Jonathan M. Behar et al. JACEP 2017;j.jacep

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Jonathan M. Behar et al. JACEP 2017;j.jacep.2017.01.018 CMR-Derived Image Overlay With Target Segment Selection (Top left) Anteroposterior venogram with overlay of CMR-derived epicardial/endocardial shell with 16-segment American Heart Association model showing an anterior interventricular vein. The 3D CMR-derived shell has the same colors as displayed in the guidance platform as shown in Figures 2 and 3. Posteroseptal, anteroseptal, and anterior segments are colored in yellow, green, and blue, respectively. (Top right) left anterior oblique (LAO) 20 venogram with automated rotation and alignment of the 16-segment model with the x-ray. Posterolateral veins are demonstrated. (Bottom left) LAO 40 projection. Positioning of a quadripolar left ventricular lead into a preselected target segment (green). (Bottom right) LAO 40 projection, alternate view with CMR-derived scar distribution (red). Attempted positioning and pacing using left ventricular poles out of regions of scar. Jonathan M. Behar et al. JACEP 2017;j.jacep.2017.01.018 2017 The Authors