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Transvenous nonfluoroscopic pacemaker implantation during pregnancy guided by 3- dimensional electroanatomic mapping  Jacob Hartz, MD, MPH, Bradley C.

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Presentation on theme: "Transvenous nonfluoroscopic pacemaker implantation during pregnancy guided by 3- dimensional electroanatomic mapping  Jacob Hartz, MD, MPH, Bradley C."— Presentation transcript:

1 Transvenous nonfluoroscopic pacemaker implantation during pregnancy guided by 3- dimensional electroanatomic mapping  Jacob Hartz, MD, MPH, Bradley C. Clark, MD, Seiji Ito, MD, Elizabeth D. Sherwin, MD, FHRS, Charles I. Berul, MD, FHRS  HeartRhythm Case Reports  Volume 3, Issue 10, Pages (October 2017) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 Series of catheter manipulations using the CARTO-3 3-dimensional electroanatomic mapping software in the right anterior oblique and left anterior oblique views. A: The lead begins in the innominate vein near the superior vena cava–right atrium (SVC-RA) junction. B: The lead is advanced into the RA, and the soft stylet is exchanged for a curved stylet to facilitate crossing the tricuspid valve. C: The lead is visualized crossing the tricuspid valve. D: The lead advances to the right ventricular outflow tract (RVOT), which is confirmed on CARTO-3 imaging in addition to the induction of premature ventricular complexes. LIV = left innominate vein; RV = right ventricle. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Right anterior oblique and left anterior oblique images obtained using the CARTO-3 3-dimensional electroanatomic mapping software, demonstrating final catheter placement for lead placement. B: Fluoroscopic flash image 0.5 seconds, confirming lead position and adequate slack. A loop is seen, and the tip appears to be at the right ventricular apex. RV = right ventricle; RVOT = right ventricular outflow tract. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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