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. 2019 Mar 7;35(7):1327–1337. doi: 10.1007/s10554-019-01574-0

Fig. 2.

Fig. 2

CARTBox workflow and time requirement. The pre-procedural workflow a consists of the acquisition of cardiac MRI and CT (60 min in total), and image processing in CARTBox. The image processing, required to identify the optimal site for LV stimulation, and necessary to produce a detailed 3D-model of the heart, takes approximately 25 min per scan. The implantation procedure b starts with acquiring a 3D-rotational X-ray scan (minutes). The 3D-treatment files are then semi-automatically fused with the 3D-rotational scan based on anatomy landmarks. This takes approximately 20 min and can be performed during RV lead implantation and coronary sinus cannulation. Using this approach, LV target areas can be visualised on live fluoroscopic images during LV lead implantation. CMR cardiac magnetic resonance, CT computed tomography