IBHRExam Prep Implanted CRM Device System Radiography
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1 Implanted CRM Device System Radiography IBHRExam Prep
2 2 Where do they go?
3 3 Anatomy diagram
4 4 Anatomy
5 5 Pulse generator configurations
6 6 Guidant pacemaker pulse generator
7 7 Guidant ICD pulse generator
8 8 Guidant CRT-ICD pulse generator
9 9 Medtronic ICD pulse generator
10 10 St. Jude ICD pulse generator
11 11 Biotronik pacemaker pulse generator
12 12 Medtronic Reveal loop recorder
13 13 Implanted loop recorder
14 14 Single chamber pacing system
15 A 15 Dual chamber pacing system B
16 16 Dual chamber pacing system
17 17 Dual chamber pacing system
18 18 Single pass (VDD) lead
19 A 19 Lead introduction approaches B
20 20 Epimyocardial leads
21 21 Dual chamber epicardial pacemaker
22 22 CRT-P
23 23 CRT Reverse Remodeling
24 24 Early epicardial CRT-ICD
25 25 Active fixation leads
26 26 Pacemaker and ICD
27 27 Pacemaker and ICD
28 28 Two leads, one device?
29 A 29 ICD patches
30 30 Medtronic epicardial patches
31 31 Multiple leads and CPI patches
32 32 A closer look at the leads and patches
33 33 Lateral view of the leads and patches
34 34 Medtronic sub Q patch
35 35 Sub Q Array
36 36 Sub Q Array
37 A 37 A Coronary sinus lead B B
38 38 RVOT ICD lead placement
39 39 RVOT ICD lead placement
40 40 Rate / sense options
41 41 ICD SVC lead and RV lead
42 42 Lead migration?
43 43 Jugular vein lead implantation
44 44 Persistent left superior vena cava Persistent LSVC
45 45 Persistent left superior vena cava Persistent LSVC
46 46 Persistent left superior vena cava Patent RSVC and LSVC
47 Persistent left superior vena cava A AnteroPosterior P i view i w w w.p a Ri h A Right Anterior i Obli Oblique ce ric d. co m Persistent LSVC 47 L f A Left Anterior i Obli Oblique
48 48 Transmyocardial approach
49 49 Dextrocardia
50 50 Pneumothorax
51 51 Pneumothorax
52 52 Hemothorax
53 53 Problem?
54 54 Redundancy
55 55 Torsion
56 56 Lead dislodgment and perforation
57 57 Lead dislodgment and perforation
58 58 Problem?
59 59 Check two views
60 60 Across the PFO
61 61 RV loop
62 62 RV lead loop
63 A 63 Same patient Tip up Tip down B
64 A 64 Same patient Different days B
65 65 Before and after
66 66 System replacement Occluded right subclavian vein
67 67 New dual chamber pacing system
68 68 Subclavian crush
69 69 Subclavian crush
70 70 Subclavian kink
71 71 How many fractured leads?
72 72 Accufix Atrial Lead
73 w w w.p a ce ric d. co m Retractable leads? 73
74 74 Abdominal Twiddler
75 75 Twiddled to fracture
76 76 Twiddler
77 77 Lead Noise
78 78 Problem?
79 79 Problem?
80 80 Noise!
81 81 Intermittant failure to pace
82 82 Atrial lead fracture
83 83 Problem?
84 84 Problem?
85 85 Atrial intermittent failure to capture
86 86 Lead fracture below the first rib
87 87 Atrial lead out of position
88 88 Find two lead problems
89 89 Find two lead problems 1 2
90 90 Same patient, 7 days apart A B
91 91 Subclavian clavicle-first rib crush
92 92 Inner conductor fractures
93 93 Pseudofracture
94 94 Psuedofracture
95 95 Problem?
96 96 Strain loop pseudofracture
97 97 Endotak Pseudofracture
98 98 Endotak Pseudofracture
99 99 Where do they go?
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