Cardiac Rhythm Management
Hands-on training for lead placement
• Option to place up to 3 leads
• Case variations include different dilated hearts, CS takeoffs, venous collaterals, valve of Vieussens and Thebesian flap
• Complete selection of lead and stylet types and shapes
• Selection of inner and outer catheters for LV lead implantation
• Multi-electrode LV leads
• Realistic ECG shows pacing and capture/loss-of capture
• Intrinsic signal and impedance measurements depending on lead position
• Phrenic nerve stimulation and 10V testing
• Extrasystolic beats triggered by device movements
• Medical conditions like post-CABG and infarction scar tissue
• Procedural complications including CS dissections
• Augmented visualizations for lead positions in RA and RV
• Gain experience with CRT devices
• Choose appropriate lead and fixation types
• Navigate to all possible pacing locations in RA, RV and LV
• Confirm safe lead attachment
• Analyze lead position via intrinsic signal, lead impedance and threshold testing
• Decide on optimal lead position and capture threshold
• Navigate the right atrium and ventricle
• Cannulate and navigate the coronary sinus (CS)
• Manage anatomical variations like valve of Vieussens and Thebesian flap block to access CS

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