Come join us in Atlanta for HRX!! @melchami99 @FaisalMMerchant @danealson #HRX #epeeps #ATL @HeartRhythmTV @heartrhythmsociety @HRSonline

"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

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Slow pathway map with Jackman potentials clearly visualized. Potentials later were not present. Haven’t seen them disappear mechanically before…

CT Integrated mapping has helped understand the benefit of the "biscuit / olive" configuration to deliver wider antral lesions. Gives credence to recent paper by @jongichun group. DOi: 10.1093/europace/euae102.733 @JorgeI_Hernand

Great TOF VT on ACHD Wednesdays. Super Wide Slow VT encircling RVOT patch. Note Sinus bradycardia during VT. Hemodynamic support with glycopyrrolate was enough. What we thought was a p wave was actually part of QRS complex! Mapped with @jcoop556

Nice Example of pathway slant on a parahissian accessory pathway. Mapping catheter over suspect area. No need to guess which location is best. Changing atrial activation from sinus to CS pacing exposes pathway potential. Very useful in a dangerous spot.

TEE can give insights in #LBBpacing. Initial pacemap was good, but lead rides up septum. Better angle, better result. RV papillary muscle can help or hinder sheath positioning. @AveragingBogey @JamesGabriels @davidjchang7

Integrated mapping for PFA helps, but deflection is an average of all petals. Good old impedance tracking can still help identify a single vagrant petal. A gentle twist lines up Nav/impedance projections. Critical for fluoroless cases. @BSCCardiology @AveragingBogey

Case done with the great @AveragingBogey . Epicardial technique with a wire on chest to mark LIMA territory, and left lateral view as taught to me by VT master @AnandShah_MD @EmoryUniversity . CO2 Insufflation technique as described by Silberbauer.

Full delineation of circuit during #AblateVT. Ischemic apical dilation. Endocardial Map appears focal apical VT, however epicardial map shows missing isochrones. Mapping by @jcoop556 . Planning CT with channel by @inheartmedical @davidgareau.

VANISH 2 results presented by Dr @johnlsapp: For pts with MI & #ventriculartachycardia, #catheterablation ⬇️ the composite endpoint of death, VT storm, appropriate shocks, VT treated urgently below ICD detection rate #AHA24 #EPeeps 🔗 https://t.co/tmARcCMjBr

Ventricular Intramyocardial Navigation for Tachycardia Ablation Guided by Electrograms (VINTAGE) for Left Ventricular Summit Arrythmia in a Human @danealson https://t.co/i0rf7JhHhV

Following the case report by the group of @SergeBoveda on PFA of spatiotemporal dispersion for perAF, we present our first perAF driver ablation using this technique 🎉🎉 @Arritmias_HRC

Inaccessible VT ablation targets? Not with VINTAGE! Learn to surf the myocardium to reach arrhythmogenic foci anywhere: summit, subpapillary, deep septal https://t.co/TST8ThfsvK @TheBethesdaLabs Robert Lederman @ChrisGBruce13 @danealson @AdamGreenbaumMD @BabaliarosArgos #EPeeps

#AVNRT 🔄 & Ablation Targets ❤️‍🔥 1⃣ Slow-Fast - Right Inferior Extension - Left Inferior Extension - Inferolateral Left Atrial 2⃣Fast-Slow 3⃣Slow-Slow #EPeeps #CardioTwitter #epCINRE

#EPeeps new way to diagnose complete, proximal LBBB: a His-corrective L sided PVC 😀. His recruitment seen reproducibly on prox electrodes

Common cause of failed deep septal lead: Challenging anatomy. Patient presented for revision. Ventriculogram showed very rotated septum

EP m&m meetings always include an atrial lead perforation or dislodgment. The conversation is always the same: an unavoidable complication. Sometimes the lead motion may have a clue however. One of these leads is perforated, there may be a subtle difference in its movement…

Heartmate 3 artifact on EKG is dramatically improved after adjusting low pass filter. Artifact still “peeks” through filter every 2 seconds due to programmed fluctuations in LVAD speed.

@JorgeI_Hernand @JamesGabriels @d_changy