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Edward J Schloss MD Profile picture
Edward J Schloss MD
@EJSMD
Medical Director, Cardiac Rhythm Device Program, The Christ Hospital, Cincinnati OH. EJSMD@med-mastodon.com. Call me Jay. And my wife is pretty awesome.
J. Eulert-Grehn , MD Profile picture 2 subscribed
Aug 20, 2020 • 20 tweets • 5 min read
How to do a coronary sinus angiogram:

1️⃣Engage the CS in LAO, then confirm and advance the sheath in RAO. I use a MPA2 or AL2 coronary catheter inside CS sheath & find the CS with a long glidewire. If wire glides in w/o ectopy and is posterior in RAO, you're in.

#EPeeps How to do a coronary sinus angiogram:

2️⃣So important to advance CS sheath in RAO. This allows you to see if you're off axis. In LAO, sheath may buckle in the RA & you'll never know until sheath falls out when you try to advance. RAO lets you see that & fix it by torquing sheath.
Feb 15, 2020 • 12 tweets • 9 min read
Anyone concerned by this CXR?
(Shared with permission)
#EPeeps ImageImage My concern — agree w others. Feared ICD lead crossed PFO into LV. This was next day CXR after new implant.

Action— echo

Findings — Lead in RV. All OK. Pt discharged home.

@sgreenbergmd @DrGregMichaud @dlschermd @SchakrabartiEP @badinmd @MarkStephanMD @DrDeese99 @J_RyanJordan