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.
List of Contributors
1) How to Access the Cephalic Vein using a Cut-down Approach
2) Extrathoracic Subclavian Vein Access
3) Subcutaneous Implantable Cardioverter Defibrillator
4) Internal Jugular Venous Access and Lead Implantation for Cardiac Implantable Electronic Devices
5) Implantation of the Left Ventricular Lead
6) How to place a lead in the azygos vein
7) Alternative Site Pacing: A Guide to Implantation Techniques
8) How to maximize CRT response at implant
9) HOW TO PERFORM SUB- PECTORAL DEVICE IMPLANTS
10) Device Extractions Book Chapter
11) How to extract pacemaker and defibrillator leads from the femoral approach
12) How to extract leads from the jugular approach.
13) How to Perform Venoplasty for access
14) How to Perform Defibrillation Threshold Testing
15) Use of CXR, CT and 3-D imaging to evaluate lead location
16) How to Evaluate Post-operative Device Complications
1) How to program pacemakers for patients with sinus node disease
2) HOW TO INTERPRET PACEMAKER ELECTROCARDIOGRAMS
3) How to Perform Pacemaker Troubleshooting
4) How to program an ICD to program ATP, and program for VT/VF storm
5) How to Trouble Shoot An ICD
6) Management of ICD Device and Lead Failures and Recalls
7) How to program an ICD to minimize inappropriate shocks
8) How to Perform CRT Optimization
9) How to manage device infections and when to implant after device extraction.
10) How to Implement a Remote Follow-up Program for CIED Patients
11) How to set up a HF monitoring service
12) How to Deactivate Cardiac Implantable Electric Devices in Patients Nearing the End of Life and/Or Requesting Withdrawal of Therapies