Jacob Koruth
@jskoruth
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Associate Professor, Director, Experimental Lab Helmsley Electrophysiolgy, Mount SInai- views expressed are my own and not my employers.
Manhattan, NY
Joined December 2016
#JustPublished: PFA for Scar-VT in the VCAS Trial #AHAJournals
@jskoruth @DrKeitaW @VivekReddyMD
https://t.co/pVdWPWBpGw
ahajournals.org
Background: Unlike the tremendous progress made in atrial fibrillation ablation, the greatest unmet clinical need is for innovative ablation treatments for scar-related ventricular tachycardia (VT) –...
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See why Dr. Tina Baykaner is excited for the upcoming Cardiac Ablation Summit. Join us on Dec. 5–7 in Tampa, FL! #EPeeps #CardiacAblationSummit #Medtronic Register today: https://t.co/Fzga14xPpi
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🥇Happy and proud to announce: Dr. Moritz Nies from our EP group is this year‘s winner of the #HugovonZiemssen scientific poster award given by the German Society of Cardiology! Dear Moritz, congratulations, well deserved, happy to have you in our team!🙏👏💪 @AGEP_DGK
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Does anyone still think we need a PVI ( PFA) vs Sham ablation study ?
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Outcomes of Scar-Related Ventricular Tachycardia Ablation With Percutaneous Left Ventricular Assist Device Support @jskoruth, @VivekReddyMD, @billwhangep, Dr. Srinivas Dukkipati https://t.co/wNXBxlUXp9
pubmed.ncbi.nlm.nih.gov
The use of pLVADs during VT ablation is associated with longer procedures and higher procedural complications without any benefit in acute or long-term outcomes.
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‼️Featured in JCE‼️ Pentaspline PFA lesions can vary by pose and location. Despite non-rotational applications, PV were acutely isolated after PFA. PLA 🌸 applications were irregular, with minimum diameters of 14.9 and 17.7 mm. Roof lesion footprints vary widely. @jskoruth
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Just published online: In Vivo Assessment of Hemolysis After Pentaspline Pulsed-Field Ablation: Impact of Applications, Site, and Catheter–Tissue Contact Thank you for your contribution @jskoruth @MoritzNies @VivekReddyMD
@JACCJournals #JACCEP #EPeeps
https://t.co/LdhptFwLtV
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CTI with flower pose- Not the wide lesions.... that's also how wide the impact on the coronary can be , also based on contact the width can be variable.. Congratulations to Dr Ariel Banai for putting this togetehr
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5)Significant variation of flower pose lesions on LA roof: Contact even more important here (Fluro can be deceiving)- but remember its a big footprint so your lesion can extend quite anteriorly
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Remember- forceful contact gets better lesions- but if the tissue stretches the footprint will be smaller than the catheter
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3)PV basket pose lesion regression occurs with single more than double applications: even double apps regress ! redundancy is key to durability 4)Posterior wall flower pose lesion regression can occur even after 2 apps and lesions can be smaller than catheter diameter
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What does this paper demonstrate 1) Unreliability of acute PV isolation endpoint with PFA; - OK so every one already knows this 2) Band-like lesion footprint of the basket pose : this is important so we know how to position the basket to ablate the entire sleeve
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We recently published swine pathology of Pentaspline catheter lesions- https://t.co/kFQQtCf1j2 This paper is the next step
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Endocardial Atrial Lesion Characteristics With Pentaspline Pulsed Field Ablation: Insights From Serial Mapping in Patients - Banai - Journal of Cardiovascular Electrophysiology - Wiley Online Library
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Early vs. Deferred Catheter Ablation of Ventricular Tachycardia in Patients of Ischemic Substrate: Systematic Review and Meta-analysis | European Heart Journal Amazing work by Dr Abhishek Mann @abhishekmaan_md
academic.oup.com
AbstractAims. Ventricular tachycardia (VT) ablation has been shown to reduce the recurrence of VT episodes, but the timing of performing VT ablation (early
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Focal Ablation With the Pentaspline Pulsed Field Catheter Using Novel Constrained Basket Configurations (“Olive” and “Powerball”) - ScienceDirect
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Solving the problem of durable pulmonary vein isolation by targeted pulmonary vein sleeve “ablation” with pulsed fields - Heart Rhythm O2
heartrhythmopen.com
Electrical silencing of pulmonary veins (PVs) is the bedrock of atrial fibrillation (AF) ablation and is currently achieved using a technique widely referred to as PV isolation (PVI). This represents...
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Use simulations for how to use ICE and mapping cathers and mapping systems !!
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