Challenging Implants Require Tools and Techniques Not Tips and Tricks. [Review]

Challenging Implants Require Tools and Techniques Not Tips and Tricks. [Review] - 2019

Copyright (c) 2018 The Author. Published by Elsevier Inc. All rights reserved. The EP Clinics article "How to implant CRT devices in a busy clinical practice" describes the basics of the "interventional telescoping technique". This article focuses on specific circumstances where the tools and techniques are invaluable: (1) inability to locate the coronary sinus (CS), (2) inability to advance a catheter into the CS, (3) patients with CS atresia, (4) unstable CS access, (4) angulated target veins, (5) small and/or tortuous target veins, (6) target veins into which a wire cannot be advanced, (7) target veins with a drain pipe takeoff, (8) target veins close to the CS ostium.


English

1877-9182

10.1016/j.ccep.2018.11.003 [doi] S1877-9182(18)30115-1 [pii]


*Cardiac Pacing, Artificial
*Coronary Sinus/su [Surgery]
*Electrodes, Implanted
*Prosthesis Implantation
Humans
Pacemaker, Artificial
Prosthesis Implantation/is [Instrumentation]
Prosthesis Implantation/mt [Methods]


MedStar Heart & Vascular Institute


Journal Article
Review

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