Volume 21 - Issue 3 - March 2021

Featured Article

Case Study

A Tale of 2 Devices: ICD Lead Malfunction Following Implantation of a Left Ventricular Assist Device

02/27/2021

Christopher Purtell, MD, Cardiovascular Medicine Fellow, and Miguel Leal, MD, Director of the
Electrophysiology & Arrhythmia Service

University of Wisconsin, Madison, Wisconsin

Christopher Purtell, MD, Cardiovascul...

Given the growing number of patients with advanced heart failure who require mechanical circulatory support, notably the placement of left ventricular assist devices (LVADs) either as destination therapy or as bridge-to-transplant, it is...

Given the growing number of...

02/27/2021

EP Lab Digest

Optimal CRT With a Net Reduction of 3 Leads With Use of Novel CRT-DX System

Sponsored

Featured Case

Optimal CRT With a Net Reduction of 3 Leads With Use of Novel CRT-DX System

02/27/2021

Rajiv Handa, MD¹, and Barry A. Bryant, CCDS²

¹Mercy Clinic Electrophysiology, St. Louis, Missouri; ²BIOTRONIK Biomedical Engineer, St. Louis, Missouri

Rajiv Handa, MD1, and Barry A. Bryant...

The concept of single-lead VDD pacing was developed in part to reduce hardware in the body without compromising device therapy or patient safety. Yet, VDD devices have historically been underutilized in the United States, primarily due to...

The concept of single-lead VDD...

02/27/2021

EP Lab Digest

Cover Story

Minimizing Occupational Radiation Exposure in the EP Lab: Theories, Implications, and Recommendations That Potentially Extend EP Team Longevity

02/26/2021

Shannon Gleason, DNP¹; Sarah Kennedy²; Isabell Sagar^3,4; Sandeep Sagar, MD, PhD¹

¹Owensboro Health Regional Hospital (OHRH), Owensboro, Kentucky; ²University of Evansville, Evansville, Indiana; ³Harvard College, Cambridge, Massachusetts; ⁴Massachusetts General Hospital, Boston, Massachusetts

Shannon Gleason, DNP1; Sarah Kennedy2...

The goal of this 2-part analysis is to provide electrophysiologists and EP staff with a basic understanding of the biology of ionizing radiation, the mechanism of injury induced by x-ray, and simple tools for reducing x-ray exposure.

The goal of this 2-part analysis...

02/26/2021

EP Lab Digest

Happier Patients and Improved Workflow at the MedStar Washington Hospital Center EP Lab: Early Ambulation and Same-Day Discharge for AF Ablation Using VASCADE MVP®

Column

Letter from the Editor

Pulsed Field Ablation Technology: Not a Flash in the Pan

02/27/2021

Bradley P. Knight, MD, FACC, FHRS,

Editor-in-Chief, EP Lab Digest

Bradley P. Knight, MD, FACC, FHRS, ...

This year’s AF Symposium provided further evidence that PFA was not a “flash in the pan.”

This year’s AF Symposium...

02/27/2021

EP Lab Digest

Spotlight Interview

Spotlight Interview: Heart Hospital of New Mexico at Lovelace Medical Center

02/26/2021

Sean Mazer, MD; Kate L. Muller, RN, BSN; Yaw Adjei-Poku, MD; Judith Everett; Albuquerque, New Mexico

Sean Mazer, MD; Kate L. Muller, RN, B...

The EP program was created in 1972 by Dr. Barry Ramo.

The EP program was created in...

02/26/2021

EP Lab Digest

Feature

Pacemaker-Related Complications in Patients Undergoing Transcatheter Aortic Valve Implantation: A Single-Center Experience

EP Research

02/27/2021

Giuseppe Lanzillo, MD¹*; Antonio Mangieri, MD²*; Matteo Pagnesi, MD³; Claudio Montalto, MD¹; Ozan M. Demir, MD⁴; Alessandra Laricchia, MD²; Jonathan Curio, MD⁵; Gabriele Paglino, MD⁶; Francesco Giannini, MD²; Antonio Colombo, MD²; Matteo Montorfano, MD³; Azeem Latib, MD⁷

¹Division of Cardiology, IRCCS Policlinico San Matteo, Pavia, Italy; ²Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Ravenna, Italy; ³Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; ⁴Department of Cardiology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom; ⁵Charité University Medical Care, Berlin, Germany; ⁶Electrophysiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; and ⁷Department of Cardiology, Montefiore Medical Center, New York.

*Joint first authors.

Giuseppe Lanzillo, MD1*; Antonio Mang...

PPM-related complications are common in elderly patients after TAVI, and some of these adverse events can be life threatening. Particular attention is required in the periprocedural management of these patients.

PPM-related complications are...

02/27/2021

EP Lab Digest

Case Study

Left Phrenic Nerve Displacement Using a Sizing Balloon During Epicardial Ventricular Tachycardia Ablation

02/27/2021

Serkan Cay, MD; Ozcan Ozeke, MD; Serkan Topaloglu, MD; Firat Ozcan, MD; Dursun Aras, MD

Department of Cardiology, Division of Arrhythmia and Electrophysiology, University of Health Sciences, Yuksek Ihtisas Cardiovascular Building; Ankara City Hospital, Ankara, Turkey

Serkan Cay, MD; Ozcan Ozeke, MD; Serk...

The phrenic nerve (PN) can be an obstacle for catheter ablation of ventricular arrhythmias, and PN injury is a potential complication of epicardial ventricular tachycardia (VT) ablation.1-3 A close anatomic relationship between the left PN...

The phrenic nerve (PN) can be an...

02/27/2021

EP Lab Digest

Case Study

An Unusual Substrate for Outflow Tract Ventricular Tachycardia

02/27/2021

Ven Gee Lim, MBChB (Hons), MSc, MRCP¹; Jassie Tan, MBBCh, FRCR²; Riccardo Proietti, MD, PhD, FESC³; Michelle J. Schmucki, BSc (Hons)⁴; Jamal Nasir Khan, PhD, MBChB (Hons), BMedSci (Hons), FRCP, FESC⁵; Tarvinder Dhanjal, MBChB (Hons), MRCP, PhD, FESC⁶

¹Specialist Registrar in Cardiology, University Hospitals Coventry (UHC) and Warwickshire (UHCW), Coventry, UK; ²Consultant Radiologist, UHCW; ³Consultant Electrophysiologist, Department of Cardiac Sciences, University of Padua, Italy; ⁴MRI Radiographer, UHC; ⁵Consultant Cardiologist with Specialist Interest in Cardiac Imaging, UHCW; ⁶Consultant Cardiologist and Electrophysiologist, UHCW, Honorary Associate Clinical Professor of Cardiology (University of Warwick)

Ven Gee Lim, MBChB (Hons), MSc, MRCP1...

We present a novel case of a 42-year-old male with an unusual substrate for right ventricular outflow tract (RVOT) tachycardia – post-cardiac surgery-associated RVOT sternal adhesion (confirmed on cardiovascular MRI [CMR] pre-ablation).

We present a novel case of a...

02/27/2021

EP Lab Digest

Cover Story

Evolution of EP Coding and Billing: Review of the Last 20 Years of Changes

02/26/2021

Jim Collins, CPC, CCC; CardiologyCoder.Com

Jim Collins, CPC, CCC; CardiologyCode...

Like EP Lab Digest, I entered the world of electrophysiology 20 years ago. My introduction on day one was as the compliance analyst at The Care Group in Indianapolis. My first marching orders were to get up to speed on EP coding rules and to...

Like EP Lab Digest, I entered...

02/26/2021

EP Lab Digest

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Editorial Staff

Clinical Editor
Bradley Knight, MD

Managing Editor
Jodie Elrod

Design Operations Manager
Beth Vasil

Editorial Correspondence

Volume 21 - Issue 3 - March 2021