A complete, how–to guide to planning, programming, implementing, and trouble–shooting today′s pacemakers and other implantable cardiac devices
Edited by a team of leading clinician–educators this is a practical, go–to reference for trainees and clinical staff who are new to, or less experienced with, the programming and management of implantable devices. It distills device best–practices into a single, quick–reference volume that focuses on essential tasks, common pitfalls, and likely complications. Each chapter follows a hands–on, how–to approach that helps readers quickly master even the most challenging device–related tasks such as programming and how to respond confidently when complications arise.
Today′s pacemakers and other implantable EP devices are to earlier versions what smart phones are to rotary phones. They are not only smaller and more comfortable; they offer complex programming options that allow clinicians to adapt a device to individual patient requirements. As they continue to become smaller, smarter, and more adaptable, these devices also become more challenging for clinicians to set up, manage and monitor. This unique, quick–reference guide dramatically reduces the learning curve for mastering this essential technology by giving doctors and technicians the how–to information they need.
- Focuses on tasks clinicians perform, including pre–implementation, planning, programming, management, troubleshooting, and more
- Shows how expert clinicians achieve optimal outcomes in their own labs with real–world examples
- Features more than numerous images, including ECGs, X–ray and fluoroscopy, images from device interrogation, intracardiac electrograms, and color electoanatomical maps
- Provides videos on an accompanying website demonstrating all key tasks and techniques
Also available in an eBook version, enhanced with instructional videos, How–to Manual for Pacemaker and ICD Devices is an indispensable "tool of the trade" for electrophysiologists, fellows in electrophysiology, EP nurses, technical staff, and industry professionals.
List of Contributors vii
About the Companion Website xi
Part One 1
1 How to Access the Cephalic Vein Using a Cut ]down Approach 3Carola Gianni, Pasquale Santangeli, Andrea Natale, and Amin Al ]Ahmad
2 Extrathoracic Subclavian Vein Access 9Paul C. Zei
3 Subcutaneous Implantable Cardioverter ]Defibrillator 17Anil Rajendra and Michael R. Gold
4 Internal Jugular Venous Access and Lead Implantation for Cardiac Implantable Electronic Devices 23Michael G. Katz and David T. Huang
5 Implantation of the Left Ventricular Lead 27Shrinivas Hebsur and Edward Platia
6 How to Place a Lead in the Azygos Vein 37Jason S. Bradfield, Daniel H. Cooper, Noel G. Boyle, and Kalyanam Shivkumar
7 Alternative Site Pacing: A Guide to Implantation Techniques 45Michael C. Giudici
8 How to Maximize CRT Response at Implant 55Attila Roka, Gaurav Upadhyay, Jagmeet Singh, and E. Kevin Heist
9 How to Perform Sub ]pectoral Device Implants 63Claudio D. Schuger
10 Device Extractions 69Sean D. Pokorney, Donald D. Hegland, and Patrick M. Hranitzky
11 How to Extract Pacemaker and Defibrillator Leads from the Femoral Approach 79Leenhapong Navaravong and Roger A. Freedman
12 How to Extract Leads from the Jugular Approach 89Maria Grazia Bongiorni, Andrea Di Cori, Luca Segreti, Giulio Zucchelli, Ezio Soldati, Stefano Viani, and Luca Paperini
13 How to Perform Venoplasty for Access 97Seth J. Worley
14 How to Perform Defibrillation Threshold Testing 111Chad Brodt and Marco V. Perez
15 Use of CXR, CT, and 3 ]D Imaging to Evaluate Lead Location 119Brett D. Atwater
16 How to Evaluate Postoperative Device Complications 133Dan Sorajja and Win ]Kuang Shen
Part Two 145
17 How to Program Pacemakers for Patients With Sinus Node Disease 147Carsten W. Israel and Lucy Ekosso ]Ejangue
18 How to Interpret Pacemaker Electrocardiograms 159Giuseppe Bagliani, Stefania Sacchi, and Luigi Padeletti
19 How to Perform Pacemaker Troubleshooting 173Brian Olshansky and Nora Goldschlager
20 How to Program an ICD to Program ATP, and Program for VT/VF Storm 187P. Pieragnoli, G. Ricciardi, Margherita Padeletti, Stefania Sacchi, Alessio Gargaro, and Luigi Padeletti
21 How to Troubleshoot An ICD 195Advay G. Bhatt, Santosh C. Varkey, and Kevin M. Monahan
22 Management of ICD Device and Lead Failures and Recalls 207Yousef Bader and N.A. Mark Estes III
23 How to Program an ICD to Minimize Inappropriate Shocks 213Paul J. Wang and Winston B. Joe
24 How to Perform CRT Optimization 221Kevin P. Jackson and James P. Daubert
25 How to Manage Device Infections and When to Reimplant After Device Extraction 233Giosue Mascioli
26 How to Implement a Remote Follow ]up Program for Patients with Cardiac Implantable Electronic Devices 241George H. Crossley, April Bain, and Rachel Tidwell
27 How to Set Up an HF Monitoring Service 255Edoardo Gronda, Emilio Vanoli, Margherita Padeletti, and Alessio Gargaro
28 How to Deactivate Cardiac Implantable Electric Devices in Patients Nearing the End of Life and/or Requesting Withdrawal of Therapies 263Rachel Lampert
Amin Al–Ahmad, MD, FACC, FHRS, CCDS, Cardiac Electrophysiologist, Texas Cardiac Arrhythmia Institute, Austin, USA.
Andrea Natale, MD, FACC, FHRS, FESC, Executive Medical Director, Texas Cardiac Arrhythmia Institute, Austin, USA.
Paul J. Wang, MD, Professor of Medicine and of Bioengineering (by courtesy), Stanford University School of Medicine, Stanford, USA.
James P. Daubert, MD, Professor of Medicine, Duke University Medical Center, Durham, USA.
Luigi Padeletti, MD, Director of the Cardiovascular Department, IRCCS MultiMedica, Milan, Italy.