Coronary Essentials

Hands-on training for essential interventional skills

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Cardiac Rhythm Management

Hands-on training for lead placement

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Increasing incidences of arrhythmia and heart failure have fostered rapid advancements in cardiac rhythm management (CRM) technologies. Mentice’s CRM software helps physicians by providing hands-on, realistic simulation training to develop and hone their skills on these technologies—keeping them ahead of the curve.

Performed by interventional cardiologists and electrophysiologists, CRM is challenging and calls for the thorough understanding of device selection, correct lead placement and analyzing pacing measurements. Current methods of training mainly involve patients—the Mentice solution has been developed to help physicians practice, advance and build upon these skills, without unnecessary risk to themselves or their patients.

By practicing and repeating the procedure through simulation, physicians can fine-tune their techniques across several anatomical variations, all based on real-life data—providing practical training, with advanced metrics to assess and track progress.

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Features & Benefits
  • Key Benefits

    • Practice the procedural steps of lead implantation
    • Discover various locations for lead placement
    • Acquisition of important technical and manipulation skills
    • Learn how to manage procedural complications
    • Remove unnecessary risk to patient and physician
  • Features & Functionalities

    • Option to place up to 3 leads based on patient scenario
    • 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
  • Training Objectives

    • 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
    • Position and manage multi-electrode leads
    • Analyze lead position via intrinsic signal, lead impedance and threshold testing
    • Decide on optimal lead position and capture threshold
    • Cannulate and navigate the Coronary Sinus (CS)
    • Manage anatomical variations like valve of Vieussens and Thebesian flap block to access CS
    • Avoid and manage CS dissections
    • Obtain and interpret venograms
    • Detect and correct phrenic nerve stimulation
  • Case Layout

    12 interactive cases


Dr. Kwan Lee

University Chief of Clinical Cardiology

University of Arizona College of Medicine



The ability to remotely introduce complications in real-time while trainees are performing a procedure on the Mentice simulator tremendously enhances the learning experience and brings simulation even closer to reality.



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