Key result
Deep septal lead placement reveals benign lesser cardiac venous contrast drainage in ~3% of cases.
Why the study?
Left bundle branch area pacing carries potential risks of acute septal injury, septal perforation, and arteriovenous fistula during deep septal implants.
Case Report (n=340)
No
Answers are grounded in this paper and cite their sources.
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. (Level of Difficulty: Advanced.)
No takes yet. Share an insight, caveat, or question.
Batul et al. (2022) conducted a case report in Bradycardia or heart block requiring pacemaker implantation (n=340). Deep septal lead placement with contrast injection was evaluated on Contrast drainage through the lesser cardiac venous system. During deep septal lead placement, contrast drainage through the lesser cardiac venous system was observed in 2.6% of cases and represented a benign finding without fistula formation.
Synapse has enriched 10 related papers. Consider them for comparative context: