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Good point but I don't think will be in issue. In recently presented Manifest PFA registry with >17k pts stroke incidence was 0.12%. In ADVENT we did brain MRIs in subset of 80 pts and asymptomatic cerebral events noted in 9% of PFA pts, less than usually seen with RFA.
PFA's main selling point has been avoiding AEF (incidence 0.038% percent in POTTER-AF). Combined increase in embolic events and coronary spasm are surely going to nullify any safety benefit?
ZERO-FLUORO TIP OF THE WEEK We track our transseptal needle on Ensite X w unipolar cables and confirm w ICE to safely cross every time.Interestingly, her prior man-made ASD holes have closed within 5 months.[@YoodaMD Fluoroless since 2012]#ZeroFluoro #EPeeps ##VoxelFlex
Split potentials and U-Shaped endocardial line of block (a la @DrRoderickTung) identified and automatically annotated by OT Near Field in this ischemic VT case with @LoguidiceMike1. Nice to see this concept in practice to help guide our ablation strategy! @AbbottCardio @mike_lean
First legit slow pathway potential that I have appreciated in atypical AVNRT @pabsala (D1D2,anterior to CS os). Grid smashed into a Triangle of Koch. @DrGregMichaud @HughCalkinsMD
👏Kudos to our software engineer team for their exceptional work on #ADAS3D software! Their dedication and expertise have raised the bar in the field of medical innovation in EP. #EPeeps #SoftwareEngineering #medicalsoftware
From the veins, to the wall, ICE tells it all… Follow along with #ViewFlex and #EnSiteX in this #MedinboxMonday as @senthil_dorai identifies the remaining connection for isolation of this posterior wall! How are you handling epicardial connections, #EPeeps?…
Our experience is that identification of high frequency zones works in reentrant atrial tachycardias!!! Look this case of localized reentry from left atrium roof. Propagation map shows centrifugal pattern of activation. High frequency matchs with the "origin" of tachycardia.
ZERO-FLUORO TIP OF THE WEEK Hand measurements are a key point of my #ZeroFluoro workflow with the Agilis steerable sheath when getting into the right veins! [@YoodaMD Fluoroless since 2012]#ZeroFluoro #EPeeps #VoxelFlex
Precordial lead V1 with downstroke notch predicted inter-leaflet triangle PVC location. Slight variances in initial phase of ECG morphology in V1 and V2 observed, along with prominent positivity in Lead 1, hinting RCC side of ILT #PMA @EP_EmilyS @AbbottCardio
There was a prior lateral mitral isthmus line performed though, although it does not appear blocked. Would adding both anterior and roof lines in this case possibly create greatly delayed conduction to the LAA?
It was great hosting @mike_lean and @Austin_in_EP in Fort Worth to share our PVI workflows! Right WACA approach can provide opportunities for septopulmonary connections… Observe the reverse 3 with Dr. T in this #MedinboxMonday. What approaches are you taking for #AFib,…
Nice insight from @senthil_dorai on PVI lesion path, targeting septopulmonary connections on the right veins for consistent first-pass isolation. Grateful to partner with Dr. T and @PVC_on_HERS to record an AF case demonstrating their HPSD workflow using Version 3 & TactiFlex.
Great complimentary on-demand streaming EP curriculum. #GlobalEP mission accomplished with 3.5k+ unique learners online. Congrats again to @Zo_EP2 @True_EP @FellowsSummit @ConnectEp for putting this offering together year after year. epfellowssummit.com/on-demand/vide…
@otantot able to quickly tackle an AFL at the distal CTI from prior CTI ~10 yrs ago. The gap in the line was quickly identified with #HDGrid using #Omnipolar + #EmphasisMaps and 🔥 with #TactiFlex @AbbottCardio #EPeeps @tcainstitute
Complex arrhythmia ablation workshop with EnsiteX v3 at Kyushu University Hospital in Fukuoka, Japan. Great cases performed by Dr Sakamoto and Dr Takase. Great team to tackle really challenging cases
Could “Peak Frequency” map of ventricular substrate during SR characterize low voltage regions critical to #VT circuits? 👇 Epicardial map of ARVC demonstrating low voltage-high frequency site colocalized with DZ of ILAM and critical isthmus of VT. #EPeeps, #ablateVT
PVI vs PVI + PWI in perAF patients with systolic heart failure doi:10.1001/jamacardio.2023.3208 #CAPLA @JAMACardiology
Lessons in ICE by the master - thank you @MRazminia for your hospitality - learnt a lot #zerofluoro #CHRD @RKutieleh @UniofAdelaide @CentralAdlLHN
Prof. Tarv Dhanjal sharing insights on DeEP mapping by and how it works to unmask areas of interest in VT cases. With hologram, the future of education is here, now. #CardioEd #DeEPMapping #AbbottProud
Day 1 of IEPC has started, we're focused entirely on VT today. #AbbottEP #AbbottProud #VentricularTachycardia
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