Coronary Venous Visualization During Deep Septal Lead Placement: An Unexpected Finding

Left bundle branch area pacing has emerged as a safe and feasible alternative to conventional pacing. Acute septal injury, septal perforation, and arteriovenous fistula are potential risks of deep septal implants. Contrast drainage through the lesser cardiac veins and subsequent filling of major epi...

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Bibliographic Details
Published in:JACC. Case reports 2022-12, Vol.4 (24), p.101622
Main Authors: Batul, Syeda Atiqa, Mahajan, Ankit, Subzposh, Faiz Ali, Young, Wilson, Mathew, Andrew, Pokharel, Parash, Storm, Randle, Oren, Jess, Vijayaraman, Pugazhendhi
Format: Article
Language:English
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Mini-Focus Issue: Electrophysiology
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Summary:Left bundle branch area pacing has emerged as a safe and feasible alternative to conventional pacing. Acute septal injury, septal perforation, and arteriovenous fistula are potential risks of deep septal implants. Contrast drainage through the lesser cardiac veins and subsequent filling of major epicardial vessels may be benign observations noted during forceful hand injection. ( ).
ISSN:2666-0849
DOI:10.1016/j.jaccas.2022.08.037