Ultrasound-guided access for a cardiac resynchronization therapy-defibrillator (CRT-D) case. Ultrasound clips with captions are shown to illustrate three needle punctures and wire insertions. Wall tenting, needle twisting, and anterior vein wall entry clips are slowed for better visualization. (Video only, no audio). See full article by Dr. Jonathan Salcedo in EP Lab Digest's August 2020 issue.