Combining electromagnetic navigation and 3‐D mapping to reduce fluoroscopy time and achieve optimal CRT response. Issue 5 (28th December 2017)

• Record Type: Journal Article
• Authors: Barbero, Umberto; Budano, Carlo; Golzio, Pier Giorgio; Castagno, Davide; Gaita, Fiorenzo
• Is Part Of: Pacing and clinical electrophysiology. Volume 41:Issue 5(2018)
• Page Start: 557
• Page End: 560
• Publication Date: 2017-12-28
• Subjects: cardiac resynchronization therapy -- coronary sinus -- electroanatomical mapping -- electromagnetic mapping; Cardiac pacing -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1111/pace.13209
• Languages: English
• ISSNs: 0147-8389

Abstract

Abstract: Implantation of cardiac resynchronization therapy (CRT) devices can be challenging, time consuming, and associated with high‐dose x‐ray exposure. We present the technique in which an electromagnetic navigation system (MediGuideTM, St. Jude Medical) and an electroanatomical three‐dimensional mapping system (EnSite NavX, St Jude Medical) are usefully combined for implanting implantable cardioverter defibrillator CRT devices with strong reduction of x‐ray exposure, and for targeting the most delayed regions in the activation maps avoiding scars for optimal CRT response.