Allied Professionals Community of Practice

  • 1.  Device Clinic Follow-up post new LBBB lead

    Posted 11-01-2025 10:00

    Could we please share our routine follow-up practices for patients with recently implanted LBBB leads?  For example at the wound check/first device check are 12 lead EKGs performed?  Thank you, paul  :)



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    Paul Kohanski MSN, CNP, FHRS, CCDS
    Nurse Practitioner Device Clinic
    Univ Hospitals of Cleveland, Cardiology
    Cleveland OH
    2168442482
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  • 2.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-01-2025 10:04
    Our first wound check at 10 days (staple removal), then one month post op check with NP with 12 lead, then 3 month in-person device check with pacer techs.

    Penn Medicine - Lancaster General Health, The Heart Group


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  • 3.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-03-2025 02:18

     

     

    Linda K. Ottoboni, PhD, RN

    Clinical Nurse Specialist

    Atrial Fibrillation Prevention and Symptom Management

    Stanford Arrhythmia Service

     

    'Make time for your wellness before you have to make time for your illness'

     

    Stanford Healthcare

    300 Pasteur Dr., MC 5335, Room A23

    Stanford, CA    94305

    Mobile: 650-206-0542;

    Lottoboni@stanfordhealthcare.org

     

    Clinical Assistant Professor

    Division of Primary Care and Population Health

    School of Medicine, Stanford University

     

     

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  • 4.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-02-2025 07:37
    Hello,
    We do a 14-day post implant follow up with device nurses (site and device check). We do perform 12-lead with intrinsic rhythm (if applicable) then with RV bipolar and unipolar pacing to assess our QRS.
    Thanks you!
    Angie

    Sent from my iPhone


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  • 5.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-02-2025 08:15
    We also do a wound check in 7-10 days and do an EKG at that visit to assess capture and evaluate the bundle especially in LBB pacing or BiV pacing

    Suzy Schultze 




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  • 6.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-02-2025 19:19
    We do post op device check ecg  .Than 1month follow up in device clinic. The also have phone next few days after discharge . 
    Tim McGranahan Man Acnp Vcu health 




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  • 7.  RE: Device Clinic Follow-up post new LBBB lead

    Posted 11-06-2025 13:20

    We have a similar practice like some of the other institutions. We perform a 12-Lead with newly implanted LBB leads and if any Bachman Bundle leads are placed. We perform underlying and usually perform LBB only pacing if applicable especially if the physician is promoting intrinsic rhythm.  Our wound checks are performed at the same time.  These visits are normally done within 7-10 days.

     

     

    Michael Silva, RN, RCES, CCDS
    Supervisor, Arrhythmia Device Clinic

    WellSpan Heart & Vascular Center
    msilva@wellspan.org
    Office 717-741-8672
    30 Monument Rd York, PA 17403

    Chat with me on Microsoft Teams

     

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