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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
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Coronary Sinus Lead Extraction.

Edmond M Cronin1, Bruce L Wilkoff2

  • 1Division of Cardiology, Hartford Hospital, 80 Seymour Street PO Box 5037, Hartford CT 06102, USA.

Heart Failure Clinics
|November 26, 2016
PubMed
Summary
This summary is machine-generated.

Coronary sinus (CS) lead extraction is increasingly needed due to expanded cardiac resynchronization therapy uses and device infections. Success rates are comparable to other leads, but unique challenges require tailored approaches.

Keywords:
Cardiac resynchronization therapyCoronary sinusLead extraction

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Device Extraction

Background:

  • Expanded indications for cardiac resynchronization therapy (CRT) increase the need for CRT device implantation.
  • Increasing incidence of cardiac implantable electronic device (CIED) infections necessitates CIED procedures.
  • The coronary sinus (CS) presents unique anatomical challenges for lead extraction.

Purpose of the Study:

  • To review the indications for coronary sinus (CS) lead extraction.
  • To detail the techniques and outcomes of CS lead extraction.
  • To highlight the importance of considering re-implantation options during pre-procedural decision-making.

Main Methods:

  • Review of current literature on coronary sinus (CS) lead extraction.
  • Analysis of indications, techniques, success rates, and complications.
  • Evaluation of re-implantation strategies post-extraction.

Main Results:

  • Published success rates and complication profiles for CS lead extraction are similar to those for other lead types.
  • Multiple extraction techniques may be required due to anatomical complexity.
  • Limited re-implantation options post-extraction require careful pre-procedural planning.

Conclusions:

  • Coronary sinus (CS) lead extraction is a viable procedure with outcomes comparable to other lead extractions.
  • Specialized training and facility preparedness are crucial for safe and effective CS lead extraction.
  • Pre-procedural assessment must include evaluation of potential re-implantation strategies.