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Laurence M. Epstein, MD

STRUCTURAL HEART & EP
A Growing Concern: Patients With CIED Leads and Tricuspid Regurgitation
11/07/2024
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is...
11/07/2024
Cath Lab Digest
Case Report
Lead Management is More Than Just Extraction
09/17/2008
The case presented here represents a failure of proper lead management, resulting in over a decade-long saga for the patient involved.
The case presented here represents a failure of proper lead management, resulting in over a decade-long saga for the patient involved.
The case presented here...
09/17/2008
EP Lab Digest
Highlight on Technology: Video-Audio Integration for the EP Lab
10/24/2008
Historically, electrophysiology laboratories were designed on the model of catheterization laboratories. In this model, the x-ray images were the focal point of the procedure. This model worked for early electrophysiology laboratories, which...
Historically, electrophysiology laboratories were designed on the model of catheterization laboratories. In this model, the x-ray images were the focal point of the procedure. This model worked for early electrophysiology laboratories, which...
Historically, electrophysiology...
10/24/2008
EP Lab Digest
Highlight on Technology: Video-Audio Integration for the EP Lab
07/31/2008
However, many labs today are equipped with biplane fluoroscopy (4 monitors), multichannel recording systems (2-3 monitors), one or more three-dimensional mapping systems (1-2 monitors), intracardiac echocardiography (1 monitor),...
However, many labs today are equipped with biplane fluoroscopy (4 monitors), multichannel recording systems (2-3 monitors), one or more three-dimensional mapping systems (1-2 monitors), intracardiac echocardiography (1 monitor),...
However, many labs today are...
07/31/2008
EP Lab Digest
Advanced Mapping and Ablation: The Importance of the Coronary Sinus Catheter
05/03/2008
Case History The patient is a 43-year-old man with a ten-year history of palpitations. The patient is very active, running at least 4 times per week. He describes initially feeling occasional skipped beats, which have increased over the...
Case History The patient is a 43-year-old man with a ten-year history of palpitations. The patient is very active, running at least 4 times per week. He describes initially feeling occasional skipped beats, which have increased over the...
Case History The patient is a...
05/03/2008
EP Lab Digest
Cath Lab Spotlight
Brigham and Women`s Hospital
06/19/2008
Brigham and Women’s Hospital is a Harvard University-affiliated teaching hospital located in Boston, Massachusetts. It was founded in 1980 as a merger of three Harvard hospitals: Boston Lying In, Peter Bent Brigham and Robert Breck Brigham....
Brigham and Women’s Hospital is a Harvard University-affiliated teaching hospital located in Boston, Massachusetts. It was founded in 1980 as a merger of three Harvard hospitals: Boston Lying In, Peter Bent Brigham and Robert Breck Brigham....
Brigham and Women’s Hospital is...
06/19/2008
Cath Lab Digest
Cath Lab Spotlight
Brigham and Women`s Hospital
06/19/2008
Brigham and Women’s Hospital is a Harvard University-affiliated teaching hospital located in Boston, Massachusetts. It was founded in 1980 as a merger of three Harvard hospitals: Boston Lying In, Peter Bent Brigham and Robert Breck Brigham....
Brigham and Women’s Hospital is a Harvard University-affiliated teaching hospital located in Boston, Massachusetts. It was founded in 1980 as a merger of three Harvard hospitals: Boston Lying In, Peter Bent Brigham and Robert Breck Brigham....
Brigham and Women’s Hospital is...
06/19/2008
Cath Lab Digest
Case Study
Use of a Novel Mechanical Extraction Sheath for Transvenous Lead Extraction: You Can Teach an Old Dog New Tricks!
03/02/2017
In this report, we review the use of a novel, shielded mechanical extraction sheath to successfully remove older, chronic pacemaker and ICD leads (22 and 17 years). 
In this report, we review the use of a novel, shielded mechanical extraction sheath to successfully remove older, chronic pacemaker and ICD leads (22 and 17 years). 
In this report, we review the...
03/02/2017
EP Lab Digest
Case Report
Unrecognized Thrombotic Complication of Riata™ Externalized Cables
11/04/2014
This case report illustrates potential complications that can be observed with advisory Riata™ leads and their extraction.
This case report illustrates potential complications that can be observed with advisory Riata™ leads and their extraction.
This case report illustrates...
11/04/2014
EP Lab Digest
Perspectives
Think Before You Choose: The Case Against the Routine Use of Dual Coil ICD Leads
01/02/2013
Given the lack of benefit of dual coil ICD leads in the vast majority of patients, coupled with the increased risk of extraction, single coil leads be the standard of care for most patients.
Given the lack of benefit of dual coil ICD leads in the vast majority of patients, coupled with the increased risk of extraction, single coil leads be the standard of care for most patients.
Given the lack of benefit of...
01/02/2013
EP Lab Digest

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