LEADER 05162nam 22006974a 450 001 9910145283403321 005 20230617010515.0 010 $a1-281-32233-4 010 $a9786611322335 010 $a0-470-75141-X 010 $a0-470-75140-1 035 $a(CKB)1000000000399357 035 $a(EBL)351598 035 $a(OCoLC)437218821 035 $a(SSID)ssj0000238871 035 $a(PQKBManifestationID)11175354 035 $a(PQKBTitleCode)TC0000238871 035 $a(PQKBWorkID)10234483 035 $a(PQKB)10171266 035 $a(MiAaPQ)EBC351598 035 $a(Au-PeEL)EBL351598 035 $a(CaPaEBR)ebr10232730 035 $a(CaONFJC)MIL132233 035 $a(EXLCZ)991000000000399357 100 $a20040512d2004 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe road to successful CRT implantation$b[electronic resource] $ea step-by-step approach /$fDaniel Gras, Angel R. Leo?n, Westby G. Fisher ; foreword by William T. Abraham 210 $aMalden, Mass. $cBlackwell Futura$d2004 215 $a1 online resource (112 p.) 300 $aDescription based upon print version of record. 311 $a1-4051-1718-4 320 $aIncludes bibliographical references and index. 327 $aThe Road to Successful CRT Implantation: A step-by-step approach; Contents; Dedication; Foreword; General remarks; 1 How does ventricular dyssynchrony alter hemodynamic function?; 2 What clinical benefits can we expect from CRT?; 3 How to select candidates for CRT; 4 Assessment of ventricular dyssynchrony by new echocardiographic analyses; 5 What are the mechanisms of improvement during CRT?; 6 Clinical situations where CRT is unlikely to be of therapeutic value; 7 Preimplantation checklist; 8 Right versus left-sided approach to implant the CRT system; 9 Right ventricular pacing in CRT 327 $a10 How to achieve reliable sensing and pacing of the right atrium 11 Is it safe to pace the left ventricle via a coronary sinus tributary?; 12 Why perform a coronary sinus venogram before placement of the left ventricular lead?; 13 Optimal LV lead positioning; 14 How to manage difficult coronary sinus cannulation; 15 How to avoid a dissection of the coronary sinus ostium; 16 How to overcome a myocardial bridge over the coronary sinus; 17 What to do in the absence of a lateral branch on the venogram; 18 How to manage high left ventricular pacing thresholds 327 $a19 How to proceed in the presence of a complex coronary sinus anatomy 20 How to manage diminutive target coronary sinus tributaries; 21 What to do when valves are in the way; 22 How to implant a CRT system in the presence of a left superior vena cava; 23 Dilatation of the target cardiac vein by angioplasty techniques; 24 Stenting for recurrent dislodgment of the left ventricular lead; 25 Assessment of the electrical signal sensed by the left ventricular lead; 26 How to avoid stimulating the left phrenic nerve; 27 Dye extravasation and venous perforation or dissection 327 $a28 How to avoid a cardiac vein dissection by the balloon catheter 29 How to remove the guiding sheath using the slitting technique; 30 Radiographic appearance of the final lead position of the CRT system; 31 How to implant a CRT device in patients with chronic atrial fibrillation; 32 Upgrading DDD pacing to CRT; 33 Upgrading a CRT to a CRT-ICD system; 34 Repositioning of a dislodged left ventricular lead; 35 How to implant a four-chamber CRT system; 36 How to implant a biventricular, double-left ventricular lead CRT system; 37 Alternatives in left ventricular lead implant failures 327 $a38 Left ventricular lead extraction 39 Management of ventricular double counting in CRT; 40 Management of non-responders to CRT; References; Index 330 $aCardiac resynchronization therapy is a new therapy for advanced heart failure patients. This therapy has been shown to improve quality of life, exercise capacity, NYHA classification, and even reverse the detrimental ""reverse remodeling"" that occurs in advanced heart failure - in patients already receiving optimal pharmacological therapy. The typical patient has NYHA III/IV HF symptoms, a QRS > 120 ms, LVEDD > 55 mm, without any indication required for pacing. The therapy is available in an ICD device, too. CRT has been shown to be effective in patients with both ischemic and non-ische 606 $aImplantable cardioverter-defibrillators 606 $aCardiac pacing 606 $aHeart failure$xSurgery 606 $aCardiovascular instruments, Implanted 615 0$aImplantable cardioverter-defibrillators. 615 0$aCardiac pacing. 615 0$aHeart failure$xSurgery. 615 0$aCardiovascular instruments, Implanted. 676 $a617.4/120592 700 $aGras$b Daniel$0937325 701 $aLeo?n$b Angel R$0937326 701 $aFisher$b Westby G$0937327 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910145283403321 996 $aThe road to successful CRT implantation$92111376 997 $aUNINA