Mike Lean
@mike_lean
Abbott Key Accounts
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First burn termination of RV pap PVC by our first year fellow @BhattacharyaPri. Great use of new Abbott Viewflex ICE with AI countering as a part of phase 3 research study. @AMatthews0 @MUSC_EP @JRWinterfield @AbbottCardio
Utilization of #AI based tools for delineating cardiac structures with ICE during #AblateVT cases as part of #FIH trials with new @AbbottCardio exceeded expectations - rapid definition of valves, paps in LV:
"Roads...where we are going, we don't need roads." Happy to share our work @rimhalabymd @ChrisGBruce13 using VINTAGE for intramural VAs - first in human. We demonstrated that we can successfully navigate to "inaccessible" areas such as the LV summit, deep septum, and papillary…
Challenging VT storm with multiple morphologies in a hemodynamically unstable patient for redo procedure. Substrate-guided strategy, focusing on areas of wavefront discontinuity with dual pacing wavefronts suggested a potential VT isthmus. Area corresponded nicely with…
VT storm ablated with a first burn term over the weekend thanks to @JRWinterfield. #GridX with OT near field algorithm allowed for quick and accurate mapping in complex substrate.
LAD infarct VT. Critical isthmus and bystanders. Mapped, entrained, and ablated by the skilled @dhakalbish @MUSC_EP #GridX
Enjoyed assisting with some workflow and technology improvements in FIH trials of novel Viewflex X ICE catheter from @AbbottCardio -- we performed ablation of PVC from suspected intramural site with RF to septal RVOT and adjacent ASOV. Will be curious to see what @dhakalbish…
Re-entry around suture lines in a DILV with bidirectional Glenn and modified Fontan using the right atrial wall to create a bridging tunnel between discontinuous pulmonary arteries. #EPeeps #WIC #WomenInEP #ACHD @mhshospital @DanielBenhayon fantastic support from @AbbottCardio…
It is amazing to reflect on how many specialties and technologies had to come together to make this case and collaboration happen. At the forefront of this is @FergieLosiniec1 - thank you for being a pioneer and a top-class operator!
Great case of ICE guided LAAO with @medinbox @AbbottCardio support. @medinbox allows for procedural support worldwide between physicians and key specialist that can assist with tips during complex cases. It was super easy to connect. Looking forward to sharing more cases with my…
Great case of concomitant PVI/ICE guided LAAO. Thanks for the support @BSCCardiology @emilystoicovy @AbbottCardio @mike_lean @Mapbastian @mhshospital #Epeeps
Great heart dissection with the EP fellows at @UABCardiology. Incredible insight from the very knowledgeable cardiac pathologist, Dr. Silvio Litovsky! @AbbottCardio @WilliamMaddoxMD @tommcelderry
Hypnotizing local reentry in a stable post-maze tachycardia, with full CL seen on HD Grid. What is the cause/substrate for this type of AT after a maze procedure? @AbbottCardio #EPeeps Case with Dr. Smriti Banthia in Sarasota, FL.
Projection Overlap Map (POM) to show locations with multiple therapy applications in PFA cases. Here are the map settings we landed on using the “Point Count” map type. Looking forward to seeing what clinical utility this has, and also how the @AbbottCardio teams continue to…
Great fluoroless PFA case completed with @GXMoralesMD of Grandview Medical Center in Birmingham, AL . This time using the new Projection Overlap Mapping (POM) which identifies areas of PF application overlap. Mapping and video courtesy of @DavidSmithAbtEP @mike_lean @AbbottCardio
Great fluoroless PFA case completed with @GXMoralesMD of Grandview Medical Center in Birmingham, AL . This time using the new Projection Overlap Mapping (POM) which identifies areas of PF application overlap. Mapping and video courtesy of @DavidSmithAbtEP @mike_lean @AbbottCardio
Great thread by @officialdrk12 describing a stepwise approach to mapping and ablating an unstable non-ischemic VT.
What would you do if the VT is too unstable to map or entrain? Let’s look at how understanding VT substrate is paramount in this case.
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