Cardiac Resynchronization Therapy: A Case-Based Approach

Cheuk-Man Yu, David L. Hayes, Angelo Auricchio

Section 1: Current Indications

1: PAROXYSMAL ATRIAL FIBRILLATION IN CRT-PATIENTS: CHALLENGE OR ROUTINE?

2: IMPLANTATION OF A BIVENTRICULAR ICD FOLLOWED BY CATHETER ABLATION IN A PATIENT WITH DILATED CARDIOMYOPATHY AND PERMANENT ATRIAL FIBRILLATION

3: EFFICACY OF CRT IN RBBB

4: ISSUE OF QRS 120-150 MS

5: VALUE OF CARDIAC RESYNCHRONIZATION THERAPY IN A PATIENT WITH RIGHT HEART FAILURE DUE TO PULMONARY ARTERIAL HYPERTENSION

6: ROLE OF OPTIMAL MEDICAL THERAPY

Section 2: Expanding Indications of CRT

7: EFFICACY OF CRT IN NYHA II

8: PACEMAKER INDICATION

9: INTERCOMMISSURAL LEAD PLACEMENT INTO A RIGHT VENTRICULAR CORONARY SINUS

Section 3: Challenging CRT Implantation

10: RIGHT VENTRICULAR PACING RELATED CARDIOMYOPATHY

11: IT IS WHERE YOU GO THAT MATTERS, NOT HOW YOU GET THERE! -

USING THE MIDDLE CARDIAC VEIN

12: MAPPING THE CORONARY SINUS VEINS USING AN ACTIVE FIXATION LEAD TO OVERCOME PHRENIC NERVE STIMULATION

13: THE UTILITY OF ACTIVE FIXATION LEAD IN UNSTABLE LEFT VENTRICULAR LEAD POSITIONS WITHIN THE CORONARY SINUS FOR LEFT VENTRICULAR STIMULATION

14: PERSISTANT LEFT SUPERIOR VENA CAVA: UTILITY OF RIGHT-SIDED VENOUS ACCESS FOR CORONARY SINUS LEAD IMPLANTATION

15: VIDEO-ASSISTED THORACOTOMY SURGERY (VATS) FOR THE IMPLANTATION OF AN EPICARDIAL LEFT VENTRICULAR LEAD

16: ROLE OF CARDIAC CT BEFORE IMPLANT: DIAGNOSIS OF A PROMINENT THEBESIAN VALVE AS AN OBSTACLE TO LEFT VENTRICULAR LEAD DEPLOYMENT IN CRT

Section 4: New CRT Implantation Techniques

17: ENDOCARDIAL LV LEAD - HIGH APPROACH

18: LEFT VENTRCIULAR ENDOCARDIAL PACING IN A PATIENT WITH AN ANOMALOUS LEFT SIDED SUPERIOR VENA CAVA

19: NOVEL WIRELESS TECHNOLOGIES

20: ROBOTICALLY-ASSISTED LEAD IMPLANTATION FOR CRT IN A RE-OPERATIVE PATIENT

Section 5: Optimization of CRT Device

21: ATRIOVENTRICULAR OPTIMIZATION BY TRANSTHORACIC ECHOCARDIOGRAPHY IN A PATIENT WITH INTER-ATRIAL DELAY

22: INTEREST OF A LEFT VENTRICUALR QUADRIPOLAR LEAD

Phrenic Nerve Stimulation: It is Better to Prevent than to Treat

23: Loss of LV pacing capture detected by Remote Monitoring

24: THE IMPORTANCE OF MAINTAINING A HIGH PERCENTAGE OF BIVENTRICULAR PACING

Section 6: Post-implant Follow-up

25: HOW TO MANAGE VT: TOTAL AV-BLOCK AFTER ABLATION IN A PATIENT WITH NONISCHEMIC DILATED CARDIOMYOPATHY

26: PREVENTION OF EFFECTIVE CARDIAC RESYNCHRONISATION THERAPY BY FREQUENT PVCS IN A PATIENT WITH NONISCHEMIC CARDIOMYOPATHY

27: HOW TO HANDLE ATRIAL FIBRILLATION IN REFRACTORY HEART FAILURE PATIENTS

28: CRT-D IMPLANT IN AF

29: UP AND DOWN IN DEVICE THERAPY

30: RESUMPTION TO SINUS RHYTHM AFTER CRT IN PATIENT WITH LONG LASTING PERSISTENT ATRIAL FIBRILLATION

Section 7: Management of Complications of CRT

31: GUIDE WIRE FRACTION DURING CRT IMPLANTATION AND SUBSEQUENT MANAGEMENT

32: A DIFFICULT CASE OF DIAPHRAGMATIC STIMULATION

33: BIVENTRICULAR DEFIBRILLATOR INFECTION WITH EXTRACTION OF A MEDTRONIC ATTAIN STARFIX ™ 4195 CORONARY VENOUS LEAD

34: COMPLICATIONS OF CARDIAC RESYNCHRONIZATION THERAPY: INFECTION

Section 8: Non-responders of CRT

35: CARDIAC RESYNCHRONIZATION THERAPY IN A PATIENT WITH NON-LEFT BUNDLE BRANCH BLOCK MORPHOLOGY

36: THE USE OF CARDIOVASCULAR MAGNETIC RESONANCE TO GUIDE LEFT VENTRICULAR LEAD DEPLOYMENT IN CARDIAC RESYNCHRONIZATION THERAPY

37: ROLE OF SCAR BURDEN VERSUS DISTRIBUTION ASSESSMENT BY CMR IN ISCHEMIC PATIENTS

38: DIFFICULTIES IN THE PREDICTION OF RESPONSE TO CRT IN THE REAL WORLD

39: MANAGEMENT OF FREQUENT VES IN CRT PATIENTS

40: CARDIAC CONTRACTILITY MODULATION IN A CRT-NONRESPONDER

41: NON-RESPONDERS OF CARDIAC RESYNCHRONIZATION THERAPY: SWITCH -OFF IF WORSENING

42: RECOGNITION OF ANODAL STIMULATION

43: SIGNIFICANT RESIDUAL OR WORSENING MITRAL REGURGITATION (MITRACLIP)

Section 9: Device-based Diagnostics for HF Monitoring and Remote Monitoring

44: INTRATHORACIC IMPEDANCE (DIETARY INCOMPLIANCE)

45: PULMONARY HYPERTENSION AND CARDIAC RESYNCHRONISATION THERAPY: EVALUATION PRIOR TO IMPLANTATION AND RESPONSE TO THERAPY

46: THE ROLE OF LEFT ATRIAL PRESSURE MONITORING IN THE MANAGEMENT OF HEART FAILURE

47: ROLE OF REMOTE MONITORING IN MANAGING A CRT PATIENT: MEDICAL THERAPY AND DEVICE OPTIMIZATION

48: ROLE OF REMOTE MONITORING IN MANAGING A CRT PATIENT: ATRIAL FIBRILLATION