Title: Positioning of Left Ventricular Pacing Lead Guided by Intracardiac Echocardiography with Vector Velocity Imaging During Cardiac Resynchronization Therapy Procedure
Abstract: Journal of Cardiovascular ElectrophysiologyVolume 22, Issue 9 p. 1034-1041 Positioning of Left Ventricular Pacing Lead Guided by Intracardiac Echocardiography with Vector Velocity Imaging During Cardiac Resynchronization Therapy Procedure RONG BAI M.D., RONG BAI M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Department of Internal Medicine, Tong-Ji Hospital, Tong-Ji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSearch for more papers by this authorLUIGI DI BIASE M.D., Ph.D., LUIGI DI BIASE M.D., Ph.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Department of Cardiology, University of Foggia, Foggia, Italy Department of Biomedical Engineering, University of Texas, Austin, Texas, USASearch for more papers by this authorPRASANT MOHANTY M.B.B.S., M.P.H., PRASANT MOHANTY M.B.B.S., M.P.H. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorAARON B. HESSELSON M.D., AARON B. HESSELSON M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorERMENEGILDO DE RUVO M.D., ERMENEGILDO DE RUVO M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorPETER L. GALLAGHER M.D., PETER L. GALLAGHER M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorCLAUDE S. ELAYI M.D., CLAUDE S. ELAYI M.D. Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USASearch for more papers by this authorSANGHAMITRA MOHANTY M.D., SANGHAMITRA MOHANTY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJAVIER E. SANCHEZ M.D., JAVIER E. SANCHEZ M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJ. DAVID BURKHARDT M.D., J. DAVID BURKHARDT M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorRODNEY HORTON M.D., RODNEY HORTON M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorG. JOSEPH GALLINGHOUSE M.D., G. JOSEPH GALLINGHOUSE M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorSHANE M. BAILEY M.D., SHANE M. BAILEY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJASON D. ZAGRODZKY M.D., JASON D. ZAGRODZKY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorROBERT CANBY M.D., ROBERT CANBY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorMONIA MINATI M.D., MONIA MINATI M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorLARRY D. PRICE D.O., LARRY D. PRICE D.O. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorC. LYNN HUTCHINS R.N., C.C.R.C., C. LYNN HUTCHINS R.N., C.C.R.C. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorMELODY A. MUIR R.N., C.C.R.P., MELODY A. MUIR R.N., C.C.R.P. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorLEONARDO CALO' M.D., LEONARDO CALO' M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorANDREA NATALE M.D., F.H.R.S., ANDREA NATALE M.D., F.H.R.S. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Division of Cardiology, Stanford University, Palo Alto, California, USA Department of Biomedical Engineering, University of Texas, Austin, Texas, USA School of Medicine, Case Western Reserve University, Cleveland, Ohio, USASearch for more papers by this authorGERY F. TOMASSONI M.D., GERY F. TOMASSONI M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this author RONG BAI M.D., RONG BAI M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Department of Internal Medicine, Tong-Ji Hospital, Tong-Ji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSearch for more papers by this authorLUIGI DI BIASE M.D., Ph.D., LUIGI DI BIASE M.D., Ph.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Department of Cardiology, University of Foggia, Foggia, Italy Department of Biomedical Engineering, University of Texas, Austin, Texas, USASearch for more papers by this authorPRASANT MOHANTY M.B.B.S., M.P.H., PRASANT MOHANTY M.B.B.S., M.P.H. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorAARON B. HESSELSON M.D., AARON B. HESSELSON M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorERMENEGILDO DE RUVO M.D., ERMENEGILDO DE RUVO M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorPETER L. GALLAGHER M.D., PETER L. GALLAGHER M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorCLAUDE S. ELAYI M.D., CLAUDE S. ELAYI M.D. Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USASearch for more papers by this authorSANGHAMITRA MOHANTY M.D., SANGHAMITRA MOHANTY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJAVIER E. SANCHEZ M.D., JAVIER E. SANCHEZ M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJ. DAVID BURKHARDT M.D., J. DAVID BURKHARDT M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorRODNEY HORTON M.D., RODNEY HORTON M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorG. JOSEPH GALLINGHOUSE M.D., G. JOSEPH GALLINGHOUSE M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorSHANE M. BAILEY M.D., SHANE M. BAILEY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorJASON D. ZAGRODZKY M.D., JASON D. ZAGRODZKY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorROBERT CANBY M.D., ROBERT CANBY M.D. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorMONIA MINATI M.D., MONIA MINATI M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorLARRY D. PRICE D.O., LARRY D. PRICE D.O. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USASearch for more papers by this authorC. LYNN HUTCHINS R.N., C.C.R.C., C. LYNN HUTCHINS R.N., C.C.R.C. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorMELODY A. MUIR R.N., C.C.R.P., MELODY A. MUIR R.N., C.C.R.P. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this authorLEONARDO CALO' M.D., LEONARDO CALO' M.D. UOC Cardiologia, Policlinico Casilino ASL/RMB, Rome, ItalySearch for more papers by this authorANDREA NATALE M.D., F.H.R.S., ANDREA NATALE M.D., F.H.R.S. Texas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas, USA Division of Cardiology, Stanford University, Palo Alto, California, USA Department of Biomedical Engineering, University of Texas, Austin, Texas, USA School of Medicine, Case Western Reserve University, Cleveland, Ohio, USASearch for more papers by this authorGERY F. TOMASSONI M.D., GERY F. TOMASSONI M.D. Electrophysiology Division, Central Baptist Hospital, Lexington, Kentucky, USASearch for more papers by this author First published: 01 April 2011 https://doi.org/10.1111/j.1540-8167.2011.02052.xCitations: 20 Andrea Natale, M.D., Texas Cardiac Arrhythmia Institute at St. David's Medical Center, 3000 N. I-35, Suite 720, Austin, TX 78705, USA. Fax: +1-512-544-8184; E-mail: [email protected] Dr. Bai was supported from China by the Program for New Century Excellent Talents in University (NCET-09-0376), the National Natural Science Foundation (NSFC-30700297), and the Scientific Research Foundation for the Returned Overseas Chinese Scholars (SFR ROCS 2008-101). Dr. Di Biase is a consultant for Hansen Medical and Biosense Webster. Dr. Hesselson received honoraria from or is a consultant for Medtronic, Boston Scientific, St. Jude Medical, Biotronik, and Biosense Webster; received royalty payments from Blackwell Futura; and is an advisory board member for Biosense Webster, Boston Scientific, and Proctor and Gamble. Dr. Gallagher received honoraria or is a consultant for Boston Scientific, Siemens, Stereotaxis, and St. Jude Medical, and is an advisory board member for Boston Scientific. Dr. Natale received compensation for belonging to the speakers’ bureau from Boston Scientific, Biosense Webster, and St. Jude Medical, and has received research grants from St. Jude Medical. Dr. Tomassoni received honoraria or is a consultant for Stereotaxis, Biosense Webster, Siemens, St. Jude Medical, Medtronic, and Boston Scientific, is an advisory board member for Stereotaxis, Biosense Webster, Siemens, St. Jude Medical, and has received research grants from Stereotaxis and Siemens. Other authors: No disclosures. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract LV Lead Positioning Guided by ICE With Vector Velocity Imaging. Introduction: Intraoperative modality for “real-time” left ventricular (LV) dyssynchrony quantification and optimal resynchronization is not established. This study determined the feasibility, safety, and efficacy of intracardiac echocardiography (ICE), coupled with vector velocity imaging (VVI), to evaluate LV dyssynchrony and to guide LV lead placement at the time of cardiac resynchronization therapy (CRT) implant. Methods: One hundred and four consecutive heart failure patients undergoing ICE-guided (Group 1, N = 50) or conventional (Group 2, N = 54) CRT implant were included in the study. For Group 1 patients, LV dyssynchrony and resynchronization were evaluated by VVI including visual algorithms and the maximum differences in time-to-peak (MD-TTP) radial strain. Based on the findings, the final LV lead site was determined and optimal resynchronization was achieved. CRT responders were defined using standard criteria 6 months after implantation. Results: Both groups underwent CRT implant with no complications. In Group 1, intraprocedural optimal resynchronization by VVI including visual algorithms and MD-TTP was a predictor discriminating CRT response with a sensitivity of 95% and specificity of 89%. Use of ICE/VVI increased number of and predicted CRT responders (82% in Group 1 vs 63% in Group 2; OR = 2.68, 95% CI 1.08–6.65, P = 0.03). Conclusion: ICE can be safely performed during CRT implantation. “Real-time” VVI appears to be helpful in determining the final LV lead position and pacing mode that allow better intraprocedural resynchronization. VVI-optimized acute resynchronization predicts CRT response and this approach is associated with higher number of CRT responders. (J Cardiovasc Electrophysiol, Vol. 22, pp. 1034-1041, September 2011) Citing Literature Volume22, Issue9September 2011Pages 1034-1041 RelatedInformation
Publication Year: 2011
Publication Date: 2011-04-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 24
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