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Combining electromagnetic navigation and 3‐D mapping to reduce fluoroscopy time and achieve optimal CRT response
Author(s) -
Barbero Umberto,
Budano Carlo,
Golzio Pier Giorgio,
Castagno Davide,
Gaita Fiorenzo
Publication year - 2018
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13209
Subject(s) - medicine , cardiac resynchronization therapy , fluoroscopy , implantable cardioverter defibrillator , cardiology , radiology , heart failure , ejection fraction
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.