EPDIR-0222 - Sequence # 7630 and Metric 10 | Proportion of Defibrillator Lab Visits With an Unsuccessful Attempt to Place the Coronary Sinus/ Left Ventricular Lead-0222 - Sequence # 7630 and Metric 10 | Proportion of Defibrillator Lab Visits With an Unsuccessful Attempt to Place the Coronary Sinus/ Left Ventricular Lead

0222 - Sequence # 7630 and Metric 10 | Proportion of Defibrillator Lab Visits With an Unsuccessful Attempt to Place the Coronary Sinus/ Left Ventricular Lead

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Video Transcription

Video Summary

This video transcript discusses a case scenario in the EP device implant registry for February 2022. A 57-year-old male with heart failure undergoes a CRTD implant, with successful RA and RV lead implants. However, attempts to implant the LV lead via the coronary sinus are unsuccessful due to inadequate thresholds. The LV lead is removed, and a left bundle lead is implanted instead. The CSLV lead, sequence number 7630, is coded as implant unsuccessful. Metric 10 in the Executive Summary Measures and Metrics Companion Guide tracks the hospital's rate of failure to place the LV lead successfully. The video emphasizes that the measure is for quality improvement and not punitive or used for public reporting or pay for service. The implanted left bundle lead is coded separately as successfully implanted in sequence number 14739. This is evaluated in metric 31, which focuses on unsuccessful attempts to place a His left bundle lead during defibrillator procedures. The video concludes by thanking viewers for watching.

Keywords

EP device implant registry

heart failure

CRTD implant

LV lead

left bundle lead