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Combining electromagnetic navigation and 3‐D mapping to reduce fluoroscopy time and achieve optimal CRT response
Authors:Umberto Barbero MD  Carlo Budano MD  Pier Giorgio Golzio MD  FESC   FACC  Davide Castagno MD  PhD  Fiorenzo Gaita MD
Affiliation:Division of Cardiology, Cardio‐Thoracic Department, Azienda Ospedaliero‐Universitaria Città della Salute E della Scienza di Torino, Turin, Italy
Abstract:Implantation of cardiac resynchronization therapy (CRT) devices can be challenging, time consuming, and associated with high‐dose x‐ray exposure. We present the technique in which an electromagnetic navigation system (MediGuideTM, St. Jude Medical) and an electroanatomical three‐dimensional mapping system (EnSite NavX, St Jude Medical) are usefully combined for implanting implantable cardioverter defibrillator CRT devices with strong reduction of x‐ray exposure, and for targeting the most delayed regions in the activation maps avoiding scars for optimal CRT response.
Keywords:cardiac resynchronization therapy  coronary sinus  electroanatomical mapping  electromagnetic mapping
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