New method of training of electrophysiologysts with human plastinated hearts. Maxim Didenko, MD PhD Dmitry Starchik, MD PhD Military Medical Academy, International Morphological Centre, Saint-Petersburg, Russia
Anatomia clavis et clavus medicine Анатомия есть ключ и руль медицины
Gabriele Fallopio
…Knowledge of normal and abnormal cardiac anatomy and electrophysiology…
Tracy et al. AHA/ACP Clinical Competence Statement on Invasive Electrophysiology Studies, Catheter Ablation, and Cardioversion // JACC Vol. 48, No. 7, 2006:1503–17
Difficulties of electrophysiologysts education • Explanation of anatomy realize usually with pictures, schemes, slides, etc • Unfortunately using the fresh fixed hearts is very difficult and sometimes impossible • All methods of visualization in electrophysiological departments are indirect
Pictures, schemes, slides, etc
Clinical plastination New epoch in development of clinical medicine especially in cardiology (electrophysiology) Because: allows a better understanding of spatial anatomy, and explore new methods of treatment in hospital
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Positioning the atrial lead into the BB region (RAO)
10/26/09 
BB lead implantation
Positioning of select site into the RVS ÂŤSelect secureÂť
Anatomia.ru
Anatomy of cardiac veins
Anatomy of cardiac veins
Videodemonstration (lection): Anatomy for Electrophysiologysts
Training programs today train “ablationists” and “defibrillationists” (a.k.a. implanters), not electrophysiologists. “back to basics—learn electrophysiology” Josephson M., Electrophysiology at a Crossroads Heart Rhythm 2007;4:658–661
We need to understand (to explain) not only electrophysiology, but electrophysiology with anatomy This is the key for successful and safe treatment of arrhythmias
Back to basics — learn electrophysiology with anatomy in EP Lab
Conclusions: • Clinical plastination of the hearts provides variety of opportunities for education of fellows and widening clinical manner of thinking using natural plastinated specimens • Creating of plastinated specimens of a hearts can be defined as a new area of professional activity as it gives better understanding of spatial anatomy • Introduction of knowledge gained from clinical plastination will contribute further improvement quality of care