Rdance to typical protocol , we use fluoroscopy to localize and observe
Rdance to regular protocol , we use fluoroscopy to localize and observe the movement in the ablation catheter during RFA in conventional EP technique even though in D mapping system we use D monitoring to observe and monitor the movement on the ablation catheter. Immediately after each process we calculate the fluoroscopy time, cumulative Dose Area Solution (DAP) and cumulative Air Kerma (AK). This numbers have been measured by the method after each process. Following that we compare amongst conventional EP program and D mapping program. We make use of the similar settings of your xray system, precisely the same quantity of catheters in all sufferers and the similar operator. Resultpatients had been ablated working with conventional EP program. The imply fluoroscopy time was . seconds, cumulative DAP was mGy.cm and cumulative AK was . mGy. We did ablation working with D mapping program only in one patient. The fluoroscopy time was seconds, cumulative DAP was mGy.cm and cumulative AK was . mGy. ConclusionThe result of this study shows that D mapping method considerably minimize fluoroscopy time and also radiation exposure in patients undergone AVNRT ablation. Less radiation will advantage not only for sufferers but also for healthcare individual who involve in ablation procedure. Keywordsradiation, dose location product, air kerma, AVNRT, D mapping.MP . Snaring Strategy for Hard LV Lead Replacement on CRTHari Yudha, Yan Herry, Muzakkir, Hermawan, Hauda El Rasyid, Sunu Budi R, Dicky A. Hanafy, Yoga Yuniadi Division of Pacing and Electrophysiology, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia National Cardiovascular Center Harapan Kita, Jakarta, IndonesiaMP . Decreasing Radiation Exposure inside the Electrophysiology Laboratory Utilizing D Mapping Method in AVNRT AblationYansen I, Nauli SE, Priatna H, Rahasto PIn current years, implantation of cardiac resynchronization therapy devices has drastically increased. Left ventricular (LV) pacing via the Coronary Sinus (CS) will be the typical method for cardiac resynchronization therapy (CRT). Lots of implanting physicians use an “overthewire” strategy toASEAN Heart Journal Volno LV lead placement that may not provide sufficient support for lead advancement into tortuous or stenosis vessels. New methods have already been described that utilize directional and assistance catheters to permit direct advancement on the lead in to the target branch. We presented a unique as well as a pretty uncommon case with fractured of wire inside the LV lead. Difficult pr
oblem and strategy throughout process which include tips on how to place in PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26296952 the new LV lead replacement in to stenosis CS, and novel method from femoral vein utilizing snare catheter to catch the LV lead wire to help implantation of new LV lead. Case ReportA years old female was sent for LV lead reposition. She had been diagnosed with chronic heart failure with functional NYHA IIIII from non ischaemic etiology with threat aspect hypertension and menopause. CRT was performed in as a consequence of low EF and left bundle branch block (LBBB) with QRS duration ms, despite optimal health-related therapy with angiotensin receptor blocker and beta blocker. Despite the fact that LV lead was place around the suitable place, we nonetheless Amezinium (methylsulfate) couldn’t find the very best tresshold. So operator decided to put the wire inside on the lead for help. Immediately after implantation, showed tresshold for appropriate ventricular lead was . V, current . mA, R wave . mV with resistance ohm. Atrial lead showed tresshold V, present . mA, P wave . mV, resistance ohm. LV lead showed tresshold . V, current . mA, resistance ohm.