CV ASC Registry Education-Intra or Post-Procedure Event Types Requiring a Diagnosis

Video Transcription

You may notice some events do not have a data definition attached. This was intentional as these will require a physician diagnosis. However, we will  expand on what these events are for your own knowledge. Cardiac perforation may or may not be symptomatic and may or may not be self-sealing. It can be documented  by migration of pacing or defibrillator leads to the epicardial surface resulting in pain or hypotension, pericardial effusion, cardiac tamponade,  failure to capture, capture of the diaphragm, phrenic nerve or intercostal muscles, or sufficient magnitude to require repositioning. Coronary venous  dissection is caused by manipulation of the pacing or defibrillating leads in the coronary sinus which can result in a tear of the coronary sinus endothelium  with dissection into the coronary sinus wall, sometimes at times referred to as staining, following contrast injection. This can also result in perforation of  the coronary sinus. Hemothorax is an accumulation of blood in the thorax. Pneumothorax is an accumulation of air in the thorax and lastly TIA is a  transient episode of focal neurological dysfunction caused by brain spinal cord or retinal ischemia without acute infarction.

Video Summary

The video transcript discusses events like cardiac perforation, coronary venous dissection, hemothorax, pneumothorax, and TIA. Cardiac perforation may not show symptoms and could be self-sealing, caused by leads migrating to the epicardial surface. Coronary venous dissection can occur when working with pacing leads, leading to tears in the coronary sinus wall. Hemothorax is a blood accumulation in the chest and pneumothorax is an air accumulation in the chest. Lastly, TIA is a temporary neurological dysfunction due to reduced blood flow without an acute infarction. These events may require a physician's diagnosis.

Keywords

cardiac perforation

coronary venous dissection

hemothorax

pneumothorax

TIA