Dimitris Asvestas

Cardiac Electrophysiologist at Mitera Hospital, Hygeia Group, Athens

[Stelios Tzeis @SteliosTzeis]

Back in business after a successful #EHRA congress in the stunning Vienna city with a #Ghibli PVI map @DimAsvestas @PetrosSkalidis #epeeps @EHRAPresident @atulverma_md

[Dimitris Asvestas @DimAsvestas]

Another case highlighting the utility of ICE during PVC ablation originating from PMs.
PVCs ablated between the ALPM heads
Great tissue contact, stability and real-time monitoring of lesion formation!!
(pericardial effusion was pre-existing). #Epeeps with @SteliosTzeis

[Dimitris Asvestas @DimAsvestas]

Persistent AF termination to sinus rhythm before completion of WACA of RPVs using #AFFERA PFA system.

With @SteliosTzeis and support by @PetrosSkalidis EP Lab Mitera Hospital #epeeps

[Dimitris Asvestas @DimAsvestas]

@AMAZlNGNATURE "DONOTCROPMYEARS"

[Stelios Tzeis @SteliosTzeis]

Epicardial VT ablation in a patient with incessant slow VT, IHD, HFrEF, CRT-D and failed endocardial ablation 2 days earlier. Epicardial "figure of eight" circuit - critical isthmus at a corridor of viable tissue within the anterior scar. Together with @DimAsvestas @K_Letsas

[Dimitris Asvestas @DimAsvestas]

50yofemale with presyncope during exercise. Stress testing induced PVCs and WCT
Normal ECG, echo, MRI.
CA: sevLAD stenosis - PCI performed
EPS/CA: VT induced by isoprenaline.
SOO ablated from both RVOT and RCC.
More workup? with @SteliosTzeis and @V_Michopoulos #Epeeps

[DrJ @DaktariJay]

#EPeeps had a very fine day with #EnSiteX #HDGrid and #OT mapping slow pathway prior to #AVNRT ablation this week.

Observed nice slow junctionals with RFA at site of collision. Non-inducible post-ablation.

Maps by @MeganMalladiEP
Figures by @sota_ep

[Stelios Tzeis @SteliosTzeis]

The 2024 EHRA/HRS/APHRS/LAHRS Expert Consensus on Catheter and Surgical AF Ablation has just been presented and released!
https://t.co/aXM4G1VGid…
Kudos to all 44 members that made it happen @Ed_Gerst @JonKalmanEP @EduardoSaad3

[Dimitris Asvestas @DimAsvestas]

SAX view showed position of the catheter in this location (red arrow), posteriorly to the distal RVOT and the left pulmonary cusp, at a safe distance from the coronary arteries (yellow arrow). First, RF in RVOT was not successful. Immediate suppression just left of the commissure

[Dimitris Asvestas @DimAsvestas]

Nice way to ablate PVCs from the LCC-RCC commissure using ICE.@SteliosTzeis @V_Michopoulos EP Lab @MiteraHospital. #EPeeps

[Dimitris Asvestas @DimAsvestas]

AF during EPS in a patient with documented SVT. Successful cardioversion to AVNRT!🙃 #EPeeps @MiteraHospital @SteliosTzeis @V_Michopoulos

[Dimitris Asvestas @DimAsvestas]

PV firing from RSPV after PVI @MiteraHospital @SteliosTzeis @V_Michopoulos #EPeeps

[Dimitris Asvestas @DimAsvestas]

@KorantzopoulosP Συγχαρητηρια!

[Dimitris Asvestas @DimAsvestas]

@westerndigital I can’t access MY DATA - my Cloud Home since Monday 3rd April
I need to have access ASAP
Any information??? #WesternDigital #MyCloudHome #mycloud #cloud

[Edward Gerstenfeld @Ed_Gerst]

Importance of rapid pacing to achieve 2:1 block during retro mapping of concealed PS AP. Looking at last 2 beats difficult to be sure where retro A starts, but with isolated V clear that it starts at red line (early) not blue (late c/w CS 7,8). Not new but worth reminder IMHO.

[Hikmet Yorgun @hikmetyorgun]

Periaortic #VT in a patient with non-ischemic CMP. Late potentials evident by RV pacing and ILAM is correlated to critical isthmus of tachycardia. Activation gaps in the diastolic period highlighting 3-D nature of VT-isthmus. #AblateVT,#Epeeps

[Stelios Tzeis @SteliosTzeis]

First-time ablation of persistent AF in a patient with HCM using PFA guided by ICE. Strategy: PVI + posterior wall ablation. The question remains about PW ablation: "Just because we can, does it mean we should ?". @DimAsvestas @atulverma_md @Ed_Gerst @JonKalmanEP @EduardoSaad3

[Prof Dhiraj Gupta @DhirajGuptaBHRS]

Results of CRAFT, our multicenter RCT in patients with flutter, comparing CTI ablation to Cryo PVI, published in @Heart_BMJ

https://t.co/H99EQWgMyw

PVI as effective as CTI abl in reducing flutter, and better at preventing new onset AF
#EPeeps @LHCHFT

[Jason Andrade @DrJasonAndrade]

Here the link to our study examining the effect of first-line ablation vs AAD on AF progression.

Thanks to @AHAScience for welcoming me back to present the results, and to @NEJM for the simultaneous publication.

@CCI_CIC @UBCDoM @CHRS_SCR @SCC_CCS

https://t.co/dO410eGr5B