Related Experiment Video
Updated: Aug 13, 2025
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
19.4K
Coronary Venous Visualization During Deep Septal Lead Placement: An Unexpected Finding
Syeda Atiqa Batul1, Ankit Mahajan1, Faiz Ali Subzposh1
1Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes-Barre, Pennsylvania, USA.
JACC. Case Reports
|January 23, 2023
Summary
Left bundle branch area pacing is a safe alternative to conventional pacing. Deep septal implants carry risks, but contrast drainage may be a benign finding during forceful injections.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiac Pacing
Background:
- Left bundle branch area pacing (LBBAP) is an emerging alternative to traditional pacing methods.
- It offers a potentially safer and more effective approach for certain cardiac conditions.
Observation:
- Deep septal implants during LBBAP carry risks such as acute septal injury, perforation, and arteriovenous fistula.
- Forceful contrast injections can lead to drainage into lesser cardiac veins.
Findings:
- Contrast drainage into cardiac veins and subsequent filling of epicardial vessels can be observed.
- These findings may represent benign events rather than complications.
Implications:
- Understanding these contrast patterns is crucial for accurate interpretation during LBBAP procedures.
- This knowledge aids in differentiating benign observations from actual complications, improving procedural safety.
Keywords:
CS, coronary sinusHTN, hypertensionLBBAP, left bundle branch area pacingLBBP, left bundle branch pacingLV, left ventricularLVEF, left ventricular ejection fractionNS, nonselectiveTTE, transthoracic echocardiographycardiac pacemakercoronary circulationleft ventriclepLVAT, peak left ventricular activation timex-ray fluoroscopy
Related Concept Videos
01:21Cardiac Catheterization II: Right Heart Catheterization
76
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
76
01:24Cardiac Catheterization III: Left Heart Catheterization
123
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
123
01:26Cardiac Catheterization IV: Nursing Management
103
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
103
01:28Cardiac Catheterization I: Pre-Procedure Overview
109
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
109
01:04Venous Return
5.5K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
5.5K
01:27Assessment of the Cardiovascular System III: Palpation
413
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
413