Early Patient Experience with an Electro‐Anatomic Navigation System Dedicated to Device Lead Implantation: Feasibility and Safety

Abstract

This study suggests that this novel electro-anatomic navigation system is a viable and safe alternative to traditional fluoroscopy-guided lead implantation. Further studies are required to determine the absolute reduction in radiation exposure and increased efficiency relative to current standard fluoroscopic techniques.

Implantation of a dual-chamber permanent pacemaker in a pregnant patient guided by intracardiac echocardiography and electroanatomic mapping

“…Even with the use of dedicated EAM systems, a single shot of fluoroscopy is still required to determine adequate slack in the leads. 5 , 7 , 9 The use of ICE in this patient illustrates a unique opportunity in which, in addition to visualizing the lead tips wedged against the endocardium, the lead slack for both leads can be well appreciated without fluoroscopy. As this is our first case experience using ICE, we performed a single-shot fluoroscopy to confirm lead slack.…”

“… 2 There have been numerous reports using EAM, TEE, and TTE to guide device implantations in select patient cohorts, and some have reported minimizing fluoroscopy without any increase in procedural times. 3 , 4 , 5 , 6 , 7 , 8 …”