How-to Manual for Pacemaker and ICD Devices

A complete, how-to-do-it guide to planning, programming, implementing, and trouble-shooting today’s pacemakers and other implantable cardiac devices

Edited by a team of leading clinician-educators this is a practical, go-to reference for trainees and clinical staff who are new to or less experienced with the programming and management of implantable devices. It distills device best-practices into a single, quick-reference volume that focuses on essential tasks, common pitfalls, and likely complications. Each chapter follows a hands-on, how-to-do-it approach that helps readers quickly master even the most challenging device-related tasks—such as programming and how to respond confidently when complications arise.

Today’s pacemakers and other implantable EP devices are to earlier versions what smart phones are to rotary phones. They are not only smaller and more comfortable; they offer complex programming options that allow clinicians to adapt a device to individual patient requirements. As they continue to become smaller, smarter, and more adaptable, these devices also become more challenging for clinicians to set up, manage and monitor. This unique, quick-reference guide dramatically reduces the learning curve for mastering this essential technology by giving doctors and technicians the how-to information they need.

    Focuses on tasks clinicians perform, including pre-implementation, planning, programming, management, troubleshooting, and more
    Shows how expert clinicians achieve optimal outcomes in their own labs with real-world examples
    Features more than 300 images, including ECGs, X-ray and fluoroscopy, images from device interrogation, intracardiac electrograms, and color electoanatomical maps
    Provides eight videos on an accompanying website demonstrating key tasks and techniques

Also available in an eBook version, enhanced with instructional videos, How-to Manual for Pacemaker and ICD Devices is an indispensable “tool of the trade” for electrophysiologists, fellows in electrophysiology, EP nurses, technical staff, and industry professionals.

CONTENTS

Part One 1

1 How to Access the Cephalic Vein Using a Cut]down Approach 3
Carola Gianni, Pasquale Santangeli, Andrea Natale, and Amin Al]Ahmad

2 Extrathoracic Subclavian Vein Access 9
Paul C. Zei

3 Subcutaneous Implantable Cardioverter]Defibrillator 17
Anil Rajendra and Michael R. Gold

4 Internal Jugular Venous Access and Lead Implantation for Cardiac Implantable Electronic Devices 23
Michael G. Katz and David T. Huang

5 Implantation of the Left Ventricular Lead 27
Shrinivas Hebsur and Edward Platia

6 How to Place a Lead in the Azygos Vein 37
Jason S. Bradfield, Daniel H. Cooper, Noel G. Boyle, and Kalyanam Shivkumar

7 Alternative Site Pacing: A Guide to Implantation Techniques 45
Michael C. Giudici

8 How to Maximize CRT Response at Implant 55
Attila Roka, Gaurav Upadhyay, Jagmeet Singh, and E. Kevin Heist

9 How to Perform Sub]pectoral Device Implants 63
Claudio D. Schuger

10 Device Extractions 69
Sean D. Pokorney, Donald D. Hegland, and Patrick M. Hranitzky

11 How to Extract Pacemaker and Defibrillator Leads from the Femoral Approach 79
Leenhapong Navaravong and Roger A. Freedman

12 How to Extract Leads from the Jugular Approach 89
Maria Grazia Bongiorni, Andrea Di Cori, Luca Segreti, Giulio Zucchelli, Ezio Soldati, Stefano Viani, and Luca Paperini

13 How to Perform Venoplasty for Access 97
Seth J. Worley

14 How to Perform Defibrillation Threshold Testing 111
Chad Brodt and Marco V. Perez

15 Use of CXR, CT, and 3]D Imaging to Evaluate Lead Location 119
Brett D. Atwater

16 How to Evaluate Postoperative Device Complications 133
Dan Sorajja and Win]Kuang Shen

Part Two 145

17 How to Program Pacemakers for Patients With Sinus Node Disease 147
Carsten W. Israel and Lucy Ekosso]Ejangue

18 How to Interpret Pacemaker Electrocardiograms 159
Giuseppe Bagliani, Stefania Sacchi, and Luigi Padeletti

19 How to Perform Pacemaker Troubleshooting 173
Brian Olshansky and Nora Goldschlager

20 How to Program an ICD to Program ATP, and Program for VT/VF Storm 187
P. Pieragnoli, G. Ricciardi, Margherita Padeletti, Stefania Sacchi, Alessio Gargaro, and Luigi Padeletti

21 How to Troubleshoot An ICD 195
Advay G. Bhatt, Santosh C. Varkey, and Kevin M. Monahan

22 Management of ICD Device and Lead Failures and Recalls 207
Yousef Bader and N.A. Mark Estes III

23 How to Program an ICD to Minimize Inappropriate Shocks 213
Paul J. Wang and Winston B. Joe

24 How to Perform CRT Optimization 221
Kevin P. Jackson and James P. Daubert

25 How to Manage Device Infections and When to Reimplant After Device Extraction 233
Giosue Mascioli

26 How to Implement a Remote Follow]up Program for Patients with Cardiac Implantable Electronic Devices 241
George H. Crossley, April Bain, and Rachel Tidwell

27 How to Set Up an HF Monitoring Service 255
Edoardo Gronda, Emilio Vanoli, Margherita Padeletti, and Alessio Gargaro

28 How to Deactivate Cardiac Implantable Electric Devices in Patients Nearing the End of Life and/or Requesting Withdrawal of Therapies 263
Rachel Lampert

Index

Amin Al-Ahmad, MD, FACC, FHRS, CCDS, Cardiac Electrophysiologist, Texas Cardiac Arrhythmia Institute, Austin, USA.

Andrea Natale, MD, FACC, FHRS, FESC, Executive Medical Director, Texas Cardiac Arrhythmia Institute, Austin, USA.

Paul J. Wang, MD, Professor of Medicine and of Bioengineering (by courtesy), Stanford University School of Medicine, Stanford, USA.

James P. Daubert, MD, Professor of Medicine, Duke University Medical Center, Durham, USA.

Luigi Padeletti, MD, Director of the Cardiovascular Department, IRCCS MultiMedica, Milan, Italy.