christian grebmer

MD, heartcenter lucerne, EP and device guy with special interest in lead extraction and crt

[christian grebmer @CGrebmer]

@drimdadahmed @Nishaki1 @abhishek_mbbs @narrowQRS @rdschaller @skarim01 isn‘t it a sinus tach with supraventricular ES? no need for oral anticoagulation!?

[christian grebmer @CGrebmer]

@AcademyPacing @EPeeps_Bot what about a sensed t-wave in the atrial channel?
rnrvas is also an option...

[christian grebmer @CGrebmer]

rare cases of (atrial) lead perforation after pacemakerimplantation...expext the unexpected! @EPeeps_Bot @naderjo @HRS_CaseReports @cardiology

https://t.co/xeDiJWGAUu

[christian grebmer @CGrebmer]

@Harishs1794 @EPeeps_Bot @mmm_ep @dineshkrishn so the RA lead may be dislodged durin ablation...

[Jag Singh @JagSinghMD]

Looks like implantable sensors within devices measuring transthoracic impedance may have a role in tracking the lung pathology in #COVID. Nice work from Sunil Kanpur, ⁦@True_EP⁩ ⁦#EPeeps #Sensors #Cardiotwitter
May help detect and evaluate recovery from lung infection.

[christian grebmer @CGrebmer]

@maurice_cortes did you bent the atrial stylet by yourself?

[JMC @narrowQRS]

To LifeVest or Not to LifeVest? *That* is the question!
Believers should read this one ⬇️

[christian grebmer @CGrebmer]

@OfSinus @EPeeps_Bot hopefully it is going to be „just“ a boxchange...otherwise it will be a nightmare...

[Philipp Sommer @Phiso_de]

Real-world experience of leadless left ventricular endocardial cardiac resynchronization therapy: A multicenter international registry of the WiSE-CRT pacing system https://t.co/Y9lrxlvFOL

[christian grebmer @CGrebmer]

@AndyThornley @narrowQRS @SchakrabartiEP @AbbottCardio the thing is that we‘re happy to have it in our (ervery day) repertoir as a „bail out“ lead- but finally using it needs a huge effort or a good convincing strategy of the mdt rep :)
anyway- the use should be rare thinking of extraction i think!

[christian grebmer @CGrebmer]

#EPeeps #cardiacpacing just a VVI pacer...in a patient with mechanic tricupsid valve 🙈 @AbbottCardio

[christian grebmer @CGrebmer]

@narrowQRS @SchakrabartiEP @AbbottCardio somehow i always have to think of the starfix (mdt) and I do have huge respect of lv leads with acitive fixation...but i‘ve heard that too...allthough I did not use it so far 🙈 #safethecs ;)

[christian grebmer @CGrebmer]

@narrowQRS @SchakrabartiEP @AbbottCardio so I am not a big fan of active fixed leads in the cs...i try to avoid it if there‘s (even) a (small) chance...and in this patient there was no need for an active fixed lead due to good wedging and good pacing thresholds...extracting an acitvely fixed lead in cs —> nightmare!

[christian grebmer @CGrebmer]

@ManoloMolina8 @AbbottCardio that would have been a great idea too! thank‘s for sharing!
in out case the qrs duration has been reduced from 185ms (epicardial) to 140ms (lv)...

[christian grebmer @CGrebmer]

@Harishs1794 @EPeeps_Bot x-ray? there might be a dislodgement of the atrial lead...

[christian grebmer @CGrebmer]

great and import work for future treatment of our device patients!

[HeartRhythm @hrs_journal]

Transvenous Lead Extraction in Patients with Prior Extraction Procedures: Procedural Profiles and Outcomes, by @erikahuttce, @aymanhusseinmd, @omwazni and colleagues https://t.co/amCWvPLKWU

[christian grebmer @CGrebmer]

@LydiaBr07138027 isn‘t it a port cath?

[christian grebmer @CGrebmer]

@SchakrabartiEP @naderjo @narrowQRS @rdschaller @Hapa_EP @seth_j_worley @VKutyifa somehow it seems that in „tight“ cephalic veins it is more useful to use it for just one lead...

[christian grebmer @CGrebmer]

@SchakrabartiEP @naderjo @narrowQRS @rdschaller @Hapa_EP @seth_j_worley @VKutyifa using cephalic vein is totally different:
1: you do not need to puncture
2: the lead is not stressed due to the „anatomical“ access path#
3. every lead should be fixied seperately with its sleeve

BUT i‘ve aalso had noise due to isolation defects due to friction via cephalic...