Cardiac Ventriculography (Left Ventriculogram)

Short video to describe left ventriculography and different pathologies that can be identified using this technique.

[@RohanKayani]

Thank you so much for the wonderful video! I was confused about Takotsubo's findings but you explained them brilliantly!

[@whiteboardandmarkercardiol2787]

Great. Happy that this was helpful

[@imranullah909]

Sir u r best teacher..... keep it up

[@balukus1107]

These videos are amazing and I am certainly going to share these with the lab I work in. Thanks so much for sharing your knowledge and taking the time to make these videos!

[@whiteboardandmarkercardiol2787]

Thanks Brian. Feel free to share and appreciate your nice comments. Glad you like these...

[@meenakshi_mahadev4610]

@@whiteboardandmarkercardiol2787 sir pls do Rv angiogram also

[@whiteboardandmarkercardiol2787]

@@meenakshi_mahadev4610 thanks Mahadev l. We rarely do isolated RV angiogram but do combine it with Pulmonary angiogram in patients with suspected PE. Will note it down to cover in the future…

[@meenakshi_mahadev4610]

@@whiteboardandmarkercardiol2787thank u for ur reply sir, actually I'm an paramdedical student I'm preparing for exams so I left happy with vedio which his having an theoretical answer 😀....

[@Jaxon92]

Great informative videos. Good source if you're studying for RCIS.

[@whiteboardandmarkercardiol2787]

Thanks for watching and for the nice comment.

[@surendragangawane]

Great job sir! thanks for your videos😊, sir can you make video on OCT and IVUS

[@whiteboardandmarkercardiol2787]

Thanks a lot. Sure, will do

[@soufianebouchareb2306]

it is very helpfull, thank you

[@whiteboardandmarkercardiol2787]

Thanks for watching. Appreciated

[@safeeryahu]

Make more related videos sir

[@blackbeard196]

Thank you sir

[@whiteboardandmarkercardiol2787]

You are welcome. Thanks for watching..

[@akthakurforu]

plz cover recent and ongoing trials in cardiology. Thanks

[@whiteboardandmarkercardiol2787]

Thanks for watching. Will note it down..

[@aymankhaled1065]

Please to make more videos why did you stop

[@maryampanahi513]

Thx alot

[@whiteboardandmarkercardiol2787]

You are welcome...

[@jendawraj9572]

the hospital was unable to perform the left side angio on my husband......please explain why they will not

[@whiteboardandmarkercardiol2787]

Sorry to hear this. I am not entirely sure. Some times when we go through radial (wrist) becomes a little challenging to get to all the coronaries but still then we switch to femoral (leg) to complete the angiogram. Honestly I am not sure. You may ask your cardiologist about this. Sorry

[@kashifalikhan2535]

At which LVED pressure LV gram is contraindicated?

[@whiteboardandmarkercardiol2787]

There is no cut off. But if the LVEDP is around 20 and no pulmonary edema, you can still do LV gram. On the other hand with LVEDP of 20 with pulmonary edema you should avoid LV gram. We usually dont do LV gram if the LVEDP is in 30’s. Hope this help. Thanks for watching

[@monk1776]

My Dr thinks I might have Constrictive pericarditis will this procedure be able to see this.

[@shadowcreekranch]

Professor, what is your preferred method for crossing the Aortic valve? Pigtail or JR? Do you use the wire for support?

[@whiteboardandmarkercardiol2787]

Thanks for watching. If right radial Tiger catheter or pigtail If left radial pigtail or JR If femoral. JR or Pigtail Ideally should use pigtail as it is less traumatic to LV cavity and less chances of accidentally pushing the wire into coronaries . While using pigtail avoid pushing the wire and let the pigtail buckle first and then flip into LV. For Tiger and JR, try to cross the valve in RAO position which minimizes accidental catheterization of coronaries with the wire. I hope this help..

[@shadowcreekranch]

@@whiteboardandmarkercardiol2787Thanks so much, Professor!

[@GopiNath-ht5zu]

Nice videos thanks for that👍 can u plzz post for RV gram

[@whiteboardandmarkercardiol2787]

Thanks for watching. Will note it down and cover it in subsequent videos.

[@youngmedlion8631]

What are the advantages of the cardiac ventriculogram compared to the cardiac echocardiogram?

[@whiteboardandmarkercardiol2787]

In cardiac ventriculogram you can see the inner lining of endocardium and any clot. It can also evaluate the aortic arch and any dissection. These are some of the advantages over echocardiogram but the main reason we usually do it is that we combine it with coronary angiogram to rapidly assess any immediate life threatening condition. I hope it help..

[@youngmedlion8631]

@@whiteboardandmarkercardiol2787 Thank you very much for your reply sir. I will be examined in cardiology tomorrow, this information will definitely come to use. Thank you for making your videos available to the public, they are very helpful!

[@thembelihle9096]

Why do we have to do LV EDP, i can't seem to find an understandable explanation

[@whiteboardandmarkercardiol2787]

LVEDP is left ventricular end diastolic pressure. It goes up if the LV functions are down and LV is not squeezing well, leaving some blood in the cavity during diastole. This increases the end diastolic pressure and indirectly tells you 1. Left ventricular functions are low or 2. Patient is hypervolemic meaning retaining more fluid. I hope this answer your question.

[@thembelihle9096]

@@whiteboardandmarkercardiol2787 Thank you so much. But does this (elevated EDP) affect the left atrium?

[@whiteboardandmarkercardiol2787]

@@thembelihle9096 yes it does. It can lead to increases left atrial pressures which can lead to high pulmonary venous pressure and can lead to pulmonary edema and shortness of breath..

[@thembelihle9096]

@@whiteboardandmarkercardiol2787 Well understood thank you so much 😊

[@dineshraja2462]

Can u please do a lecture on fluroscopic anatomy of heart

[@whiteboardandmarkercardiol2787]

Thanks for watching. Will not it down.. can you elaborate a little more what you want to be covered?

[@dineshraja2462]

@@whiteboardandmarkercardiol2787 where exactly is each structure in lao, rao and ap views and how to identify them, for example where is the tricuspid valve in each projection

[@dineshraja2462]

Can u please suggest me any book where i can read fluoroscopic anatomy of heart. Thanks in advance sir

[@EmiliaBunas]

In summary, this patient has a 3+ MR? Thank you!

[@whiteboardandmarkercardiol2787]

You are welcome and thanks for watching..

[@monamohamad3353]

Could we detect aortic regurgitation from this views? I mean from ventriculogram technic

[@whiteboardandmarkercardiol2787]

Yes you can. But only if it is severe as the dye washes out and diluted very quickly from the aorta and LV given high pressures and flow.. hope this answer your question..