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Volume 20 - Issue 2 - February 2020

Featured Article

New Initiatives and Research in Atrial Fibrillation Care
Cover Story
02/02/2020

Interview by Jodie Elrod

Interview by Jodie Elrod
EPLD speaks with Dr. David McManus, Director of the Anticoagulation Service and Co-director of the Atrial Fibrillation (AF or AFib) Program about upcoming and ongoing initiatives in care at UMass Memorial Health Care.
EPLD speaks with Dr. David McManus, Director of the Anticoagulation Service and Co-director of the Atrial Fibrillation (AF or AFib) Program about upcoming and ongoing initiatives in care at UMass Memorial Health Care.
EPLD speaks with Dr. David...
02/02/2020
EP Lab Digest
Intraoperative Epicardial Voltage Mapping to Guide Hybrid Convergent Ablation of Persistent Atrial Fibrillation
Cover Story
02/02/2020

Kun Xiang, MD, PhD, Joshua Levine, MD, S. Claude Elayi, MD, John Pirris, MD, John N. Catanzaro, MD

Department of Cardiology; University of Florida Health Science Center; Jacksonville, Florida

Kun Xiang, MD, PhD, Joshua Levine, MD...
We report a case of convergent surgical ablation during which we performed epicardial electroanatomical mapping before and after ablation to guide the surgeon, and to demonstrate the effectiveness of the procedure with minimal additional...
We report a case of convergent surgical ablation during which we performed epicardial electroanatomical mapping before and after ablation to guide the surgeon, and to demonstrate the effectiveness of the procedure with minimal additional...
We report a case of convergent...
02/02/2020
EP Lab Digest

Column

A New Technique to Debulk Large Vegetations Before Lead Extraction
Letter from the Editor
02/02/2020

Bradley P. Knight, MD, FACC, FHRS, Editor-in-Chief

Bradley P. Knight, MD, FACC, FHRS, Ed...
Newer implements designed to extract transvenous pacemaker and defibrillator leads have resulted in increased success and safety. Before the mid 1990s when laser lead extraction sheaths were introduced, lead extractions were performed using...
Newer implements designed to extract transvenous pacemaker and defibrillator leads have resulted in increased success and safety. Before the mid 1990s when laser lead extraction sheaths were introduced, lead extractions were performed using...
Newer implements designed to...
02/02/2020
EP Lab Digest
The EP Edit Podcast: Managing Atrial Fibrillation in the Emergency Department
Feature Interview
02/02/2020

Interview by Jodie Elrod

Interview by Jodie Elrod
In the next installment of The EP Edit podcast, we’re following up with DaMarcus E. Baymon, MD and Christopher W. Baugh, MD, MBA. In our January issue, they provided a review of strategies for achieving best outcomes for patients with atrial...
In the next installment of The EP Edit podcast, we’re following up with DaMarcus E. Baymon, MD and Christopher W. Baugh, MD, MBA. In our January issue, they provided a review of strategies for achieving best outcomes for patients with atrial...
In the next installment of The...
02/02/2020
EP Lab Digest
Establishing an APP-Led Multidisciplinary Atrial Fibrillation Clinic
Feature Interview
02/02/2020

Interview by Jodie Elrod

Interview by Jodie Elrod
In this feature interview, we speak with Dr. Sandeep Jain about the multidisciplinary team approach at the UPMC Center for Atrial Fibrillation, part of the UPMC Heart and Vascular Institute in Pittsburgh, Pennsylvania.  Tell us about the...
In this feature interview, we speak with Dr. Sandeep Jain about the multidisciplinary team approach at the UPMC Center for Atrial Fibrillation, part of the UPMC Heart and Vascular Institute in Pittsburgh, Pennsylvania.  Tell us about the...
In this feature interview, we...
02/02/2020
EP Lab Digest
Spotlight Interview: Hospital Pró-Cardíaco
Spotlight Interview
02/02/2020

Eduardo B. Saad, MD, PhD, FHRS, FESC; Rio de Janeiro, Brazil

Director, Cardiac Arrhythmia Service and Center for Atrial Fibrillation; Hospital Pró-Cardíaco; Rio de Janeiro, Brazil

Eduardo B. Saad, MD, PhD, FHRS, FESC;...
Hospital Pró-Cardíaco is a community hospital located in the south zone of the city of Rio de Janeiro, Brazil. It is an academic affiliated hospital that positions itself through the provision of quaternary cardiovascular care through...
Hospital Pró-Cardíaco is a community hospital located in the south zone of the city of Rio de Janeiro, Brazil. It is an academic affiliated hospital that positions itself through the provision of quaternary cardiovascular care through...
Hospital Pró-Cardíaco is a...
02/02/2020
EP Lab Digest

Feature

Twiddler’s Syndrome Combined with Subclavian Crush Syndrome: A Case of ICD Lead Failure and Potential Challenging Lead Extraction
Clinical Images
02/02/2020

Levio Quinto1, Martina Testolina1, Francesco Zanon2, Federico Migliore1

1Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua; Padua, Italy;

2Department of Cardiology, Ospedale di Rovigo; Padova,  Italy

Levio Quinto1, Martina Testolina1, Fr...
A 68-year-old woman with a body mass index of 37 kg/m2 and a previous history of hypertension was referred to our department for transvenous lead extraction because of implantable cardioverter defibrillator (ICD) lead (Medtronic, active...
A 68-year-old woman with a body mass index of 37 kg/m2 and a previous history of hypertension was referred to our department for transvenous lead extraction because of implantable cardioverter defibrillator (ICD) lead (Medtronic, active...
A 68-year-old woman with a body...
02/02/2020
EP Lab Digest
EP Research
02/02/2020

Angela Murphy, BS, RCIS, 

Orlando, Florida

Angela Murphy, BS, RCIS,  Orlando, F...
The aim of this article is to evaluate whether peer-to-peer education and a mandatory leadership approach can build stronger teams and empower lab staff.
The aim of this article is to evaluate whether peer-to-peer education and a mandatory leadership approach can build stronger teams and empower lab staff.
The aim of this article is to...
02/02/2020
EP Lab Digest
Perspectives
02/02/2020

Jim Collins, CPC, CCC

Jim Collins, CPC, CCC
The changes in the 2020 Physician Fee Schedule make RPM more attractive than ever.
The changes in the 2020 Physician Fee Schedule make RPM more attractive than ever.
The changes in the 2020...
02/02/2020
EP Lab Digest
Making the Case for Prewarming Electrophysiology Patients
Review
02/02/2020

Christina Ferentinos VanDerveer, RN, BSN, BC-RN, EP Lab Education Coordinator

University of Virginia Health System;

Charlottesville, Virginia

Christina Ferentinos VanDerveer, RN, ...
The practice of prewarming patients prior to surgery is to prevent unintended hypothermia. According to the Association of periOperative Registered Nurses (AORN), hypothermia causes discomfort for the patient and can contribute to...
The practice of prewarming patients prior to surgery is to prevent unintended hypothermia. According to the Association of periOperative Registered Nurses (AORN), hypothermia causes discomfort for the patient and can contribute to...
The practice of prewarming...
02/02/2020
EP Lab Digest
02/02/2020

Kamala P. Tamirisa, MD, FACC, FHRS, 

Texas Cardiac Arrhythmia, 

Dallas, Texas

Kamala P. Tamirisa, MD, FACC, FHRS,  ...
With all of these positive attributes, why is the EP field unable to recruit fellows? Here are a few points to ponder as we address this crisis.
With all of these positive attributes, why is the EP field unable to recruit fellows? Here are a few points to ponder as we address this crisis.
With all of these positive...
02/02/2020
EP Lab Digest

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