Leadless pacing. P.E. Vardas Professor of Cardiology University of Crete, Greece
|
|
- Ophelia Flowers
- 5 years ago
- Views:
Transcription
1 Leadless pacing P.E. Vardas Professor of Cardiology University of Crete, Greece
2 DISCLOSURES Small teaching fees from: Bayer/J&J, Boeringer, Menarini Small consulting fees from: Medtronic
3 1957: First External Pacemaker
4 1958: First implanted pacemaker Elmquist Senning Larsson First implantable (Engineer) (Cardiologist) (Patient) pacemaker
5 Pacemakers ( ) Activitrax MicroMinix Thera EnPulse EnRhythm MRI First External Pacemaker Pediatric Asynchronous Pulse Generator Rate response Radically smaller size First Microprocessor-based, Mode switching Full automaticity MRI safe First Implantable MDT Pacemaker Chardack-Greatbatch Byrel Dual chamber rate response Synergist Elite Rate response via activity & minute ventilation Kappa MVP, Full automaticity Adapta MVP, Full automaticity, MRI safe Advisa MRI
6 54 years after cardiac pacing is the only effective treatment for syncope due to symptomatic bradycardia
7 Milestones in Pacing 1960 s Durable permanent implants VVI and VAT modes Lithium-iodine battery cell 1970 s VDD and DDD pacing modes Rate-responsiveness 1980 s Microprocessors introduced Improved reliability of IPGs Steroid elution First ICD implant 1990 s-2000 s IS-1 connector standard Stored electrograms Biventricular pacing Transvenous implants ICD
8 Conventional sites of pacing leads Pacing from RA appendage Pacing from RV apex easy feasibility chronically stable mechanical positions stable stimulation thresholds
9
10 System proposed by Spickler in 1970
11
12
13 Questions that arise
14 Problems accompanying endocardial pacing
15 Leadless pacing technologies EBR technology Energy transfer from an ultrasound transmitter to a receiver electrode to achieve cardiac stimulation Induction technology Magnetic field generated from a transmitter unit to the receiver coil in the heart and converted directly into voltage pulses for stimulation Wireless electrical stimulation An implantable RF rechargeable bion microstimulator transmits command signals to the coil that generates direct electrical stimulation
16 Investigational stimulation system an ultrasound generator with an externally applied ultrasound transmission transducer a catheter incorporating a receiver electrode into the distal tip a data collection and display system Feasibility and safety of pacing using ultrasound energy JACC 2007
17 Induction technology The stimulation system consists basically of two components a transmitter unit (primary coil) implanted under the skin or the major pectoralmuscle just above the heart a small receiver unit (secondary coil) implanted in the right or left chamber of the heart The subcutaneous coil generates an alternating magnetic field and the receiver coil in the heart converts some fraction of the energy of this magnetic field directly into voltage pulses for stimulation Induction technology represents an energy transmission with an outstanding characteristic: very low energy loss Screw-equipped receiver unit without external connection Wieneke H et al, PACE 2009
18 Induction technology The complete control of the electrical pulse is in the transmitter unit The device can be programmed like a conventional pacemaker by telemetry pulse amplitude pulse duration frequency number of pulses Receiver unit mounted on an EP catheter positioned in the RV Receiver unit without external connection in the RV. The transmitter unit is placed on the outer thoracic wall directly beyond the receiver unit. Bottom: ECG tracing during wireless pacing
19 WiSE-CRT Study Wireless Stimulation Endocardially for CRT, 100 pts. Purpose: To evaluate the safety and performance of the WiCS-LV System in patients with indications for CRT. Primary Outcome Measures: Safety: Procedure and device-related adverse events Bi-ventricular pacing capture Inclusion Criteria: Patients with standard indication for CRT based upon the most recent guidelines AND meeting criteria for one of these three categories: PM and ICD upgrades LV lead failures Non responders
20 Leadless Pacing: Acoustic Energy WiSE Device: Receiver: 9 mm plus small lead, 0.05 cc Transmitter: implanted over the apex, connected to battery implanted in the abdomen
21 Leadless Pacemaker: Intracardiac Intracardiac VVIR pacemaker ~20F, ~24 mm length, 7-10 yr longevity Steerable Catheter +
22 Leadless Pacemaker: Intracardiac
23 Leadless pacing Comments Advantages Percutaneous catheter-based endovascular implant Precise placement in many locations True multisite ventricular stimulation Epicardial placement Possible endocardial left heart placement Reduced infection Reduced vascular occlusion Disadvantages Recharging energy source Compliance Travel Stability/embolization Complexity of follow up and programming
24 Novel technologies Biological pacemakers An approach to create a pacemaker in a cell that previously had little or no pacemaker function These approaches modify the electric signals generated by cardiac myocytes and/or specialized conducting cells to transform them into dominant pacemakers
25 Strategies to generate biological pacemakers Gene therapy overexpress a gene that will increase pacemaker rate in cardiac myocytes (by increasing inward current) knock out the function of a gene that would otherwise decrease pacemaker rate (and decrease outward current) Stem cell therapy Human embryonic stem cells-hescs Human mesenchymal stem cells-hmscs
26 Limitations for development of biological pacemaker Gene therapy-viral vectors Adenoviruses lead to only transient improvement in pacemaker function potential inflammatory responses Retroviruses risk of carcinogenicity and infectivity Stem cell therapy immunogenicity of cell potential for neoplasia proper engineering of pure cardiac lineages spatial non uniformity of implants need for an optimal cell mass and optimal cell-cell coupling for long term normal function
27
Leadless pacing: Technical challenges and concerns. Panos Vardas President Elect of the ESC, Prof. of Cardiology, Heraklion University Hospital
Leadless pacing: Technical challenges and concerns Panos Vardas President Elect of the ESC, Prof. of Cardiology, Heraklion University Hospital Modest consultancy fees/honoraria from Bayer Boehringer Ingelheim
More informationLeadless Pacing. Osama Diab Assistant Prof. of Cardiology Ain Shams University Egypt
Leadless Pacing Osama Diab Assistant Prof. of Cardiology Ain Shams University Egypt The weakest link in Pacemaker system the lead. The more the leads the more the complications Dislodgement Fracture Insulation
More informationLead Selection and Subcutaneous ICD Considerations. The Future of CIEDs
Lead Selection and Subcutaneous ICD Considerations The Future of CIEDs February, 2013 Steven P. Kutalek, MD Director, Cardiac Electrophysiology Drexel University College of Medicine New Technologies 2012
More informationNew generations pacemakers and ICDs: an update
Advances in Cardiac Arrhythmias and Great Innovations in Cardiology XXVII Giornate Cardiologiche Torinesi New generations pacemakers and ICDs: an update Prof. Fiorenzo Gaita, MD Division of Cardiology
More informationLeadless pacemakers and subcutaneous ICD s: will we use them for most of our patients? K.-H. Kuck Asklepios Klinik St. Georg Hamburg, Germany
Leadless pacemakers and subcutaneous ICD s: will we use them for most of our patients? K.-H. Kuck Asklepios Klinik St. Georg Hamburg, Germany Disclosure Statement Research Grants Consultant / Advisory
More informationPacemaker and ICD Re-use in AFRICA the Cape Town experience
Pacemaker and ICD Re-use in AFRICA the Cape Town experience Ashley Chin MBChB, FCP(SA), MPhil, FHRS Cardiologist/Electrophysiologist Groote Schuur Hospital University of Cape Town South Africa PASCAR 2015,
More informationINNOVATIONS IN DEVICE THERAPY:
INNOVATIONS IN DEVICE THERAPY: Subcutaneous ICDs, Leadless Pacemakers, CRT Indications David J Wilber MD Loyola University Medical Center Disclosures: ACC Foundation: Consultant; Biosense / Webster: Consultant,
More informationUnitedHealthcare Medicare Advantage Cardiology Prior Authorization Program
Electrophysiology Implant Classification Table The table below contains the codes that apply to our UnitedHealthcare Medicare Advantage cardiology prior Description Includes Generator Placement Includes
More informationPediatric pacemakers & ICDs:
Pediatric pacemakers & ICDs: perioperative management Manchula Navaratnam Clinical Assistant Professor LPCH, Stanford SPA 2016 Conflict of interest: none Objectives Indications in pediatrics Components
More informationCardiac Rhythm Management Coder 2018
Cardiac Rhythm Management Coder 2018 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of MedLearn Media, Inc. 445 Minnesota Street,
More informationEssentials of Pacemakers and ICD s. Rajesh Banker, MD, MPH
Essentials of Pacemakers and ICD s Rajesh Banker, MD, MPH Pacemakers have 4 basic functions: Stimulate cardiac depolarization Sense intrinsic cardiac function Respond to increased metabolic demand by providing
More informationPacing and Device Jargon Made Simple. Dr Jonathan Timperley MB ChB MD FRCP Consultant Cardiologist Northampton General Hospital
Pacing and Device Jargon Made Simple Dr Jonathan Timperley MB ChB MD FRCP Consultant Cardiologist Northampton General Hospital Disclosure Dr Jonathan Timperley Honorarium from Bayer Arne Larson (1915
More informationMEDTRONIC CARELINK NETWORK FOR PACEMAKERS. Comparison between the Medtronic CareLink Network for Pacemakers and Transtelephonic Monitoring
MEDTRONIC CARELINK NETWORK FOR PACEMAKERS Comparison between the Medtronic CareLink Network for Pacemakers and Transtelephonic Monitoring Transtelephonic Monitoring Transmission What can you determine
More informationPediatric Pacemaker Implantation Endocardial or Epicardial
Pediatric Pacemaker Implantation Endocardial or Epicardial HAITHAM BADRAN, MD, FEHRA CONSULTANT OF INTERVENTIONAL CARDIOLOGY CONSULTANT OF CARDIAC PACING AND ELECTROPHYSIOLOGY LECTURER OF CARDIOLOGY AIN
More informationNOVEL DEVICE TECHNOLOGIES
NOVEL DEVICE TECHNOLOGIES Leadless Pacemakers and Subcutaneous ICDs Do the Benefits Outweigh MRI Incompatibility? Disclosures None Background PPMs and ICDs are very effective therapy for treating bradyarrhythmias
More informationESC Stockholm Arrhythmias & pacing
ESC Stockholm 2010 Take Home Messages for Practitioners Arrhythmias & pacing Prof. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece Disclosures Small teaching fees from
More informationPACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART I
1 PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART I Cynthia Webner DNP, RN, CCNS, CCRN-CMC Karen Marzlin DNP, RN, CCNS, CCRN-CMC 2 PROFESSIONAL NURSING PRACTICE CAN ONLY ADVANCE AS MUCH AS INDIVIDUAL
More informationEHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs
EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs Dear EHRA Member, Dear Colleague, As you know, the EHRA Accreditation Process is becoming increasingly recognised as an important step for
More informationEBR Systems, Inc. 686 W. Maude Ave., Suite 102 Sunnyvale, CA USA
Over 200,000 patients worldwide are estimated to receive a CRT device each year. However, limitations prevent some patients from benefiting. CHALLENGING PROCEDURE 5% implanted patients fail to have coronary
More informationSupplemental Material
Supplemental Material 1 Table S1. Codes for Patient Selection Cohort Codes Primary PM CPT: 33206 or 33207 or 33208 (without 33225) ICD-9 proc: 37.81, 37.82, 37.83 Primary ICD Replacement PM Replacement
More informationUnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program:
Notification and Prior Authorization Program: Electrophysiology Implant Classification Table The following chart contains the codes that require notification or prior authorization as part of UnitedHealthcare
More informationRecent Advances in Pacing and Defibrillation Harish Doppalapudi, MD
Recent Advances in Pacing and Defibrillation Harish Doppalapudi, MD Harish Doppalapudi, MD Assistant Professor of Medicine Director, Clinical Cardiac Electrophysiology Training Program University of Alabama
More informationCRF procedure PROCEDURE FLOW. PATIENT ASSESSMENT Symptoms and indication. Pacemaker & ICD registration. Procedures. Procedure ICD.
Pacemaker & ICD registration Procedures CRF procedure PROCEDURE FLOW Procedure ICD ICD PM ICM lead only PATIENT ASSESSMENT Symptoms and indication Symptoms and events (multiple possibilities) Asymptomatic
More informationPERIOPERATIVE MANAGEMENT: CARDIAC PACEMAKERS AND DEFIBRILLATORS
PERIOPERATIVE MANAGEMENT: CARDIAC PACEMAKERS AND DEFIBRILLATORS DR SUSAN CORCORAN CARDIOLOGIST ONCE UPON A TIME.. Single chamber pacemakers Programmed at 70/min VVI 70 UNIPOLAR SYSTEMS A Unipolar Pacing
More informationFinally, a pacemaker may be either permanent or temporary, which will also factor into your code selections.
2015 Cardiology Survival Guide Chapter 15: Pacemakers With more than 30 codes and many variables to choose from, you must weigh your options carefully when reporting insertion, revision, or removal of
More informationCardiac Rhythm Management Coder 2017
Cardiac Rhythm Management Coder 2017 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of Panacea Healthcare Solutions, Inc. 287 East
More informationCall Medtronic at 1 (800) to verify the patient s current implanted system
MRI SURESCAN SYSTEMS Patient Scanning Process Transvenous Implantable Cardiac Systems PATIENT PRESCREENING SureScan Pacing, Defibrillation, and CRT (CRT-D and CRT-P) Systems Verification Verify that patient
More informationTransvenous Pacemaker Procedures
Cardiology: Pacemaker and Defibrillator Coding Presented By: Moderate Sedation 2017 99151 : under age 5, initial 15 minutes by MD performing intervention 99152: age 5 or older, initial 15 minutes by MD
More informationReview of Pacemakers and ICD Therapy: Overview and Patient Management
Review of Pacemakers and ICD Therapy: Overview and Patient Management Pacing Systems Charles J. Love, MD FACC FAHA FHRS CCDS Professor of Medicine Director, Cardiac Rhythm Device Services OSU Division
More informationLeadless pacemakers a panacea for bradyarrhythmias?
Leadless pacemakers a panacea for bradyarrhythmias? Peysh A Patel Take Home Messages Why may leadless systems be required? Where the cessation of vital action is very complete, and continues long, we ought
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1. Patient Selection Codes, CIED Generator Procedures Code Type Code Description ICD9 Proc 00.51 Implantation of cardiac resynchronization defibrillator, total system [CRT-D]
More informationEXAMPLE PROTOCOL FOR PATIENT SCANNING PROCESS
EXAMPLE PROTOCOL FOR PATIENT SCANNING PROCESS MRI SureScan Pacing, ICD, and CRT (CRT-D and CRT-P) Transvenous Implantable Cardiac Systems Timothy S. E. Albert, M.D. President CVMR Solutions, Inc. Carmel
More informationPractice Questions.
IBHRE Prep Practice Questions Question 1 The relative refractory yperiod of the ventricular myocardium corresponds to which of the following phases of the action potential? A. (0) B. (1) C. (2) D. (3)
More informationHis Bundle Pacing in Bundle Branch Block May 11, 2017
His Bundle Pacing in Bundle Branch Block May 11, 2017 Gopi Dandamudi, MD FHRS System Medical Director, IUH Cardiac EP Program Director, IUH Atrial Fibrillation Center Assistant Professor of Clinical Medicine
More informationMRI SureScan pacemakers & ICDs what you need to know
MRI SureScan pacemakers & ICDs what you need to know Many variables can affect the device patient s likelihood of risks w/ an MRI Type of imaging sequence Type of scanner MRI scan duration Strength of
More information2009 CPT Codes for Cardiac Device Monitoring
2009 CPT Codes for Cardiac Device Monitoring December 2008 Notices Current Procedural Terminology (CPT ) is copyright 2008 American Medical Association. All Rights reserved. No fee schedules, basic units,
More informationPerioperative Management of Cardiac Implantable Devices
Financial Disclosures Breandan Sullivan MD Assistant Professor Co Director Cardiothoracic and Vascular Surgery ICU Department of Anesthesiology and Critical Care Medicine University of Colorado None Perioperative
More informationUnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program:
UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program: Electrophysiology Implant Code Classification Table The
More informationMRI and CIEDs. Disclosures
Date Clinical Title MRI and CIEDs C. p. Lao Raul Weiss MD, FAHA, FACC, FHRS and CCDS Director, Electrophysiology Fellowship Program Professor of Medicine The Ohio State University Wexner Medical Center
More informationCigna - Prior Authorization Procedure List Cardiology
Cigna - Prior Authorization Procedure List Cardiology Category CPT Code CPT Code Description 33206 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial 33207 Insertion
More informationPercepta CRT-P MRI SureScan W1TR01
Percepta CRT-P MRI SureScan W1TR01 MR Conditional pacemaker with cardiac resynchronization therapy, SureScan technology, and Bluetooth wireless telemetry (OAE-DDDR) Device Manual Caution: Federal law (USA)
More informationAdvisa MRI and Ensura MRI SureScan pacing systems
Advisa MRI and Ensura MRI SureScan pacing systems MR Conditional dual chamber and single chamber SureScan pacing systems with SureScan leads MRI Technical Manual The following list includes trademarks
More informationCardiac Resynchronisation Therapy for all Patients Requiring Ventricular Pacing
Cardiac Resynchronisation Therapy for all Patients Requiring Ventricular Pacing Philippe Mabo University Hospital, Rennes, France ESC Congress 2010, Stockholm 29 Aug 2010 Which Patients? Candidate for
More informationNewer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity.
Pacemakers & Defibrillators A pacemaker system consists of a battery, a computerized generator and wires with sensors called electrodes on one end. The battery powers the generator, and both are surrounded
More informationMicra MC1VR01. MRI procedural information for Micra Model MC1VR01 MR Conditional single chamber transcatheter pacing device (VVIR)
Micra MC1VR01 MRI procedural information for Micra Model MC1VR01 MR Conditional single chamber transcatheter pacing device (VVIR) MRI Technical Manual The following list includes trademarks or registered
More informationCONSULTA CRT-P Model C4TR01
CONSULTA CRT-P Model C4TR01 Physical characteristics Volume a 15 cm 3 Mass H x W x D Surface area of titanium device can Surface area of each titanium nitride LECG electrode Radiopaque ID Materials in
More informationΤΟ ΗΚΓ ΣΤΟΝ ΒΗΜΑΤΟΔΟΤΟΥΜΕΝΟ ΑΣΘΕΝΗ
ΤΟ ΗΚΓ ΣΤΟΝ ΒΗΜΑΤΟΔΟΤΟΥΜΕΝΟ ΑΣΘΕΝΗ ΤΖΩΡΤΖ ΔΑΔΟΥΣ ΕΠΙΚΟΥΡΟΣ ΚΑΘΗΓΗΤΗΣ Α.Π.Θ. ΜΑΡΙΑ ΚΑΡΑΛΙΟΛΙΟΥ ΕΙΔΙΚΕΥΟΜΕΝΗ ΙΑΤΡΟΣ ΚΑΡΔΙΟΛΟΓΟΣ Β ΚΑΡΔΙΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ Α.Π.Θ. ΙΠΠΟΚΡΑΤΕΙΟ Γ.Ν.Θ. 5 Why a Pacemaker is Implanted
More informationNEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS
NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS OBJECTIVES Discuss history of ICDs Review the indications for ICD and CRT therapy Describe basic lead and device technology Discuss different therapies
More informationEVOLUTION OF CARDIAC ELECTROPHYSIOLOGY
EVOLUTION OF CARDIAC Mohamed El Guindy Cairo University EVOLUTION OF CARDIAC 1960s His bundle recording (Scherlag, Damato) Programmed electrical stimulation (Durren, Wellens, Coumel) Transvenous permanent
More informationIs This Thing Working?
Is This *#@!* Thing Working? Pacemaker (and ICD) ECG and Telemetry Pitfalls Wayne O. Adkisson, MD adki0004@umn.edu Disclosures I currently receive research support from Medtronic, Inc. I have been compensated
More informationTechnical option of surgical approach for trouble-shooting
JHRS Corner Device and lead trouble-shooting - standard strategy and technical option - Technical option of surgical approach for trouble-shooting Katsuhiko IMAI Department of Cardiovascular surgery, Hiroshima
More informationTachycardia Devices Indications and Basic Trouble Shooting
Tachycardia Devices Indications and Basic Trouble Shooting Peter A. Brady, MD., FRCP Cardiology Review Course London, March 6 th, 2014 2011 MFMER 3134946-1 Tachycardia Devices ICD Indications Primary and
More informationSize (mm) (H W D) Mass (g) Volume (cc)
The FORMIO pacing system from Boston Scientific provides an ImageReady * MR conditional pacing system. FORMIO offers RightRate the newest generation of MV sensor technology, and the only MV sensor clinically
More informationCOMMONLY BILLED CODES AND ASSOCIATED 2018 MEDICARE RATES
CRHF REIMBURSEMENT & HEALTH POLICY Pacemaker Therapy COMMONLY BILLED CODES AND ASSOCIATED 2018 MEDICARE RATES This document reflects commonly billed codes for Pacemaker Therapy and their associated National
More information11/21/18. EKG Pop Quiz. Michael Giocondo, MD Cardiac Electrophysiology Saint Luke s Cardiovascular Consultants
EKG Pop Quiz Michael Giocondo, MD Cardiac Electrophysiology Saint Luke s Cardiovascular Consultants 1 Disclosures No financial relationships to disclose. EKG #1 75 y/o woman with a dual-chamber pacemaker
More informationCRM PRODUCT PERFORMANCE REPORT
CRM PRODUCT PERFORMANCE REPORT Important Patient Management Information for Physicians CRM Product Performance Report is now available on www.medtronicconnect.com Medtronic Mission: To Strive Without Reserve
More informationINTERPRETING THE ECG IN PATIENTS WITH PACEMAKERS
INTERPRETING THE ECG IN PATIENTS WITH PACEMAKERS BEFORE INTERPRETING THE ECG: Nora Goldschlager, M.D. MACP, FACC, FAHA, FHRS. Cardiology San Francisco General Hospital UCSF Disclosures: None 1 2 QUESTIONS
More informationEXTERNAL TEMPORARY PACEMAKERS
Czech Republic EXTERNAL TEMPORARY PACEMAKERS Lukas Peter Engineering and Business Coordinator Pavel Taborsky Chief Executive Officer MEDIATRADE s.r.o. PRAGUE Valasske Mezirici MEDIATRADE s.r.o. More than
More informationevicore cardiology procedures and services requiring prior authorization
evicore cardiology procedures and services requiring prior authorization Moda Health Commercial Group and Individual Members* *Check EBT to verify member enrollment in evicore program Radiology Advanced
More informationMEDICAL POLICY Cardioverter Defibrillators
POLICY........ PG-0224 EFFECTIVE......06/01/09 LAST REVIEW... 01/27/17 MEDICAL POLICY Cardioverter Defibrillators GUIDELINES This policy does not certify benefits or authorization of benefits, which is
More information14ο Βορειοελλαδικό Καρδιολογικό Συνέδριο ΚΕΒΕ Βηματοδότηση: Νεότερες εξελίξεις Προοπτικές
14ο Βορειοελλαδικό Καρδιολογικό Συνέδριο ΚΕΒΕ Βηματοδότηση: Νεότερες εξελίξεις Προοπτικές Α.Γ. Κατσίβας Συντονιστής Διευθυντής, Α Καρδιολογική Κλινική, ΓΝΑ «Κοργιαλένειο-Μπενάκειο Ε.Ε.Σ» BRADY - ARRHYTHMIA
More informationUpdate on Device Innovation (S-ICD, Wearable, Leadless)
Update on Device Innovation (S-ICD, Wearable, Leadless) C. W. Israel Dept. of Medicine - Cardiology Evangelical Hospital Bielefeld J. W. Goethe University Frankfurt Carsten.Israel@em.uni-frankfurt.de Conflicts
More information2010 Canadian Cardiovascular Society/ Canadian Heart Rhythm Society Training and Maintenance of Competency in Adult Clinical Cardiac
2010 Canadian Cardiovascular Society/ Canadian Heart Rhythm Society Training and Maintenance of Competency in Adult Clinical Cardiac Electrophysiology Martin S. Green, Chair, CHRS Education Committee Peter
More informationPuzzling Pacemakers Cheryl Herrmann, APN, CCRN, CCNS-CSC-CMC
Puzzling Pacemakers Cheryl Herrmann, APN, CCRN, CCNS-CSC-CMC Pacemaker: An electric device implanted in the body to regulate the heart beat. Delivers electrical stimuli over leads with electrodes in contact
More informationICD Diagnostics: Making the most of it
ICD Basics and Beyond ICD Diagnostics: Making the most of it Dulce Obias-Manno RN, BSN, MHSA, FHRS, CCDS, CEPS Cardiac Arrhythmia Center, Device Clinic Washington Hospital Center, Washington DC Objectives
More informationCardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution
Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution Francesco Zanon, MD, FESC, FHRS Arrhythmia and Electrophysiology Unit, Cardiology Dept. Santa Maria della Misericordia General
More informationAmbulatory Monitors, Pacers, and Defibrillators
Ambulatory Monitors, Pacers, and Defibrillators Vermont Cardiac Network 2018 Mark L. Greenberg MD Clinical Associate Professor of Medicine Geisel School of Medicine, Dartmouth Mark.L.Greenberg@Dartmouth.edu
More informationFigure 2. Normal ECG tracing. Table 1.
Figure 2. Normal ECG tracing that navigates through the left ventricle. Following these bundle branches the impulse finally passes to the terminal points called Purkinje fibers. These Purkinje fibers are
More informationTechnology Challenges for Active Cardiac Implantable Devices. Alain Ripart Senior VP and CSO
Technology Challenges for Active Cardiac Implantable Devices Alain Ripart Senior VP and CSO Heart rhythm disorders and associated therapy devices Bradycardia Pacemaker Atrial Arrhythmias Pacemaker Ventricular
More informationCase Report Intermittent Right Ventricular Outflow Tract Capture due to Chronic Right Atrial Lead Dislodgement
217 Case Report Intermittent Right Ventricular Outflow Tract Capture due to Chronic Right Atrial Lead Dislodgement Partha Prateem Choudhury, Vivek Chaturvedi, Saibal Mukhopadhyay, Jamal Yusuf Department
More informationSJM MRI ACTIVATOR HANDHELD DEVICE WORKFLOW Model: EX4000. SJM-EDTR Item approved for U.S. use only.
SJM MRI ACTIVATOR HANDHELD DEVICE WORKFLOW Model: EX4000 1 APPROVED MRI SCAN CONDITIONS 1.5 TESLA FULL BODY 2 SETUP SJM MRI ACTIVATOR HANDHELD DEVICE The SJM MRI Activator handheld device must be enabled
More informationHis Bundle Pacing: Where is it going? Kenneth A. Ellenbogen, M.D. Kontos Professor, VCU School of Medicine November 17, 2017
His Bundle Pacing: Where is it going? Kenneth A. Ellenbogen, M.D. Kontos Professor, VCU School of Medicine November 17, 2017 Conflicts Medtronic: Research, Honoraria, Consulting Boston Scientific: Research,
More informationProcurement Support to Ministry of Health, Ukraine. Invitation to Bid for:
Procurement Support to Ministry of Health, Ukraine Invitation to Bid for: PROGRAMME XIX: MEDICAL PRODUCTS FOR HEALTHCARE INSTITUTIONS FOR TREATMENT OF PATIENTS WITH CARDIOVASCULAR AND CEREBROVASCULAR DISEASES
More informationClinical Data Summary: Avoid FFS Study
Atrial Pacing Lead with 1.1 mm Tip-to-Ring Spacing Clinical Data Summary: Avoid FFS Study A Multi-center, Randomized, Prospective Clinical Study Designed to Evaluate the 1699T Lead Clinical Data Summary:
More informationActive Fixation Models: 7740, 7741 and 7742 Passive Fixation Models: 7731, 7732, 7735 and 7736
The INGEVITY MRI pacing leads are 6F (2.0 mm) steroid-eluting, endocardial pace / sense leads designed for permanent implantation for either atrial or ventricular applications. INGEVITY MRI is the only
More informationMRI ACCESS. Evera MRI SureScan ICD Systems
ACCESS Evera SureScan ICD Systems ACCESS. 36% of ICD patients are likely to have an ordered over 4 years 3 Introducing Evera, featuring SureScan Technology. ICD Patients are not receiving s 1.4% 36% CONTOURED.
More information09/05/2018. True/False: All pacemakers have defibrillation capabilities.
Paul G. Tarasi M.D. Staff Anesthesiologist Allegheny Health Network Adjunct Clinical Assistant Professor of Anesthesiology Temple University School of Medicine Describe different types of implanted cardiac
More informationKing s Research Portal
King s Research Portal DOI: 10.1016/j.tcm.2016.03.003 Document Version Peer reviewed version Link to publication record in King's Research Portal Citation for published version (APA): Rinaldi, C. A. (2016).
More informationPacing Without Wires: Leadless Cardiac Pacing
REVIEWS AND CONTEMPORARY UPDATES Ochsner Journal 16:238 242, 2016 Ó Academic Division of Ochsner Clinic Foundation Pacing Without Wires: Leadless Cardiac Pacing Michael L. Bernard, MD, PhD Department of
More informationCardiac implantable electronic devices (CIEDs) in children include pacemakers and implantable cardioverter defibrillators (ICDs).
Management of Children with Cardiac Devices Guideline originally developed by Leann Miles, APRN; Lindsey Pumphrey, RN; Srikant Das, MD, and the ANGELS Team. Last reviewed by Lindsey Pumphrey, RN, Srikant
More informationMRI imaging for patients with cardiac implantable electronic devices (CIEDs)
MRI imaging for patients with cardiac implantable electronic devices (CIEDs) 13 th annual International Winter Arrhythmia School Collingwood, Ontario, Canada February 6, 2016 Andrew C.T. Ha, MD, MSc, FRCPC
More informationICD: Basics, Programming and Trouble-shooting
ICD: Basics, Programming and Trouble-shooting Amir AbdelWahab, MD Electrophysiology and Pacing Service Cardiology Department Cairo University Feb 2013 Evolution of ICD Technology ICD Evolution Indications
More informationMRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece
MRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece Increase of MRI scans in recent decades In the USA, the number of procedures
More informationMRI SURESCAN SYSTEMS. Patient Scanning Process PATIENT PRESCREENING. SureScan Pacing, Defibrillation, and CRT-D Systems Verification
MRI SURESCAN SYSTEMS Patient Scanning Process PATIENT PRESCREENING SureScan Pacing, Defibrillation, and CRT-D Systems Verification Verify that patient has a complete SureScan pacing, defibrillation, or
More information1. CARDIOLOGY. These listings cannot be correctly interpreted without reference to the Preamble. Anes. $ Level
1. CARDIOLOGY These listings cannot be correctly interpreted without reference to the Preamble. Anes. Referred Cases 33010 Consultation: To consist of examination, review of history, laboratory, X-ray
More informationDiagnostic capabilities of the implantable therapeutic systems
Cardiac pacing 2012 and beyound Monday August 27, 2012 Diagnostic capabilities of the implantable therapeutic systems Pekka Raatikainen Heart Center Co. Tampere University Hospital and University of Tampere
More informationBHRS Prep course Pub style Quiz NOT A
BHRS Prep course Pub style Quiz NOT A Round 1 Quiz questions Common ECG s in CRM Colin Cunnington Over the past 3 months, a 24-yearold man who works as a truck driver has had frequent episodes of pre-syncope
More informationDifferent indications for pacemaker implantation are the following:
Patient Resources: ICD/Pacemaker Overview ICD/Pacemaker Overview What is a pacemaker? A pacemaker is a device that uses low energy electrical pulses to prompt the heart to beat whenever a pause in the
More informationProgramming of Bradycardic Parameters. C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany
Programming of Bradycardic Parameters C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany Carsten.Israel@evkb.de Programming of ICD Brady Parameters Conflict of Interest Biotronik
More informationDipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese
Dipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese Because the primary objective was cure symptomatic bradicardya due to syncope Because this is the common
More informationChapter 80 Implantable Cardiac Devices
Chapter 80 Implantable Cardiac Devices Episode Overview: 1. List 5 Indications for permanent pacing 2. Pacemaker nomenclature - what do the 5 letters mean a. What are common Pacemaker types? 3. List the
More informationAdvanced ICD Concepts
1 4 2 5 7 3 6 8 Advanced ICD Concepts This presentation is provided with the understanding that the slide content must not be altered in any manner as the content is subject to FDA regulations. This presentation
More informationHow to set up a device clinic for heart failure patients Dr C Sridevi
How to set up a device clinic for heart failure patients Dr C Sridevi Consultant Cardiologist /Electro physiologist CARE Hospitals, CARE Foundation Need to set up a device clinic for heart failure patients
More informationSolara CRT-P MRI SureScan W1TR06
Solara CRT-P MRI SureScan W1TR06 MR Conditional pacemaker with cardiac resynchronization therapy, SureScan technology, and Bluetooth wireless telemetry (OAE-DDDR) Device Manual The following list includes
More informationAMPLIA MRI CRT-D SURESCAN DTMB1D4
AMPLIA MRI CRT-D SURESCAN DTMB1D4 Digital implantable cardioverter defibrillator with cardiac resynchronization therapy and SureScan Technology (DDE-DDDR) MR Conditional with PhysioCurve Design, AdaptivCRT
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 4,000 116,000 120M Open access books available International authors and editors Downloads Our
More informationWhat s New in CIEDs. Keimyung University Dongsan Medical Center Hyoung-Seob Park
What s New in CIEDs Keimyung University Dongsan Medical Center Hyoung-Seob Park Transvenous CIEDs Technology: - Highly mature & reliable - Still includes generator, connectors and leads Procedure : -
More informationYou have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
More informationYou have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
More informationPacing Codes and Modes Concepts
Pacing Codes and Modes Concepts Pacing codes and modes concepts Objectives Upon completion of this program the participant will be able to: State what the first four positions of the NBG code represent.
More information