Evidence map›Paper›PMID 34113892›Full record

ArticleHeart rhythm O22020

Electroanatomical mapping- and CT scan image integration-guided pacing lead implantation: A case series and review of the recent literature.

Jens Kristensen, Mads Brix Kronborg, Christian Gerdes, Jens Cosedis Nielsen

Abstract read
In one paragraph

Article in Heart rhythm O2, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jens KristensenDepartment of Cardiology, Section for Arrhythmia, Aarhus University Hospital Skejby, Aarhus, Denmark.
Mads Brix KronborgDepartment of Cardiology, Section for Arrhythmia, Aarhus University Hospital Skejby, Aarhus, Denmark.
Christian GerdesDepartment of Cardiology, Section for Arrhythmia, Aarhus University Hospital Skejby, Aarhus, Denmark.
Jens Cosedis NielsenDepartment of Cardiology, Section for Arrhythmia, Aarhus University Hospital Skejby, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present a case series and short review of electroanatomical mapping (EAM)-guided pacing lead implantation. The cases illustrate different aspects of EAM use in special circumstances and summarizes our experience with EAM-guided His lead implantation in 32 consecutive patients. Advantages and caveats encountered when using EAM in device procedures are discussed.

objectiveTo illustrate usefulness of EAM-guided lead implantation and computed tomography (CT) image integration in a case series.

methodsLead implantation was performed targeting different anatomically defined regions using EAM for mapping and lead navigation, as well as using the system for image integration for 2 cardiac resynchronization therapy implantations.

resultsFor His bundle pacing lead implantation, a steep learning curve for successful His bundle lead placement seems obtainable (91%) for new implanters using EAM-guided implantation. Successful lead placements in other locations guided by anatomical or physiologically defined positions are demonstrated in individual cases. However, map shifts are frequently encountered and should be recognized and corrected.

conclusionEAM-guided His bundle lead implantation seems to be a useful tool for arriving at high success rates for new His lead implanters with a steep learning curve, if appropriate precautions are undertaken. In selected cases EAM and CT scan image integration can be of benefit in lead implantation in other locations. Knowledge of specific problems in using EAM for device procedures should be recognized.

Indexed as

CRTElectroanatomical mappingHis bundle pacingICDImage integration

Identifiers

PMID34113892
PMCPMC8183844

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.