Zachary Bubar

EP Enthusiast. Views are my own.

[CircEP @CirculationEP]

Use of a variable loop PFA catheter with integrated 3D mapping for paroxysmal AF ablation provided a clinical benefit success rate of >85%. #PFA #AFib @tomdepotter @VivekReddyMD @atulverma_md @anteanic4
https://t.co/rDx7UYdfKa

[Pasquale Santangeli @Dr_Santangeli]

Percutaneous VT Ablation via RA-to-LV Access in Patients With Double Mechanical Valves: A Multicenter Registry https://t.co/hD9iDOeHLy @konsiont @CleClinicHVTI @JACCJournals @shivkumarmd

[Dr. Zhong @pzhong2016]

Precordial lead location relative to the heart

[Greg Marcus @gregorymmarcus]

Significantly less acute brain emboli among left ventricular catheter ablation patients randomized
to a transseptal versus a retrograde aortic approach per our @PCORI-funded #TRAVERSE trial. Thank you to our patients who helped design and implement the study, my generous EP colleagues around the US, and for investigator-initiated, peer-reviewed, government-funded original research. Left Ventricular Entry to Reduce Brain Lesions During Catheter Ablation: A Randomized Trial | Circulation https://t.co/pTKPbZFeX2

Site PIs and co-authors I could find still on X: @AlexiosHadjis @MiguelVldrbno @DrRoderickTung @Peteweissmd @HHsiaMD @EhdaieMd @TJaredBunch @B_Naz_MD @BoatNoodleSoup @MihailChelu @JDMossMD @JonHsuMD @ArvindhKana @omwazni

@JRWinterfield @DrDave01 @drjohnm @AHAScience @CircAHA @UCSFCardiology @UCSF @jfreeMD @VivekReddyMD @True_EP @DRosenth_ @DrEJKim @narrowQRS @docwhitman @SplitHis @EPShadi @DrRachitaEP @DrJMarine @RFRedberg @leftbundle @EricTopol @Adielias5 @JNoubiap @PrashSanders @peterkistler3 @VPrasadMDMPH @Bob_Wachter @aaas

[Jordan Zinner @Jordan_Zinner]

Reflecting on an incredible Advanced VT course last week with @Davilandre @TimothyMaherMD1 @DrGregMichaud and #AndyLocke and the @BIDMC_VT in partnership with @jjmt_ep.

Looking forward to continuing this work and to see what’s in store in the VT space!

[David Kenigsberg, MD @dkenigsberg]

Used the new @jjmt_ep #CARTO #FARAVIEW software for #ZeroFluoro @BSCCardiology #PFA of #AF. As shown in the video, this advancement enables #dynamic visualization of the catheter in both the flower and basket configuration automatically.
@Luiscarto3
@KyleHeath89

[Arwa Younis MD @arwayounis2]

Our data shows the great benefit of AF ablation in HF patients irrespective of their HF subtype. This has huge implications especially in those with HFpEF, where lack of atrial contraction may be crucial.
@aymanhusseinmd @omwazni @Dr_Santangeli @CleClinicHVTI @Chadi_97EP

[Apoor Patel @PatelApoor]

Tug tests for Watchman! ICE is invaluable for assessment of tissue contact with the device. Third example done with 2D ICE shows minimal apposition on ridge and was repositioned. Other two images are Nuvison. #EPeeps #cardiotwitter

[Journal of Cardiovascular Electrophysiology @JCardioEP]

📌New in @JCardioEP

"VARIPULSE: A step-by-step guide to pulmonary vein isolation" by @Drdevignair
@tomdepotter @Tara_Gomez_

📷 https://t.co/eHtMA66gHf

#EPeeps

[HeartRhythm @hrs_journal]

Effect of Reference Electrode on Intracardiac Electrograms: Close Indifferent Electrode vs. Wilson Central Terminal

@TAMA07120380

https://t.co/NToarVPADw

[Betsy Nooney @betsynooney]

I love being involved with such a fun project to help spread the EP love - take a listen and let me know what you think! #epeeps @ndorms08

[Timothy Maher, MD @TimothyMaherMD1]

Infarct VT w/ U-shaped WADL in sinus w/ perfect match with a “dead-end” CT wall thickness channel (@inheartmedical). No surprise the VT isthmus was there. A substrate dead end doesn’t necessarily mean bystander! VT is in 3D! @BIDMC_VT @enricoferroMD @davilandre @DrRoderickTung

[Pasquale Santangeli @Dr_Santangeli]

VT non-inducibility at PES is not a reliable procedural endpoint for high-risk patients with structural heart disease and VT @CleClinicHVTI @SroubekJ @omwazni @aymanhusseinmd @EuropaceEiC https://t.co/fEY9sWBrcf

[Roy Chung @RChung_EP]

ICE (👀) guided PFA can
⬆️ Catheter contact
⬆️ FPI
⬇️ Fluoroscopy use
@Dr_Santangeli @josoriomd @DanielAlyeshmer @Drdevignair @MRazminia @omwazni @nakhla_s @ALFIEEP1 @CarinaHardy4 #EPeeps

[Arwa Younis MD @arwayounis2]

The treatment of AF going into the future will likely be PFA.
Now it is the time to explore further its utility and applications in the ventricles!!
Thanks to @Dr_Santangeli, @omwazni, @CleClinicHVTI for mentoring and making this possible!

[Pasquale Santangeli @Dr_Santangeli]

Comparative Efficacy and Safety of PFA Versus RFA of Idiopathic LV Arrhythmias - PFA outperformed RFA in challenging locations like Papillary, LV summit via distal CS and direct epicardium. https://t.co/pVonhJNmd0 Congrats to star fellow @arwayounis2 @CleClinicHVTI @omwazni

[Martin Braun @MBraunEP]

Another nice example of successful VT-Ablation in ICM with incessant VT from today using #Carto_V8 and #OctaRay under hemodynamic support with #Impella demonstrating the powerful tools Ripple Map and Complex signals. Thanks to @Phiso_de @melhamriti @BiosenseWebster, @Abiomed

[Philipp Sommer @Phiso_de]

Another uneventful #Varipulse case @HdzNrw. 16 impulses for PVI, 7 more for a strange low voltage area at the posterior wall. Thanks to @BiosenseWebster, @MoneebKhalaph, @MBraunEP, @chris_sohns, @GuramImnadze, @melhamriti, @VanessaSciacca_ @AGEP_DGK @YoungDgk

[Chi Zhang, MD @chizhangmd]

Pathway mapmaking with cartographer @Akash_BWI and Dr. Dukkipati

Young pt with SVT requiring hospitalization

Intermittent VPE with eccentric CS pattern during RV pacing

Activation map in SVT of left posterolateral AP with Octaray

⚡️and pathway goes 💨