New developments in the delivery of cardiac resynchronization therapy: targeted lead placement, multi-site and endocardial pacing.

Abstract:

:Cardiac resynchronization therapy (CRT) is a proven treatment adjunct for selected patients with heart failure and evidence of ventricular dyssynchrony. When applying most contemporary guidelines the accepted response rate has remained static with up to one-third of patients failing to respond. Empiric lateral/posterolateral lead positioning may not be the optimal strategy in all patients, particularly in those with extensive scar and there have been developments that suggest an approach whereby the latest mechanically activating segment is targeted for left ventricular (LV) lead placement may be of some benefit. Additionally, alternative means of delivering CRT, either by means of multi-site pacing or LV endocardial pacing, have similarly shown promise. At a time where novel predictors of response to CRT have proved disappointing in multi-center trials, a paradigm shift away from prediction towards better delivery of CRT may potentially be of most benefit to the significant minority who do not respond.

journal_name

Expert Rev Med Devices

authors

Sohal M,Chen Z,Sammut E,Jackson T,Behar J,Carr-White G,Razavi R,Rinaldi CA

doi

10.1586/17434440.2014.885320

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

295-304

issue

3

eissn

1743-4440

issn

1745-2422

journal_volume

11

pub_type

杂志文章,评审
  • Endoscopic stenting for palliation of malignant biliary obstruction.

    abstract::Malignant biliary obstruction results in jaundice, often with symptoms that decrease the quality of life. Biliary stent placement has largely supplanted surgical bypass for palliation of malignant biliary obstruction. Traditional rigid plastic stents are commonly used, inexpensive and easily removed, although with lim...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.36

    authors: Ferreira LE,Baron TH

    更新日期:2010-09-01 00:00:00

  • Does CircuLite Synergy assist device as partial ventricular support have a place in modern management of advanced heart failure?

    abstract::The discrepancy between the number of patients on the waiting list and available donor hearts has led to the successful development of left ventricular assist devices (LVAD) as a bridge to transplantation. The conventional LVADs are designed to provide full hemodynamic support for the end-stage failing heart. However,...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.985208

    authors: Mohite PN,Sabashnikov A,Simon AR,Weymann A,Patil NP,Unsoeld B,Bireta C,Popov AF

    更新日期:2015-01-01 00:00:00

  • Hemodialysis machine technology: a global overview.

    abstract::The market for hemodialysis machines, the background, the current products of manufacturers and the features of hemodialysis machines are described in this article. In addition to the established companies and their products, Chinese manufacturers, and new developments for home hemodialysis, are outlined based on publ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.54

    authors: Polaschegg HD

    更新日期:2010-11-01 00:00:00

  • Sleep assessment devices: types, market analysis, and a critical view on accuracy and validation.

    abstract::Introduction: Sleep assessment devices are essential for the detection, diagnosis, and monitoring of sleep disorders. This paper provides a state-of-the-art review and comparison of sleep assessment devices and a market analysis.Areas covered: Hardware devices are classified into contact and contactless devices. For e...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1693890

    authors: Ibáñez V,Silva J,Navarro E,Cauli O

    更新日期:2019-12-01 00:00:00

  • Devices for thoracic endovascular aortic repair of type B aortic dissection: is there any chance for Marfan syndrome?

    abstract:INTRODUCTION:Type B aortic dissection (TBAD) is a threatening event that may lead to death for aortic rupture or multivisceral malperfusion in the acute phase and offers a poor prognosis for long term survivors. Thoracic endovascular aortic repair (TEVAR) has become the preferential therapy in acute and chronic complic...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1782735

    authors: Lovato L,Cefarelli M,Gatta E,Di Eusanio M,Fattori R

    更新日期:2020-07-01 00:00:00

  • Infections of electrophysiologic cardiac devices.

    abstract::Infections related to electrophysiologic cardiac device placement are increasing dramatically and are associated with adverse outcomes. With the US population aging and living longer, cardiac devices are utilized in an older population with significant comorbidities, making the threat from infectious complications sig...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.2.183

    authors: Uslan DZ

    更新日期:2008-03-01 00:00:00

  • Stent placement for esophageal strictures: an update.

    abstract::The use of stents for esophageal strictures has evolved rapidly over the past 10 years, from rigid plastic tubes to flexible self-expanding metal (SEMS), plastic (SEPS) and biodegradable stents. For the palliative treatment of malignant dysphagia both SEMS and SEPS effectively provide a rapid relief of dysphagia. SEMS...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.11.44

    authors: Hirdes MM,Vleggaar FP,Siersema PD

    更新日期:2011-11-01 00:00:00

  • Evaluation of Pipeline Flex delivery system for the treatment of unruptured aneurysms.

    abstract:INTRODUCTION:Refinements in endovascular technology have revolutionized the treatment of intracranial aneurysms (IAs) with the development of flow-diversion technology. The first generation of the Pipelin Embolization Device (PED) has demonstrated its safety and efficacy. However, the deployment technique was a difficu...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2016.1231573

    authors: Aguilar-Salinas P,Brasiliense LB,Gonsales D,Mitchell B,Lima A,Sauvageau E,Hanel R

    更新日期:2016-10-01 00:00:00

  • Is there an alternative to systemic anticoagulation, as related to interventional biomedical devices?

    abstract::To reduce the toxic effects, related clinical problems and complications such as bleeding disorders associated with systemic anticoagulation, it has been hypothesized that by coating the surfaces of medical devices, such as stents, bypass grafts, extracorporeal circuits, guide wires and catheters, there will be a sign...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.2.245

    authors: Conn G,Kidane AG,Punshon G,Kannan RY,Hamilton G,Seifalian AM

    更新日期:2006-03-01 00:00:00

  • Does the novel delivery system for the STENTYS self-apposing coronary stent increase the risk of stent edge dissections? Optical coherence tomography post stent findings.

    abstract:BACKGROUND:With optical coherence tomography (OCT), details of arterial injuries during percutaneous coronary intervention can be assessed accurately. There might be an increased risk of stent edge dissections with the novel delivery system for the STENTYS stent. We evaluated the prevalence of stent edge dissections us...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1421942

    authors: Lu H,Kalkman DN,Grundeken MJ,Tijssen JGP,Wykrzykowska JJ,de Winter RJ,Koch KT

    更新日期:2018-02-01 00:00:00

  • Ventricular assist devices for the failing univentricular circulation.

    abstract:INTRODUCTION:Improved survival following single ventricle palliation has led to a large population of patients with a univentricular circulation, many of whom develop heart failure. Increasing experience with ventricular assist devices (VAD) in children has paved the way for VAD support in those with failing univentric...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2017.1332523

    authors: Buratto E,Shi WY,Ye XT,Konstantinov IE

    更新日期:2017-06-01 00:00:00

  • Imaging techniques in pancreatic tumors.

    abstract::Conventional ultrasonography represents the first diagnostic imaging modality for the study of pancreatic tumors. Contrast-enhanced ultrasound has significantly improved the accuracy of first-line examination and may influence the choice of second-line investigations: multidetector computed tomography is considered th...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.09.67

    authors: D'Onofrio M,Gallotti A,Pozzi Mucelli R

    更新日期:2010-03-01 00:00:00

  • Thermal scalpel to target cancer.

    abstract::Nanotechnology is increasingly applied to the field of medicine, particularly for the treatment of cancer. In this regard, gold nanoparticles can mediate hyperthermia induction and kill tumor cells upon laser irradiation, thereby functioning as a 'thermal scalpel'. Recent developments in gold nanoparticle design have ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.2.131

    authors: Everts M

    更新日期:2007-03-01 00:00:00

  • Device profile of the MobiusHD EVBA system for the treatment of resistant hypertension: overview of its mechanism of action, safety and efficacy.

    abstract:INTRODUCTION:Early promising results of renal nerve denervation awakened interest in developing medical device alternatives for patients with resistant hypertension. The subsequent sham-controlled renal nerve denervation randomized trials were disappointing leading researchers and innovators to explore alternative devi...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1779054

    authors: Bates MC,Stone GW,Chen CY,Spiering W

    更新日期:2020-07-01 00:00:00

  • Update on the management and associated challenges of adult patients treated with veno-arterial extracorporeal membrane oxygenation.

    abstract:INTRODUCTION:Currently, veno-arterial extracorporeal membrane oxygenation (VA ECMO) represents a valuable treatment option for patients presenting with severe cardiogenic shock. Although the overall usage of VA ECMO in experienced centers is expanding, some management aspects remain challenging, with no consensus among...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1614439

    authors: Kado Y,Miyamoto T,Fukamachi K,Karimov JH

    更新日期:2019-06-01 00:00:00

  • A critical appraisal of cardiac ablation technology for catheter-based treatment of atrial fibrillation.

    abstract::The advent of catheter ablation has revolutionized the treatment of supraventricular cardiac arrhythmias, including in the last few years, atrial fibrillation. The discovery of electrically active sleeves of atrial myocardium extending into the pulmonary veins has led to the development of pulmonary vein ostial ablati...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.59

    authors: Shah D

    更新日期:2011-01-01 00:00:00

  • A robot for transnasal surgery featuring needle-sized tentacle-like arms.

    abstract::This paper discusses a new class of robots known as concentric tube robots and their application to transnasal skull base surgery. The endonasal approach has clear benefits for patients, but the surgery presents challenges that strongly motivate the use of robotic tools. In this paper, the concentric tube robot concep...

    journal_title:Expert review of medical devices

    pub_type: 社论

    doi:10.1586/17434440.2013.854702

    authors: Gilbert H,Hendrick R,Remirez A,Webster R 3rd

    更新日期:2014-01-01 00:00:00

  • Cardima Surgical Ablation System: a novel tool for cardiac ablation in the treatment of atrial fibrillation.

    abstract::Atrial fibrillation is a pervasive and difficult heart rhythm problem for more than 3 million Americans. Patients are plagued by myriad symptoms and are exposed to the risk of stroke. Attempts to restore normal rhythm with drug therapy have been largely unsuccessful and the complications associated with long-term anti...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.09.9

    authors: Saltman AE

    更新日期:2009-05-01 00:00:00

  • COVID-19: ensuring our medical equipment can meet the challenge.

    abstract::To predict the spread of coronavirus disease globally and consequently prepare the hospital facilities with the required technology is a challenge. The availability of essential medical equipment to support patients affected by Covid-19 is globally limited. Areas covered This perspective gives a technical view of the ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1772757

    authors: Garzotto F,Ceresola E,Panagiotakopoulou S,Spina G,Menotto F,Benozzi M,Casarotto M,Lanera C,Bonavina MG,Gregori D,Meneghesso G,Opocher G

    更新日期:2020-06-01 00:00:00

  • The EluNIRTM Ridaforolimus Eluting Coronary Stent System.

    abstract:INTRODUCTION:First-generation drug-eluting stents (DES) were developed and indeed proved their superiority compared to bare-metal stent in minimizing neo-intimal hyperplasia and in-stent restenosis (ISR), overall, reducing target vessel revascularization (TVR). Newer-generation DES are characterized by thinner struts, ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1549986

    authors: Savvoulidis P,Perlman G,Bagur R

    更新日期:2019-01-01 00:00:00

  • Computer-aided design and manufacturing of surgical templates and their clinical applications: a review.

    abstract:INTRODUCTION:The surgical template is a guide aimed at directing the implant placement, tumor resection, osteotomy and bone repositioning. Using it, preoperative planning can be transferred to the actual surgical site, and the precision, safety and reliability of the surgery can be improved. However, the actual workflo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2016.1218758

    authors: Chen X,Xu L,Wang W,Li X,Sun Y,Politis C

    更新日期:2016-09-01 00:00:00

  • Cellular magnetic resonance imaging: current status and future prospects.

    abstract::Cellular magnetic resonance imaging (CMRI) allows for the tracking of the temporal and spatial migration of cells labeled with MR contrast agents within organs and tissues. This rapidly growing area of experimental research has the potential of translating from bench to bedside and may be used in conjunction with cell...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.4.427

    authors: Arbab AS,Liu W,Frank JA

    更新日期:2006-07-01 00:00:00

  • Non-invasive imaging techniques to assess myocardial perfusion.

    abstract:INTRODUCTION:Coronary artery disease affecting myocardial perfusion continues to be the leading cause of cardiovascular morbidity and mortality worldwide. While invasive evaluation based on coronary angiography and flow measurements still is considered the reference technique for assessing myocardial perfusion, technol...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1834844

    authors: Villemain O,Baranger J,Jalal Z,Lam C,Calais J,Pernot M,Cifra B,Friedberg MK,Mertens L

    更新日期:2020-11-01 00:00:00

  • Is there an optimal interventional device for the salvage of thrombosed native angioaccess for hemodialysis?

    abstract::The rescue of autogenous angioaccess for hemodialysis can be performed surgically or radiologically. For the latter, there is current debate as to whether a mechanical hydrodynamic device confers a clinical advantage over a rotational thrombectomy. The evaluated article describes a single center retrospective cohort s...

    journal_title:Expert review of medical devices

    pub_type: 评论,杂志文章

    doi:10.1586/erd.12.75

    authors: Hossain MA,Chung R,Frampton AE,Chemla ES

    更新日期:2013-01-01 00:00:00

  • Consumer sleep tracking devices: a review of mechanisms, validity and utility.

    abstract::Consumer sleep tracking devices such as fitness trackers and smartphone apps have become increasingly popular. These devices claim to measure the sleep duration of their users and in some cases purport to measure sleep quality and awaken users from light sleep, potentially improving overall sleep. Most of these device...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1171708

    authors: Kolla BP,Mansukhani S,Mansukhani MP

    更新日期:2016-05-01 00:00:00

  • Right heart transcatheter valve therapies - a review of prostheses for the pulmonary and tricuspid positions.

    abstract::Minimally invasive, catheter-based treatment of valvular dysfunction has become an integral part of clinical routine. As left heart valvular disease is much more common and thus commercially of interest, transcatheter solutions for the treatment of aortic and mitral valvular defects were the first to become broadly cl...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.985654

    authors: Kuetting M,Pott D,Sedaghat A,Ng YA,Egron S,Rosefort C,Werner N,Sachweh J,Steinseifer U

    更新日期:2015-03-01 00:00:00

  • Innovative developments of the heart valves designed for use in ventricular assist devices.

    abstract::Prosthetic heart valves are routinely used for replacing diseased natural heart valves. Even today, after five decades of prosthetic heart valve development, in the authors opinion the main problem associated with these valves is the risk of thromboembolic complications caused by unnatural hemodynamics. Further growin...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.1.61

    authors: Goubergrits L,Affeld K,Kertzscher U

    更新日期:2005-01-01 00:00:00

  • Percutaneous laser ablation of cervical metastatic lymph nodes in papillary thyroid carcinoma: clinical efficacy and anatomical considerations.

    abstract::Background: Papillary thyroid carcinoma is the most common type of thyroid cancer; despite its generally indolent course, patients often develop local post-operative recurrences. Re-operation, however, holds a high complication rate, while at the same time, not all patients benefit from radioiodine ablation. This syst...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2021.1864323

    authors: Spartalis E,Karagiannis SP,Plakopitis N,Theodori MA,Athanasiadis DI,Schizas D,Spartalis M,Troupis T

    更新日期:2020-12-29 00:00:00

  • From drug eluting stents to bioresorbable scaffolds; to new horizons in PCI.

    abstract::Drug eluting stents and particularly the fully bioresorbable drug-eluting scaffolds herald a new era in percutaneous treatment of coronary artery disease. There has been tremendous progress in drug eluting stents with fully biodegradable coating polymers and polymer-free devices with reservoir technology planting the ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1143356

    authors: Tenekecioglu E,Bourantas C,Abdelghani M,Zeng Y,Silva RC,Tateishi H,Sotomi Y,Onuma Y,Yılmaz M,Serruys PW

    更新日期:2016-01-01 00:00:00

  • Current and future developments in artificial muscles using electroactive polymers.

    abstract::For decades, electroactive polymers received relatively little attention due to their limited actuation capability. However, in the last 15 years, a series of electroactive polymer materials have emerged that produce a significant shape or size change in response to electrical stimulation. These materials have the clo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.6.731

    authors: Bar-Cohen Y

    更新日期:2005-11-01 00:00:00