Successfully placing the left ventricular (LV) lead in an optimal clinical location is a recognized challenge of cardiac resynchronization therapy (CRT). And although the rate of failure to place the LV lead in patients has decreased over time, there is always room for improvement. This is where Interventional CRT (I-CRT) comes in.
“I-CRT…forces the operator to think differently about approaching the coronary sinus anatomy and lead placement, and equips him or her with a set of tools that make doing so more accurate, efficient, and effective,” writes Seth Worley, MD, of MedStar Heart & Vascular Institute in Washington, DC, in the June 2018 issue of EP Lab Digest.
The EP Lab Digest article titled, I-CRT: Challenging the Conventional Approach to LV Lead Placement, Literally and Figuratively, discusses the importance of moving beyond the traditional conventions in LV lead placement and the benefits of I-CRT as well as obstacles to wider adoption. Dr. Worley encourages interested electrophysiologists to participate in industry-sponsored physician training programs, such as Merit’s I-CRT course, which he proctors monthly. Furthermore, he addresses why it is essential we utilize the tools and techniques already employed by interventional radiologists and cardiologists.
“Our colleagues in interventional radiology and cardiology have successfully employed percutaneous techniques for decades,” Dr. Worley writes. “And it is time we learn from them.”
If you are interested in being trained in I-CRT tools and techniques through Merit’s specialized ThinkInterventionalCRT course, please visit our I-CRT Education page.