Brock Gambill
@forkknifecab_EP
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Passionate about Food Wine Family Friends and #Electrophysiology #ECG #USNavy #Veteran #Cancersurvivor #PDXMapping #PMA #EnSite @AbbottEP #WSET Level 2
Portland, OR
Joined January 2013
An unstable VT. Mappable with #StaMP. Guided by S3 Protocol. @JeffHsingMD
@EP_EmilyS - StaMP @DrRoderickTung - S3 Protocol @ivroca - PDX Technique @B_Naz_MD - #EnSite @AbbottCardio
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Rare RA septal flutter on a patient with prior mitral valve surgery as well as PFA PVI, SVC isolation, intercaval line for lateral wall atriotomy scar flutter, and RF CTI line. Where would you burn? Or would you go transseptal to map LA? @narrowQRS @Maeskander @jeffrey_vinocur
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PFA with the pentaspline catheter achieves acute CS, LAA isolation and MI block, but lesion durability is poor at 3-month remapping @luigidibiasemd @aalahmadmd @giuseppe.stifano @WeeBodeMD @_nicolapierucci @dogi84md #AHAJournals #Epeeps
https://t.co/n6p6Ft2ki4
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A frequent PVC, ablated at interleaflet triangle, an anatomic gift. 12 lead ECG morphology consistent with successful site. ILT catheter navigation & contact enhanced with Intracardiac Echo. @georgecrowell
@AbbottCardio
#TactiFlex
#ViewFlex
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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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Full lesion set with consolidation rosette 🏵️. The PVC never came back after the first lesion, consolidation RF, and a 20-minute waiting period. Should we give isuprel even though the patient was in bigeminy up until RF? We did not, but now I am wondering if we should have.
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Fractionated mid-diastolic signal in the "whurple" ⬜🟪 early-meets-late zone (using De Ponti windowing 🪟).
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Uncovering the mystery of the atrioventricular node dual-pathway electrophysiology @nyit #EPeeps
https://t.co/x6O04e6ZjZ
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👉 Identifying Deceleration Zone (DZ) with #HDGrid on #Precision 👉Slow conduction area in the RV causes the #VT 👉 PaceMap Correlation %96 Match https://t.co/zcfUb8CwBB
linkedin.com
👉 Identifying Deceleration Zone (DZ) with #HDGrid on #Precision 👉Slow conduction area in the RV causes the #VT 👉 PaceMap Correlation %96 Match #VAPDX #AbbottEP #2021 Thanks for the support, George...
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A mappable VT meandering through WaDLs / Lines Of Block. Intuitive S3 Protocol discontinuities, 98% Correlation Score, and VT activation maps, supported a thoughtful ablation strategy. #EnSite
@AbbottCardio
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A Case Report of Persistent Phrenic Nerve Injury by Pulsed Field Ablation: Lessons from Anatomical Reconstruction and Electrode Positioning @AkihikoNogami
https://t.co/IyARhC0NNw
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@DrRoderickTung @Davilandre Cardioneural Ablation for Functional Bradycardia and Vasovagal Syncope: Outcomes From the U.S. Multicenter CNA Registry https://t.co/yaj0RB1RGa 🇺🇸 Editorial by: Dr. O. Ajijola and Dr @shivkumarmd
#HRS25 #LBT US CNA registry presented by @DrRoderickTung on behalf of 🇺🇸 Multicenter CNA team CARDIONEUROABLATION FOR FUNCTIONAL BRADYCARDIA AND VASOVAGAL SYNCOPE OUTCOMES FROM THE US MULTICENTER CNA REGISTRY Simultaneous pub at @JACCJournals JACC EP. Available online:
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👌 3rd Time Redo AF Patient (with Post Maze and Competitor RF) vs #EnsiteX & #HDGrid 👉 HDGrid shows reconnected PW, RPVs, and Post Maze Scar 👉 Inferior Wall Breakout to One Shot Re-Isolation #OT #OTNearField
#TrustYourMapper @AbbottCardio
https://t.co/gvLtwsKchW
linkedin.com
👌 3rd Time Redo AF Patient (with Post Maze and Competitor RF) vs #EnsiteX & #HDGrid 👉 HDGrid shows reconnected PW, RPVs, and Post Maze Scar 👉 Inferior Wall Breakout to One Shot Re-Isolation #OT...
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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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Nearly incessant slow AT from anterolateral TVA (notorious spot for pathway recurrence) on a patient with prior PVI, PWI, and CTI line. We got good stability with Agilis sheath from femoral access and terminated ❤️🔥 with 3 seconds of RF! Is it usually better to do IJ here? #EPeeps
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In 1708, at just 22 years old, Adam Christian Thebesius published his dissertation describing the morphology and function of the coronary venous valves, including this commonly encountered, Thebesian Valve. #ViewFlex
#EnSiteX
#Ultrasound
@AbbottCardio
https://t.co/TgKUgngCjD
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A life changed. Young adult debilitated with frequent syncopal events. 5 months, symptom free post Cardioneural Ablation @Ashit_EPS. #GridX with OT Near Field, Fractionation & Peak Frequency Emphasis overlay enhanced localization of GP's. #CNA #Syncope
#EPeeps #CardioTwitter
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Beauty of #HDGrid Mapping for CNA! #FractionationMap #VoltageMap #LATMap
@vivasfhrs 👨🏻⚕️ @AbbottCardio
https://t.co/Zf5uVfpnLq
linkedin.com
Excited to share my latest assignment at Delray Medical Center alongside Abbott! Starting off with a CNA case led by Yoel Vivas MD FHRS! #FractionationMap #VoltageMap #LATMap 3in1 with #HDGrid...
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Great antral coverage and no capture in the four pulmonary veins 🍀 after PFA applications!
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First time mapping a Farapulse PFA case with Abbott's new 3.1.1 Contact Index software. Petals 🌺 light up in blue 🩵 when making good contact with tissue and turn gray when floaty. Good adjunct to ICE! Worked well with a local impedance threshold 10-12% above baseline. #EPeeps
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