SANJEEV SAKSENA EDITOR-IN-CHIEF RALPH J. DAMIANO, JR. N. A. MARK ESTES III FRANCIS E. MARCHLINSKI ASSOCIATE EDITORS I NTERVENTIONAL C ARDIAC E LECTROPHYSIOLOGY A Multidisciplinary Approach Section 1 TECHNOLOGY AND THERAPEUTIC TECHNIQUES Interventional Cardiac Electrophysiology A Multidisciplinary Approach Electrophysiologic Techniques Sections and section parts of the full text will be available separately in eBook format. SECTION 1 TECHNOLOGY AND THERAPEUTIC TECHNIQUES 1A. Electrophysiologic Techniques 1B. Imaging Technology 1C. Device Technology 1D. Ablation Technology 1E. Drug Therapy SECTION 2 INTERVENTIONAL ELECTROPHYSIOLOGY PROCEDURES 2A. Mapping in Percutaneous Catheter and Surgical EP Procedures 2B. Catheter Ablation: Procedural Techniques and Endpoints 2C. Surgical Ablation 2D. Device Implantation: Intraoperative, Surgical, and Device Management SECTION 3 CLINICAL INDICATIONS AND EVIDENCE-BASED OUTCOMES STANDARDS IN INTERVENTIONAL ELECTROPHYSIOLOGY SECTION 4 NEW DIRECTIONS FOR INTERVENTIONAL THERAPY Please check our publication schedule for forthcoming sections and parts at: www.cardiotextpublishing.com/interventional-cardiac-electrophysiology Interventional Cardiac Electrophysiology A Multidisciplinary Approach EDITOR-IN-CHIEF Sanjeev Saksena, MD ASSOCIATE EDITORS Ralph J. Damiano, Jr., MD N. A. Mark Estes, III, MD Francis E. Marchlinski, MD Minneapolis, Minnesota © 2014 Sanjeev Saksena Cardiotext Publishing, LLC 3405 W. 44th Street Minneapolis, Minnesota 55410 USA www.cardiotextpublishing.com Any updates to this book may be found at: www.cardiotextpublishing.com/interventional-cardiac-electrophysiology Comments, inquiries, and requests for bulk sales can be directed to the publisher at: [email protected]. All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher. All trademarks, service marks, and trade names used herein are the property of their respective owners and are used only to identify the products or services of those owners. This book is intended for educational purposes and to further general scientific and medical knowledge, research, and understanding of the conditions and associated treatments discussed herein. This book is not intended to serve as and should not be relied upon as recommending or promoting any specific diagnosis or method of treatment for a particular condition or a particular patient. It is the reader’s responsibility to determine the proper steps for diagnosis and the proper course of treatment for any condition or patient, including suitable and appropriate tests, medications or medical devices to be used for or in conjunction with any diagnosis or treatment. Due to ongoing research, discoveries, modifications to medicines, equipment and devices, and changes in government regu- lations, the information contained in this book may not reflect the latest standards, developments, guidelines, regulations, products or devices in the field. Readers are responsible for keeping up to date with the latest developments and are urged to review the latest instructions and warnings for any medicine, equipment or medical device. Readers should consult with a specialist or contact the vendor of any medicine or medical device where appropriate. Except for the publisher’s website associated with this work, the publisher is not affiliated with and does not sponsor or endorse any websites, organizations or other sources of information referred to herein. The publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this book. Unless otherwise stated, all figures and tables in this book are used courtesy of the authors. Library of Congress Control Number: TBD ISBN: 978-0-979016-48-6; eBook 978-1-935395-84-3 DEDICATION This book is dedicated to our families and our mentors, without whose unselfish and unstinting support and encouragement, we could not have made this work a reality. CONTENTS Contributors ..........................................................................xiii Preface ............................................................................... xv Abbreviations ........................................................................ xvii SECTION 1: Technology and Therapeutic Techniques 1 . . . . . . . . . . . . . . . . . . . . Section 1A: Electrophysiologic Techniques ................................................. 1 Chapter 1: Fundamental Aspects of Electrophysiology Procedures ................................ 3 Ann C. Garlitski, N.A. Mark Estes III Chapter 2: Electrocardiography for the Invasive Electrophysiologist .............................. 13 Christopher J. McLeod, Traci L. Buescher, Samuel J. Asirvatham Chapter 3: Complex Catheter Recording and Mapping Techniques in the EP Lab .................. 23 Andrew Krumerman, John D. Fisher Chapter 4: Advances in Electroanatomic Mapping Systems .................................... 35 Brian J. Cross, Ann C. Garlitski, N. A. Mark Estes III Chapter 5: Intraoperative Mapping for the Surgeon and Electrophysiologist ....................... 45 John M. Miller, Daniel J. Beckman, Yousuf Mahomed Chapter 6: ... Special Considerations for Pediatric Electrophysiological Procedures ............... ... 55 George Van Hare Section 1B: Imaging Technology ........................................................ 63 Chapter 7: Fundamentals and Applications of Echocardiographic Methods and Systems . in the Electrophysiology Laboratory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Shantanu P. Sengupta, A. Jamil Tajik, Bijoy K. Khandheria Chapter 8: The Role of 3D Transthoracic and Transesophageal Echocardiography . in Interventional Electrophysiology ......................................... . ... 71 Wael AlJaroudi, Fadi G. Hage, Navin C. Nanda Chapter 9: Intracardiac Echocardiography .................................................. 83 Susan S. Kim, Bradley P.Knight, Robert Schweikert, Sanjeev Saksena vii viii • Contents Chapter 10: . Radiological Principles of Cardiac CT and MRI and Fusion Imaging ................ ... 97 Alejandro Jimenez, Timm M. Dickfeld Chapter 11: Cardiac Computed Tomography and Magnetic Resonance Image Interpretation During Interventional Procedures .............................................. 119 Saman Nazarian, Henry R. Halperin, Hugh Calkins Chapter 12: Hybrid Operating Rooms .................................................... 127 Joseph Yammine, Gregory F. Michaud, William G. Stevenson, Laurence M. Epstein Section 1C: Device Technology ........................................................ 133 Chapter 13: New Developments in Lead and Introducer Systems ................................ 135 Brian J. Cross, Mark S. Link Chapter 14: New Innovations in Implantable Pulse Generators and Heart Failure Devices ........... 141 Helge Simon, Johannes Brachmann Chapter 15: Implantable and Remote Monitoring ............................................ 149 Werner Jung Chapter 16: Percutaneous Left Atrial Appendage Occlusion .................................. 165 Heyder Omran Chapter 17: Principles and Techniques for Lead Extraction and Device System Revision for the Surgeon and Interventionalist ............................................ 171 Melanie Maytin, Laurence M. Epstein Section 1D: Ablation Technology ...................................................... 185 Chapter 18: . Anatomy and Histopathology of Ablation Interventions ............ ................. 187 Siew Yen Ho Chapter 19: Physical and Experimental Aspects of Radiofrequency Energy, Generators, and Energy Delivery Systems ........................................ 205 Munther K. Homoud, Abram Mozes Chapter 20: Cryothermal Ablation Technology and Catheter Delivery Systems ..................... 219 Rohit Bhagwandien, Paul Knops, Luc Jordaens Chapter 21: Technologic Progress in Laser, Ultrasound, and Microwave Ablation .................. 227 Paul J. Wang Chapter 22: . Surgical Ablation: Technology ................................. ............... 233 Rick Schuessler, Ralph Damiano Chapter 23: Remote Navigation in Catheter Procedures ....................................... 241 J. David Burkhardt, Luigi DiBiase, Andrea Natale
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