{"product_id":"the-road-to-successful-crt-implantation-isbn-9781405117180","title":"The Road to Successful CRT Implantation","description":"Cardiac 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.\u003cbr\u003e \u003cp\u003eThe typical patient has NYHA III\/IV HF symptoms, a QRS \u0026gt; 120 ms, LVEDD \u0026gt; 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-ischemic cardiomyopathy.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003e\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe implant procedure is part of a learning curve. Many physicians who already perform electrophysiology procedures, or PPM, or ICD implants are the ideal implanter - but are surprised at the challenges this implant presents. This book will help \"flatten\" the learning curve for new physician implanting, and will provide a \"guide' for those who have already started implanting.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe success rate is about 90% - so after 10 years of application, we have found that there are still patients who do not get access to this great therapy because of the complexity of the patient's anatomy, or physician skills.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe book is written by three authors with a great deal of experience culminating in over 3000 cases between them.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThis book is intended for cardiologists who currently implant either or both pacemakers and cardioverter defibrillators with cardiac resynchronization therapy (also called bi-ventricular pacing), or plan to implant in the future. This book will be extremely useful for the new cardiologist in training who is learning to implant devices.\u003c\/p\u003e  Dedication. \u003cp\u003eForeword.\u003c\/p\u003e \u003cp\u003eGeneral remarks.\u003c\/p\u003e \u003cp\u003e1 How does ventricular dyssynchrony alter hemodynamic function?.\u003c\/p\u003e \u003cp\u003e2 What clinical benefits can we expect from CRT?.\u003c\/p\u003e \u003cp\u003e3 How to select candidates for CRT.\u003c\/p\u003e \u003cp\u003e4 Assessment of ventricular dyssynchrony by new echocardiographic analyses.\u003c\/p\u003e \u003cp\u003e5 What are the mechanisms of improvement during CRT?.\u003c\/p\u003e \u003cp\u003e6 Clinical situations where CRT is unlikely to be of therapeutic value.\u003c\/p\u003e \u003cp\u003e7 Preimplantation checklist.\u003c\/p\u003e \u003cp\u003e8 Right versus left-sided approach to implant the CRT system.\u003c\/p\u003e \u003cp\u003e9 Right ventricular pacing in CRT.\u003c\/p\u003e \u003cp\u003e10 How to achieve reliable sensing and pacing of the right atrium.\u003c\/p\u003e \u003cp\u003e11 Is it safe to pace the left ventricle via a coronary sinus tributary?.\u003c\/p\u003e \u003cp\u003e12 Why perform a coronary sinus venogram before placement of the.\u003c\/p\u003e \u003cp\u003eleft ventricular lead?.\u003c\/p\u003e \u003cp\u003e13 Optimal LV lead positioning.\u003c\/p\u003e \u003cp\u003e14 How to manage difficult coronary sinus cannulation.\u003c\/p\u003e \u003cp\u003e15 How to avoid a dissection of the coronary sinus ostium.\u003c\/p\u003e \u003cp\u003e16 How to overcome a myocardial bridge over the coronary sinus.\u003c\/p\u003e \u003cp\u003e17 What to do in the absence of a lateral branch on the venogram.\u003c\/p\u003e \u003cp\u003e18 How to manage high left ventricular pacing thresholds.\u003c\/p\u003e \u003cp\u003e19 How to proceed in the presence of a complex coronary sinus anatomy.\u003c\/p\u003e \u003cp\u003e20 How to manage diminutive target coronary sinus tributaries.\u003c\/p\u003e \u003cp\u003e21 What to do when valves are in the way.\u003c\/p\u003e \u003cp\u003e22 How to implant a CRT system in the presence of a left superior vena cava.\u003c\/p\u003e \u003cp\u003e23 Dilatation of the target cardiac vein by angioplasty techniques.\u003c\/p\u003e \u003cp\u003e24 Stenting for recurrent dislodgment of the left ventricular lead.\u003c\/p\u003e \u003cp\u003e25 Assessment of the electrical signal sensed by the left ventricular lead.\u003c\/p\u003e \u003cp\u003e26 How to avoid stimulating the left phrenic nerve.\u003c\/p\u003e \u003cp\u003e27 Dye extravasation and venous perforation or dissection.\u003c\/p\u003e \u003cp\u003e28 How to avoid a cardiac vein dissection by the balloon catheter.\u003c\/p\u003e \u003cp\u003e29 How to remove the guiding sheath using the slitting technique.\u003c\/p\u003e \u003cp\u003e30 Radiographic appearance of the final lead position of the CRT system.\u003c\/p\u003e \u003cp\u003e31 How to implant a CRT device in patients with chronic atrial fibrillation.\u003c\/p\u003e \u003cp\u003e32 Upgrading DDD pacing to CRT.\u003c\/p\u003e \u003cp\u003e33 Upgrading a CRT to a CRT-ICD system.\u003c\/p\u003e \u003cp\u003e34 Repositioning of a dislodged left ventricular lead.\u003c\/p\u003e \u003cp\u003e35 How to implant a four-chamber CRT system.\u003c\/p\u003e \u003cp\u003e36 How to implant a biventricular, double-left ventricular lead CRT system.\u003c\/p\u003e \u003cp\u003e37 Alternatives in left ventricular lead implant failures.\u003c\/p\u003e \u003cp\u003e38 Left ventricular lead extraction.\u003c\/p\u003e \u003cp\u003e39 Management of ventricular double counting in CRT.\u003c\/p\u003e \u003cp\u003e40 Management of non-responders to CRT.\u003c\/p\u003e \u003cp\u003eReferences.\u003c\/p\u003e \u003cp\u003eIndex.\u003c\/p\u003e  Gras, Daniel, MD, Nantes, France\u003cbr\u003e \u003cp\u003eFisher, Wes, MD, Chicago, USA\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eLeon, Engel, MD, Atlanta, USA\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eAbraham, William T, MD, Columbus, USA\u003c\/p\u003e  Cardiac 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.\u003cbr\u003e \u003cp\u003eThe typical patient has NYHA III\/IV HF symptoms, a QRS \u0026gt; 120 ms, LVEDD \u0026gt; 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-ischemic cardiomyopathy.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003e\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe implant procedure is part of a learning curve. Many physicians who already perform electrophysiology procedures, or PPM, or ICD implants are the ideal implanter - but are surprised at the challenges this implant presents. This book will help \"flatten\" the learning curve for new physician implanting, and will provide a \"guide' for those who have already started implanting.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe success rate is about 90% - so after 10 years of application, we have found that there are still patients who do not get access to this great therapy because of the complexity of the patient's anatomy, or physician skills.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThe book is written by three authors with a great deal of experience culminating in over 3000 cases between them.\u003cbr\u003e \u003c\/p\u003e \u003cp\u003eThis book is intended for cardiologists who currently implant either or both pacemakers and cardioverter defibrillators with cardiac resynchronization therapy (also called bi-ventricular pacing), or plan to implant in the future. This book will be extremely useful for the new cardiologist in training who is learning to implant devices.\u003c\/p\u003e","brand":"Wiley-Blackwell","offers":[{"title":"Default Title","offer_id":47990332260581,"sku":"NP9781405117180","price":51.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9781405117180.jpg?v=1761787392","url":"https:\/\/k12savings.com\/products\/the-road-to-successful-crt-implantation-isbn-9781405117180","provider":"K12savings","version":"1.0","type":"link"}