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Case Study

Case Study
Twiddler’s Syndrome: Utilizing New ICD Technology to Help Treat an Old Problem
08/06/2017

Michelle Glow, RT(R), RCIS, Nathan W. Webb, RT(R), and Matthew P. Latacha, MD, FACC, FHRS,
Nebraska Methodist Hospital,
Omaha, Nebraska

 

Michelle Glow, RT(R), RCIS, Nathan W....
Twiddler’s syndrome is an infrequent though well-described complication of cardiac device therapy. Here we describe a unique presentation of this syndrome manifesting as “A-V sequential pacing” of the left pectoralis muscle and diaphragm.
Twiddler’s syndrome is an infrequent though well-described complication of cardiac device therapy. Here we describe a unique presentation of this syndrome manifesting as “A-V sequential pacing” of the left pectoralis muscle and diaphragm.
Twiddler’s syndrome is an...
08/06/2017
EP Lab Digest
Case Study
Mapping and Ablation of an Atypical Left Atrial Flutter Using the EnSite Precision Cardiac Mapping System
08/06/2017

Adam R. Shapira, MD, FACC, FHRS

Advanced Heart Care, PA; Heart Hospital Baylor Plano
Plano, Texas

Adam R. Shapira, MD, FACC, FHRS Adva...
In the following case report, an atypical left atrial flutter was mapped and successfully ablated using the EnSite Precision Cardiac Mapping System.
In the following case report, an atypical left atrial flutter was mapped and successfully ablated using the EnSite Precision Cardiac Mapping System.
In the following case report, an...
08/06/2017
EP Lab Digest

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Case Study
A Very Rare Coronary Anomaly
07/09/2017

David J. Addley, DO, FACC, Medical Director, Noninvasive Cardiovascular Laboratory Mercy Philadelphia Hospital, Philadelphia, Pennsylvania 

 

David J. Addley, DO, FACC, Medical Di...
Congenital coronary anomalies are found in 0.2-1.6% of the population undergoing diagnostic coronary angiography.
Congenital coronary anomalies are found in 0.2-1.6% of the population undergoing diagnostic coronary angiography.
Congenital coronary anomalies...
07/09/2017
EP Lab Digest
Case Study
Convergent Approach to Persistent Atrial Fibrillation
06/05/2017

Kelly Williams, RN, BSN, RCES
Electrophysiology Lab Clinical Coordinator
Parkridge Medical Center
Chattanooga, Tennessee

Kelly Williams, RN, BSN, RCES Electro...
Parkridge Medical Center was the first hospital in Chattanooga to offer the Convergent procedure as a treatment for persistent atrial fibrillation (AF).
Parkridge Medical Center was the first hospital in Chattanooga to offer the Convergent procedure as a treatment for persistent atrial fibrillation (AF).
Parkridge Medical Center was the...
06/05/2017
EP Lab Digest
Case Study
Implanting a Permanent His Bundle Pacemaker: The Indiana University Approach
05/01/2017

Benjamin Maatman, MD and Gopi Dandamudi, MD, FHRS
Krannert Institute of Cardiology at the Indiana University School of Medicine
Indianapolis, Indiana

Benjamin Maatman, MD and Gopi Dandamu...
We present a recent case where permanent HBP was successfully achieved, and briefly describe some technical aspects related to this form of pacing. 
We present a recent case where permanent HBP was successfully achieved, and briefly describe some technical aspects related to this form of pacing. 
We present a recent case where...
05/01/2017
EP Lab Digest

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Case Study
Ablation of Atypical Atrial Flutter Via Azygous Vein with Remote Magnetic Navigation in Congenital Heart Disease
05/01/2017

Zaid Aziz, MD, Andrew Beaser, MD, Roderick Tung, MD
The University of Chicago Medicine
Center for Arrhythmia Care | Heart and Vascular Center
Pritzker School of Medicine
Chicago, Illinois

Zaid Aziz, MD, Andrew Beaser, MD, Rod...
In this brief case report, we present a challenging case of atrial flutter that was successfully mapped and ablated using the Niobe® Magnetic Navigation System (Stereotaxis).   
In this brief case report, we present a challenging case of atrial flutter that was successfully mapped and ablated using the Niobe® Magnetic Navigation System (Stereotaxis).   
In this brief case report, we...
05/01/2017
EP Lab Digest
Case Study
Ventricular Tachycardia in Ischemic Cardiomyopathy: Are You Certain You Are Ablating the Clinical VT?
05/01/2017

Jorge Romero, MD, David F. Briceno, MD, Ilir Maraj, MD, Vito Grupposo, RT, Soo G. Kim, MD, and Luigi Di Biase, MD, PhD
Montefiore Medical Center, Albert Einstein College of Medicine
Bronx, New York

Jorge Romero, MD, David F. Briceno, M...
BBRVT is a form of macroreentrant tachycardia involving the bundle of His, both bundle branches, and the ventricular myocardium in the circuit.
BBRVT is a form of macroreentrant tachycardia involving the bundle of His, both bundle branches, and the ventricular myocardium in the circuit.
BBRVT is a form of...
05/01/2017
EP Lab Digest
Case Study
Home Monitoring and MRI Compatibility: A Case Report
04/04/2017

Antonella Quattromani, MD, MBA
Director of Cardiology Services
Deparment of the Army 
General Leonard Wood Army Community Hospital
Fort Leonard Wood, Missouri

Antonella Quattromani, MD, MBA Direct...
For young patients that are facing potentially lifelong device-based therapy, MR-compatibility is an important — and even crucial — device feature.
For young patients that are facing potentially lifelong device-based therapy, MR-compatibility is an important — and even crucial — device feature.
For young patients that are...
04/04/2017
EP Lab Digest

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Case Study
Use of a Novel Mechanical Extraction Sheath for Transvenous Lead Extraction: You Can Teach an Old Dog New Tricks!
03/02/2017

Laurence M. Epstein, MD
Brigham and Women's Hospital
Harvard Medical School
Boston, Massachusetts

 

Laurence M. Epstein, MD Brigham and W...
In this report, we review the use of a novel, shielded mechanical extraction sheath to successfully remove older, chronic pacemaker and ICD leads (22 and 17 years). 
In this report, we review the use of a novel, shielded mechanical extraction sheath to successfully remove older, chronic pacemaker and ICD leads (22 and 17 years). 
In this report, we review the...
03/02/2017
EP Lab Digest
Case Study
Using the WATCHMAN LAAC Device: From a Coordinator’s Perspective
01/01/2017

Tara Mudd, MSN, APRN, NP-C, Watchman Coordinator
Norton Heart Specialists
Norton Healthcare
Louisville, Kentucky

 

Tara Mudd, MSN, APRN, NP-C, Watchman ...
In February 2016, Norton Hospital became the first facility in Louisville, Kentucky to begin implanting the WATCHMAN Left Atrial Appendage Closure device (Boston Scientific).
In February 2016, Norton Hospital became the first facility in Louisville, Kentucky to begin implanting the WATCHMAN Left Atrial Appendage Closure device (Boston Scientific).
In February 2016, Norton...
01/01/2017
EP Lab Digest

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Clinical Images
Redo Transcatheter Aortic Valve Replacement in a Young Patient With Congenital Aortic Valve Disease
08/07/2024
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone...
08/07/2024
Journal of Invasive Cardiology
Clinical Images
Redo Transcatheter Aortic Valve Replacement in a Young Patient With Congenital Aortic Valve Disease
08/07/2024
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone...
08/07/2024
Journal of Invasive Cardiology
Clinical Images
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with...
08/05/2024
Journal of Invasive Cardiology
Clinical Images
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with...
08/05/2024
Journal of Invasive Cardiology
Clinical Images
Calcium Is Not an Issue for Transcatheter Therapy in the Mitral Valve: The Role of Independent Leaflet Grasping
07/30/2024
A 75-year-old woman with a history of heart failure was referred for dyspnea upon exertion due to severe mitral regurgitation.
A 75-year-old woman with a history of heart failure was referred for dyspnea upon exertion due to severe mitral regurgitation.
A 75-year-old woman with a...
07/30/2024
Journal of Invasive Cardiology

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