{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T06:36:13Z","timestamp":1763015773142},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T00:00:00Z","timestamp":1566432000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims\u2003<\/jats:title>\n                  <jats:p>To examine the feasibility and safety of a novel protocol for low fluoroscopy, electroanatomic mapping (EAM)-guided Cardiac resynchronization therapy with a defibrillator (CRT-D) implantation and using both EnSite NavX (St. Jude Medical, St. Paul, MN, USA) and Carto 3 (Biosense Webster, Irvine, CA, USA) mapping systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Twenty consecutive patients underwent CRT implantation using either a conventional fluoroscopic approach (CFA) or EAM-guided lead placement with Carto 3 and EnSite NavX mapping systems. We compared fluoroscopy and procedural times, radiopaque contrast dose, change in QRS duration pre- and post-procedure, and complications in all patients. Fluoroscopy time was 86% lower in the EAM group compared to the conventional group [mean 37.2\u2009min (CFA) vs. 5.5\u2009min (EAM), P\u2009=\u20090.00003]. There was no significant difference in total procedural time [mean 183\u2009min (CFA) vs. 161\u2009min (EAM), P\u2009=\u20090.33] but radiopaque contrast usage was lower in the EAM group [mean 16\u2009mL (CFA) vs. 4\u2009mL (EAM), P\u2009=\u20090.006]. Likewise, there was no significant change in QRS duration with BiV pacing between the groups [mean \u221213 (CFA) vs. \u221225\u2009ms (EAM), P\u2009=\u20090.09].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion\u2003<\/jats:title>\n                  <jats:p>Electroanatomic mapping-guided lead placement using either Carto or ESI NavX mapping systems is a feasible alternative to conventional fluoroscopic methods for CRT-D implantation utilizing the protocol described in this study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euz229","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T11:25:17Z","timestamp":1563967517000},"page":"1742-1749","source":"Crossref","is-referenced-by-count":8,"title":["How to perform electroanatomic mapping-guided cardiac resynchronization therapy using Carto 3 and ESI NavX three-dimensional mapping systems"],"prefix":"10.1093","volume":"21","author":[{"given":"Henry D","family":"Huang","sequence":"first","affiliation":[{"name":"Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Suite 332, Kellogg, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parikshit S","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Suite 332, Kellogg, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemal M","family":"Nayak","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Chicago, 5758 S. Maryland Avenue M\/C 9024, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Serafini","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Suite 332, Kellogg, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard G","family":"Trohman","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Suite 332, Kellogg, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"key":"2019110403561326800_euz229-B1","doi-asserted-by":"crossref","first-page":"2168","DOI":"10.1016\/j.jacc.2005.09.020","article-title":"Cardiac resynchronization therapy: part 2\u2013issues during and after device implantation and unresolved questions","volume":"46","author":"Bax","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"2019110403561326800_euz229-B2","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1111\/j.1540-8167.2007.00707.x","article-title":"Challenges and solutions for difficult implantations of CRT devices: the role of new technology and techniques","volume":"18","author":"Shepard","year":"2007","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2019110403561326800_euz229-B3","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1093\/europace\/eur350","article-title":"Anatomical factors involved in difficult cardiac resynchronization therapy procedure: a non-invasive study using dual-source 64-multi-slice computed tomography","volume":"14","author":"Da Costa","year":"2012","journal-title":"Europace"},{"key":"2019110403561326800_euz229-B4","first-page":"903","article-title":"Success rate of transvenous left ventricular lead implantation for cardiac resynchronisation therapy\u2014recent experience of a single centre","volume":"68","author":"Sterli\u0144ski","year":"2010","journal-title":"Kardiol Pol"},{"key":"2019110403561326800_euz229-B5","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1093\/eurheartj\/eht511","article-title":"Complications after cardiac implantable electronic device implantations: an analysis of a complete, nationwide cohort in Denmark","volume":"35","author":"Kirkfeldt","year":"2014","journal-title":"Eur Heart J"},{"key":"2019110403561326800_euz229-B6","doi-asserted-by":"crossref","first-page":"20","DOI":"10.7326\/M15-2732","article-title":"Long-term risk for device-related complications and reoperations after implantable cardioverter-defibrillator implantation: an observational cohort study","volume":"165","author":"Ranasinghe","year":"2016","journal-title":"Ann Intern Med"},{"key":"2019110403561326800_euz229-B7","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s10741-012-9306-2","article-title":"Renal dysfunction in acute and chronic heart failure: prevalence, incidence and prognosis","volume":"17","author":"Cleland","year":"2012","journal-title":"Heart Fail Rev"},{"key":"2019110403561326800_euz229-B8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10840-014-9887-x","article-title":"Contrast-induced acute kidney injury in patients undergoing cardiac resynchronization therapy-incidence and prognostic importance. Sub-analysis of data from randomized TRUST CRT trial","volume":"40","author":"Kowalczyk","year":"2014","journal-title":"J Interv Card Electrophysiol"},{"key":"2019110403561326800_euz229-B9","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1111\/j.1540-8159.1998.tb01096.x","article-title":"Permanent left ventricular pacing with transvenous leads inserted into the coronary veins","volume":"21","author":"Daubert","year":"1998","journal-title":"Pacing Clin Electrophyiol"},{"key":"2019110403561326800_euz229-B10","first-page":"490","article-title":"Transvenous nonfluoroscopic pacemaker implantation during pregnancy guided by 3-dimensional electroanatomic mapping","volume":"3","author":"Hartz","year":"2017","journal-title":"Heart Rhythm Case Rep"},{"key":"2019110403561326800_euz229-B11","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/j.ijcard.2015.09.046","article-title":"Non-sustained ventricular tachycardia in a pregnant woman with repaired Tetralogy of Fallot: a challenging case","volume":"203","author":"Ito","year":"2016","journal-title":"Int J Cardiol"},{"key":"2019110403561326800_euz229-B12","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1093\/europace\/eur250","article-title":"Implantation of a biventricular implantable cardioverter-defibrillator guided by an electroanatomic mapping system","volume":"14","author":"Del Greco","year":"2012","journal-title":"Europace"},{"key":"2019110403561326800_euz229-B13","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1111\/pace.12221","article-title":"Near zero fluoroscopic implantation of BIV ICD using electro-anatomical mapping","volume":"36","author":"Mina","year":"2013","journal-title":"Pacing Clin Electrophysiol"},{"key":"2019110403561326800_euz229-B14","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1093\/europace\/euu221","article-title":"Left ventricular lead placement in the latest activated region guided by coronary venous electroanatomic mapping","volume":"17","author":"Rad","year":"2015","journal-title":"Europace"},{"key":"2019110403561326800_euz229-B15","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/jce.13120","article-title":"Three-dimensional electroanatomic mapping system-enhanced cardiac resynchronization therapy device implantation: results from a Multicenter Registry","volume":"28","author":"Del Greco","year":"2017","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2019110403561326800_euz229-B16","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.jchf.2016.10.014","article-title":"Economic value and cost-effectiveness of cardiac resynchronization therapy among patients with mild heart failure. Projections from REVERSE long term follow up","volume":"5","author":"Gold","year":"2017","journal-title":"JACC Heart Fail"},{"key":"2019110403561326800_euz229-B17","doi-asserted-by":"crossref","first-page":"e000276.","DOI":"10.1136\/bmjopen-2011-000276","article-title":"Cost-effectiveness of cardiac resynchronization therapy for patients with moderate-to-severe heart failure: a lifetime Markov model","volume":"1","author":"Neyt","year":"2011","journal-title":"BMJ Open"},{"key":"2019110403561326800_euz229-B18","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1016\/S0735-1097(99)00051-0","article-title":"Acute and long-term cost implications of coronary stenting","volume":"33","author":"Peterson","year":"1999","journal-title":"J Am Coll Cardiol"}],"container-title":["EP Europace"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/europace\/article-pdf\/21\/11\/1742\/30334121\/euz229.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/europace\/article-pdf\/21\/11\/1742\/30334121\/euz229.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T08:56:36Z","timestamp":1572857796000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/21\/11\/1742\/5552793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,21]]},"references-count":18,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,8,21]]},"published-print":{"date-parts":[[2019,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euz229","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,11]]},"published":{"date-parts":[[2019,8,21]]}}}