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How to Avoid and Manage CIED Implantation-Related ...
How to Avoid a Hole in the Heart During Device Imp ...
How to Avoid a Hole in the Heart During Device Implantation? (Presenter: Marwan M. Refaat, MD, FHRS)
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Video Transcription
Video Summary
The video discusses how to avoid perforation during the implantation of cardiac devices. It provides an overview of the epidemiology of cardiac perforation, the contributing factors, diagnosis, management, and strategies to avoid myocardial perforation. The incidence of perforation varies depending on the type of device, with pacemakers having a lower risk compared to ICDs and leadless pacemakers. Contributing factors include patient characteristics, lead size and fixation mechanism, and the implantation technique. Diagnosis is based on clinical findings, EKG, X-ray, echo, CT scan, and interrogation of the device. Management options depend on the severity of perforation and include observation, pericardial synthesis, and lead repositioning. Strategies to avoid perforation involve careful patient selection, use of appropriate lead size and fixation mechanism, and meticulous implantation technique. In conclusion, maintaining a high index of suspicion and implementing strategies to decrease the risk of cardiac perforation are important in device implantation.
Meta Tag
Lecture ID
4513
Location
Room 155
Presenter
Marwan M. Refaat, MD, FHRS
Role
Invited Speaker
Session Date and Time
May 10, 2019 4:30 PM - 6:00 PM
Session Number
S-088
Keywords
cardiac devices
perforation
epidemiology
diagnosis
management
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