Rdance to common protocol , we use fluoroscopy to localize and observe
Rdance to typical protocol , we use fluoroscopy to localize and observe the movement with the ablation catheter through RFA in conventional EP program when in D mapping program we use D monitoring to observe and monitor the movement of your ablation catheter. Right after every process we calculate the fluoroscopy time, cumulative Dose Location Item (DAP) and cumulative Air Kerma (AK). This numbers had been measured by the technique after every single process. Right after that we evaluate among standard EP method and D mapping method. We make use of the similar settings in the xray method, precisely the same quantity of catheters in all individuals and also the similar operator. Resultpatients had been ablated applying traditional EP program. The mean fluoroscopy time was . seconds, cumulative DAP was mGy.cm and cumulative AK was . mGy. We did ablation working with D mapping program only in 1 patient. The fluoroscopy time was seconds, cumulative DAP was mGy.cm and cumulative AK was . mGy. ConclusionThe outcome of this study shows that D mapping technique substantially lessen fluoroscopy time and also radiation exposure in patients undergone AVNRT ablation. Significantly less radiation will advantage not only for sufferers but also for health-related personal who involve in ablation process. Keywordsradiation, dose location item, air kerma, AVNRT, D mapping.MP . Snaring Method for Challenging 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, Division of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia National Cardiovascular Center Harapan Kita, Jakarta, IndonesiaMP . Lowering Radiation Exposure in the Electrophysiology Laboratory Working with D Mapping System in AVNRT AblationYansen I, Nauli SE, Priatna H, Rahasto PIn recent years, implantation of cardiac resynchronization therapy devices has significantly elevated. Left ventricular (LV) pacing by means of the Coronary Sinus (CS) would be the standard approach for cardiac resynchronization therapy (CRT). Numerous implanting physicians use an “overthewire” strategy toASEAN Heart Journal Volno LV lead placement that may not deliver enough help for lead advancement into tortuous or Anemoside B4 supplier stenosis vessels. New procedures have been described that make use of directional and support catheters to let direct advancement with the lead in to the target branch. We presented a exceptional in addition to a quite rare case with fractured of wire inside the LV lead. Difficult pr
oblem and technique for the duration of procedure for instance 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 approach from femoral vein using 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 risk issue hypertension and menopause. CRT was performed in resulting from low EF and left bundle branch block (LBBB) with QRS duration ms, despite optimal health-related remedy with angiotensin receptor blocker and beta blocker. Despite the fact that LV lead was put around the ideal location, we nonetheless could not discover the top tresshold. So operator decided to place the wire inside in the lead for help. Soon after implantation, showed tresshold for appropriate ventricular lead was . V, current . mA, R wave . mV with resistance ohm. Atrial lead showed tresshold V, existing . mA, P wave . mV, resistance ohm. LV lead showed tresshold . V, existing . mA, resistance ohm.