How to Implant a Permanent Transvenous Pacing System After Single Ventricle Palliation With a Right or Left Infraclavicular Pocket-Relevant Anatomy for Access

Video Transcription

Video Summary

In this video, Dr. Devekar, an interventional cardiologist at Birmingham Children's Hospital, discusses the anatomy and access considerations for single ventricular patients with Fontan circulation. He explains the different types of Fontan procedures and highlights the importance of understanding the underlying cardiac anatomy for determining access points. Dr. Devekar also discusses the use of 3D models for spatial orientation, the role of cardiac catheterization in assessing anatomy, and the challenges of accessing the venous atrium. He shares a few case examples where fenestration was created or modified to facilitate pacing. Overall, Dr. Devekar emphasizes the importance of understanding the unique anatomy of single ventricular patients when planning interventions for pacing.

Asset Subtitle

Chetan Mehta, MBBS, MD, MRCPCH

Keywords

single ventricular patients

Fontan circulation

cardiac anatomy

access considerations

pacing interventions