Aaron Matthews
@AMatthews0
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Proud to have assisted some great EPs on this work and thankful for their pursuit of new methods to help patients with VT. High frequency in scar to identify decel Zones using #EnsiteX Check out the video in the comments. @JPayne_EP @JRWinterfield
https://t.co/9zJIwmiiop
heartrhythmjournal.com
Current annotation of local fractionated signals during ventricular electroanatomic mapping (EAM) requires manual input subject to variability and error.
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PVI+ is the one area where RCTs have been unable to supercede anecdotes – because operator bias is so powerful. Only two randomized trials have shown efficacy beyond PVI (CONVERGE and VENUS), yet only a minority have adopted. And multiple PWI studies show no systematic benefit
What’s the obsession with PWI in AF ablation? It may appear “safe & easy” @drjohnm BUT no randomised evidence & there is downside #TWIC Oct 10
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Critical isthmus of VT is confined to small area despite extensive substrate! 👇 Epicardial map of ARVC demonstrating figure-of-8- reentry colocalized with DZ of ILAM. #EPeeps
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Dr. Anne Kroman (@docAnneSquared) of @MUSChealth joined @AnnLive5News and @Live5News on World Heart Day to discuss the importance of heart health and ways to improve your cardiovascular health. Watch the interview here: https://t.co/ZKuyLeZmze
#WorldHeartDay
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@dhakalbish @AbbottCardio @MUSC_EP @MUSChealth @AMatthews0 @brysontindal9 @Dr_Santangeli @DrRoderickTung @PennEPFellows @JRWinterfield that’s awesome: that catheter makes good lesions!
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Great case of redo VT with investigational Tactiflex dual energy catheter on a patient with intramural substrate and previously failed 3 ablations including alcohol ablation. Patient was in incessant slow VT, entrained and terminated at the isthmus site with second PFA.
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Comparison of Far-Field and Peak Frequency Electrogram Characteristics at the Earliest Activation Sites during Idiopathic Ventricular Arrhythmias: A novel index to predict ablation success #OpenAccess
@TakuroNishimu @ISCT_cvm
https://t.co/m4OSXVuUz5
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🚨New #OpenAccess Article in @JICE_EP Bipolar Radiofrequency Ablation for Refractory Scar-Related Interatrial Septal Tachycardias: a Multicenter Study 🧐📖 https://t.co/Ijx5uDCDtC by @ftrae, Łukasz Zarębski, @Dr_LohitG, Sanghamitra Mohanty, @vincenzomirco93, Prem Geeta
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An ideal outcome. A single morphology with bigeminal burden. PVC with an ATV3 morphology, localized and ablated at RCC/LCC commissure (65 msec pre QRS). Credit: @Ashit_EPS
@isabelmauckEP
@AbbottCardio
#EnSite
#TactiFlex
#ViewFlex
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Myocardial flash during venous EtOH ablation of mid-myocardial summit PVC. Initially suppressed with long RF lesions from RVOT and LVOT but re-occurred after pharmacological testing/waiting period. Ventricular bigeminy was completely gone within 25 seconds. Fun day @ MUSC!
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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:
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Repurposing S3 protocol for CardioNeural Ablation. Exaggerated atrial decoupling observed, despite a youthful and structurally normal atrium. S1, S2, appears unassuming in same location. Useful application for EGM guided GP localization? #EnSite OT with Near Field,
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Holiday weekend VT storms - case #1 of two with superb @AbbottCardio team @BrysonTindal - helped us map/ablate with combo venous EtOH and RFA complex 3D substrate in patient who underwent two ablations outside in past 2 months:
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Post-pacing interval after failed anti-tachycardia pacing for scar-related ventricular tachycardia: implications for the location of the critical substrate @EuropaceEiC @CleClinicHVTI @KojiHiguchiCCF
https://t.co/XzS7P55nVT
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Did you know the #inHEART solution can help predict critical isthmuses of the VT circuit? Many thanks to @brysontindal9 for sharing this great image correlation! #epeeps #VTablation
RV paced ILAM map compared with @inheartmedical scan which revealed wall thinning and aneurysm predictive of critical isthmus of VT circuit.
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75 y.o.F. chagas CM, LVEF 44% and VT despite amiodarone. Detailing scar physiology in Chagas disease with omnipolar EGM. #ablateVT @fcardioinfantil @drluissaenz @DrFerminGarcia @andresenriqueza @Dr_Santangeli @DrRoderickTung @CarinaHardy4
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In the VT entrainment video, we talk about how to measure post pacing interval in the context of complex egms.
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