Cardiac Rhythm Management

_{• 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}