Transvenous Lead Extraction

In the last years, indications for defibrillators and cardiac resynchronization therapy have expanded enormously; for this reason, and also due to the extension of human life length, the number of patients with implanted cardiac devices have steadily increased. The leads implanted for the functioning of these devices, however, have a limited duration in time and more and more their extraction will be a frequent issue in clinical practice, in order to treat short- and long-term complications, such as infections and failures. Aim of this book is to provide readers with a state-of-the-art on lead extraction techniques. The chapters deal with leads characteristics, indications to lead removal, patient preparation, tools and techniques for extraction, and prevention and management of complications. In addition, a series of tips and tricks on how to treat some particular conditions (tight cost-clavicular space, fractured leads, ICD leads, dangered leads...etc.), are given. A new extracting technique, according to which the extraction is performed through the internal jugular vein is described; several examples are included and many figures provide a thorough depiction of this innovative procedure. The volume will be an excellent resource for all those involved in the management of cardiac patients: cardiologists, arrhythmologists, cardiac surgeons, GPs, pediatricians, and post-graduate students in these disciplines.

A complete, how-to-do-it guide to planning, programming, implementing, and trouble-shooting todays 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-do-it approach that helps readers quickly master even the most challenging device-related taskssuch as programming and how to respond confidently when complications arise. Todays 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 300 images, including ECGs, X-ray and fluoroscopy, images from device interrogation, intracardiac electrograms, and color electoanatomical maps Provides eight videos on an accompanying website demonstrating 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.

This hands-on approach to cardiac lead extraction is presented in a case-based format and complemented by more than 200 videos demonstrating state-of-the-art tools, methodology, technical skills, and periprocedural clinical management critical for successful outcomes. There is a worldwide increase in extraction procedures due to pacemaker or defibrillator leads becoming infected or dysfunctional. This visual atlas with 26 illustrative cases informs cardiology providers about the latest techniques and tools available for the procedure. The teaching objectives of this book will guide the reader to: · Plan a lead extraction procedure based on the individual case. · Review detailed technical aspects of a lead extraction procedure. · Troubleshoot challenging and complex cases. · Develop strategies to prevent, diagnose, and manage complications associated with lead extraction procedures. The book will serve as an easy reference guide for cardiac electrophysiologists, cardiologists, anesthesiology providers, allied health staff members, fellows, and surgeons performing lead extraction procedures. Also included is a special section on team dynamics and the valuable role of allied health providers in lead extraction procedures. The ability to learn from the collective wisdom of the lead extraction community is a game-changer…This compendium showcases a breadth of techniques and expertise that extends far beyond what any individual could achieve. From the Foreword, Joshua M. Cooper, MD Illustrated with 220 videos and 235 figures.

Patients with implanted pacemakers or defibrillators are frequently encountered in various healthcare settings. As these devices may be responsible for, or contribute to a variety of clinically significant issues, familiarity with their function and potential complications facilitates patient management. This book reviews several clinically relevant issues and recent advances of pacemaker therapy: implantation, device follow-up and management of complications. Innovations and research on the frontiers of this technology are also discussed as they may have wider utilization in the future. The book should provide useful information for clinicians involved in the management of patients with implanted antiarrhythmia devices and researchers working in the field of cardiac implants.

Consisting of 13 chapters, this book is uniformly written to provide sensible, matter-of-fact methods for understanding and caring for patients with permanent pacemakers, ICDs and CRT systems. Now improved and updated, including a new chapter on programming and optimization of CRT devices, this second edition presents a large amount of information in an easily digestible form. Cardiac Pacing and Defibrillation offers sensible, matter-of-fact methods for understanding and caring for patients, making everyday clinical encounters easier and more productive. Readers will appreciate the knowledge and experience shared by the authors of this book.

This concise book meets the market need for an accessible and up-to-date guide on understanding and managing cardiac anesthesia patients. It reflects the continual evolution of the very complex field of cardiac anesthesia. Organized into 10 sections, beginning chapters comprehensively examine the foundational concepts of cardiovascular function. The book then functions as a practical guide for clinical settings, including patient evaluation, operating room and anesthetic management, and postoperative care. Each chapter is authored by experienced cardiac anesthesiologists and many are supplemented by high quality, images, videos and tables. Written for the student, trainee, and junior cardiac anesthesiologist, Cardiac Anesthesia: The Basics of Evaluation and Management covers the core concepts needed to treat the cardiac surgery patient and to the skillset needed to succeed in this field.

Fully revised and updated, the fourth edition of Cardiac Pacingand ICDs continues to be an accessible and practical clinicalreference for residents, fellows, surgeons, nurses, PAs, andtechnicians. The chapters are organized in the sequence of the evaluation ofan actual patient, making it an effective practical guide. Revisedchapters and updated artwork and tables plus a new chapter oncardiac resynchronization make the new edition an invaluableclinical resource. Features: · New chapter on Cardiac Resynchronization Therapy · Updated and better quality figures and tables · Updated content based on ACC/AHA/NASPE guidelines · Updated indications for ICD placement · Updated information on ICD and pacemakertroubleshooting

Different artificial tools, such as heart-pacing devices, wearable and implantable monitors, engineered heart valves and stents, and many other cardiac devices, are in use in medical practice. Recent developments in the methods of cardiac pacing along with appropriate selection of equipment are the purpose of this book. Implantable heart rate management devices and wearable cardiac monitors are discussed. Indications for using specific types of cardiac pacemakers, cardiac resynchronization therapy devices, and implantable cardioverter defibrillators (ICDs) are of interest and their contraindications are considered. Special attention is paid to using leadless devices. The subcutaneous ICD obviates the need for transvenous leads and leadless pacemakers are entirely implantable into the right ventricle. Finally, applications of user-friendly wearable devices for the detection of atrial arrhythmia are debated.