tag:blogger.com,1999:blog-18943510.post6849332567673119249..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Just Another Friday PacemakerDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-18943510.post-14597287673754795442010-03-25T23:01:49.914-05:002010-03-25T23:01:49.914-05:00Hmm. late. Sorry about the typos. Translation of...Hmm. late. Sorry about the typos. Translation of above:<br /><br />"qat" = "at"<br />levophas = "levophase"DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-23002037668080529002010-03-25T22:59:36.712-05:002010-03-25T22:59:36.712-05:00The chest xray demonstrates the presence of a pers...The chest xray demonstrates the presence of a persistent left-sided superior vena cava (SVC) that communicates with the coronary sinus (posterior to the mitral valve annulus) and then drains into the right atrium. <br /><br />Left sided SVC is the most common congenital venous anomaly in the chest, seen in 0.3 - 0.5% of the normal population and in 4.4% of those with congenital heart disease. DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-11379248567147545552010-03-25T21:17:10.191-05:002010-03-25T21:17:10.191-05:00Persistent L SVC.
Do you worry about increased ri...Persistent L SVC.<br /><br />Do you worry about increased risks down the road with more lead bends/tortuosity (esp RV and/or LV) for rare chance these leads need to get extracted well in the future? vs. just moving to R-sided implant with this anatomyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-26314156044650496022010-03-25T16:35:12.289-05:002010-03-25T16:35:12.289-05:00So, it is actually an IPod running a Cardiac-Monit...So, it is actually an IPod running a Cardiac-Monitor app?Andrew_M_Garlandhttps://www.blogger.com/profile/02855052302054611917noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9767296966760882372010-03-25T15:53:17.430-05:002010-03-25T15:53:17.430-05:00I don't know but the path of the leads look we...I don't know but the path of the leads look weird. I thought the leads usually swept right into the SVC into the RA and RV. In this case, it looks like the leads take an arterial passage into the LV. But I can't imagine a cardiologist would mistaken that. <br /><br />Is this an azygous or a left SVC that the wires have traversed?The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-73295234759960962322010-03-25T14:23:03.887-05:002010-03-25T14:23:03.887-05:00Not being an EP, I can provide possibly absurd gue...Not being an EP, I can provide possibly absurd guesses:<br /><br />leads implanted via subclavian artery ?<br /><br />or a transposed SVC ?<br /><br />and <br /><br />right atrial wall puncture ?<br /><br />A.B. PhDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-42282859360530225262010-03-25T12:58:16.456-05:002010-03-25T12:58:16.456-05:00Love these too. Sometimes when I'm having a g...Love these too. Sometimes when I'm having a good day I'll actually hope to find this when I'm getting access.<br /><br />I actually was lucky enough to have three during my fellowship at Cleveland Clinic. Since then, I've probably seen another 8-10.<br /><br />I've done two BiV's with this finding. I'll pass on a technique that works later if anyone wants to know.<Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-47426114059808162352010-03-25T12:53:50.838-05:002010-03-25T12:53:50.838-05:00Persistent L SVC?
CardioNPPersistent L SVC?<br />CardioNPAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-68143932705364057692010-03-25T10:52:51.984-05:002010-03-25T10:52:51.984-05:00Persistent Left SVC?....its kinda hard to see the ...Persistent Left SVC?....its kinda hard to see the loop in the fluoro.Unknownhttps://www.blogger.com/profile/10548284016533563833noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-77165283711496082532010-03-25T09:37:49.478-05:002010-03-25T09:37:49.478-05:00This looks like the 5PM retinal detachment in my o...This looks like the 5PM retinal detachment in my office on a Friday afternoon.<br />Gary LGary M. Levinhttps://www.blogger.com/profile/16205704913440150198noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-85754891944151908942010-03-24T23:37:34.523-05:002010-03-24T23:37:34.523-05:00Good thing you weren't putting in a CRT...Good thing you weren't putting in a CRT...Joenoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-82381470241912988432010-03-24T23:20:19.382-05:002010-03-24T23:20:19.382-05:00Saline bubbles from the left arm?!?Saline bubbles from the left arm?!?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-26284284579367355812010-03-24T22:19:10.014-05:002010-03-24T22:19:10.014-05:00My first guess was maybe it had something to do wi...My first guess was maybe it had something to do with lungs, I'm not an EP so my next best guess will probably be just as amusing to you but I think the SVC is in the wrong position. Judging by DrJohnM and your comments, this then leads me to guess that the lead positions will need to be verified, especially the atrial lead, maybe the SVC is emptying into the left atrium? <br /><br />Apologiesshomehttps://www.blogger.com/profile/15019380812851451569noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-42664915550021582042010-03-24T21:40:59.917-05:002010-03-24T21:40:59.917-05:00Absolutely no clue, of course - but I'm intere...Absolutely no clue, of course - but I'm interested to find out.Helenhttps://www.blogger.com/profile/07842890893365738906noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-69688422640485537252010-03-24T21:03:58.775-05:002010-03-24T21:03:58.775-05:00Nice, won't give it away.
About a half dozen...Nice, won't give it away.<br /><br />About a half dozen for me. <br /><br />Seems always when the schedule is full. <br /><br />JMMDrJohnMhttps://www.blogger.com/profile/13912535474668244521noreply@blogger.com