for recurrent dislodgment of the left ventricular lead -- Assessment of the electrical signal sensed by the left ventricular lead -- How to avoid stimulating the left phrenic nerve -- Dye extravasation and venous perforation or dissection -- How to avoid a cardiac vein dissection by the balloon catheter -- How to remove the guiding sheath using the slitting technique -- Radiographic appearance of the final lead position of the CRT system -- How to implant a CRT device in patients with chronic atrial fibrillation -- Upgrading DDD pacing to CRT -- Upgrading a CRT to a CRT-ICD system -- Repositioning of a dislodged left ventricular lead -- How to implant a four-chamber CRT system -- How to implant a biventricular, double-left ventricular lead CRT system -- Alternatives in left ventricular lead implant failures -- Left ventricular lead extraction -- Management of ventricular double counting in CRT -- Management of non-responders to CRT.
Bibliography noteIncludes bibliographical references (p. 95-96) and index.
LCCN 2004011192
ISBN1405117184 :

Availability

Library Location Call Number Status Item Actions
Laupus Books - Stacks WG 168 G767R 2004 ✔ Available Place Hold