Gabriel Pascual

[Circle Cardiovascular Imaging @circlecvi]

When all 25 of the top‑ranked US hospitals for Cardiology, Heart & Vascular Surgery rely on the same cardiovascular imaging platform, it starts to look less like a “nice to have” and more like the norm. cvi42 is that norm. https://t.co/IwB7CMtOLM

[Dr. Devi G Nair @Drdevignair]

First-in-Nation: Integrating ViewFlex X SE ICE with VOLT PFA
This week started with a meaningful milestone at St. Bernards Healthcare (Jonesboro, AR) — first-in-nation combining Abbott’s ViewFlex X Sensor Enabled ICE with the VOLT PFA platform.
This builds on our prior experience with:
• FIH clinical trial use of ViewFlex X SE
• Post-FDA VOLT PFA cases as part of the VOLT LMR
What stood out was how well imaging + mapping + energy delivery functioned as one ecosystem in a zero fluoroscopy / zero contrast workflow .
Key takeaways
🔹 ICE integrated into EnSite X for real-time anatomic confirmation during PFA
🔹 Safe ICE-in-LA workflow and transseptal planning that reduced unnecessary manipulation in small LA anatomy. Integration helped support transseptal decision-making up front—optimizing trajectory and reducing unnecessary catheter manipulation in small LA anatomy.
🔹 Quick LA shell creation to confirm ridge/posterior wall/carina geometry early
🔹 Small atria lesion strategy: integration helped us decide tighter antral lesions vs intentionally addressing a posterior “critical isthmus” when the posterior corridor was inherently narrow
🔹 During VOLT delivery: very low microbubble visualization on ICE and no clinical hemolysis observed

VOLT workflow highlights: single-catheter mapping/pacing/ablation, impedance-based contact visualization, balloon-in-basket (8 splines), selective electrode delivery; PVI ± PVI+ as clinically indicated (GA used).

Grateful for the St. Bernards EP Lab team and the Abbott clinical support team.
#ViewFlexXSE #VOLTPFA #FirstInNation #ICE #EnSiteX #ZeroFluoro #ZeroContrast #EPWorkflow #Innovation #epeeps
@StBernards | @ARGJonesboro I @AbbottNews I @AbbottCardio

[ADAS3D Medical @ADAS3D]

In the ELEGANCE multicenter study, #ADAS3D served as a core imaging tool to support clinical research and a tailored cardioneuroablation strategy. Physicians identified and segmented epicardial fat pads corresponding to ganglionated plexi locations, based on tissue attenuation values, and integrated this information with left atrial wall thickness maps.
Full text: https://t.co/BRNrmn5Wzo
#Epeeps

[Ivo Roca, FEHRA, FESC @ivroca]

Amazing discussions yesterday in Munich in the Global IEPC from @AbbottCardio: imaging, signals, mapping, PFA….in VT. Honoured to be part of the faculty and share our thoughts about imaging during and after ablation https://t.co/LTSbrwnA2Q @DrRoderickTung @joselmerino @hikmetyorgun @jacabreracardio @hospitalclinic

[ADAS3D Medical @ADAS3D]

🚀 New article: https://t.co/xoBoUNk0WT
#ADAS3D shows outstanding speed & accuracy in STAR planning. Physicians report precise 3D EAM-to-CT registration & segmentation using the ADAS workflow, with excellent interobserver consistency, delivering excellent accuracy & speed for STAR planning. Thanks to the contributing physicians for their insights and collaboration in the study: R. Rademaker, S. Cirkel, F. Dankers, M. Sramko, J. Solana Muñoz, Y.S. Kaya, R. ter Bekke, L. Schiappacasse, C. Teres, K. Verhoeven, E. Pruvot, C. Rasch & K. Zeppenfeld.@DrSeanOMara
#Epeeps

[Timothy Maher, MD @TimothyMaherMD1]

In VT substrate mapping, wavefront direction is critical! Here is sinus, RV pacing, and LV pacing all at the same location on the inferior scar. The interaction of the wavefront direction with fixed lines of block create the split and late potentials. #ablateVT @BIDMC_VT

[Gabi Martin @gabims85]

Cuando #S3 es la clave para encontrar el sustrato en ablación de TV. Mapa de ILAM 1) en S1, 2) en S2, 3) en S3 @ivroca @tarrakotsubo

[ADAS3D Medical @ADAS3D]

2024 was an incredible year of achievements, made possible by our amazing #ADAS3D team, the #EP community, our partners and collaborators. Thanks for your trust and support! Stay tuned, exciting new features await in 2025! 🌟 #Epeeps

[J.Francisco-Pascual @J_Francisco_EP]

✅Mechanism of syncope: role of ambulatory blood pressure monitoring and cardiovascular autonomic function assessment is now available at#EHJ @ESC_Journals‼️

https://t.co/SEjJjmcrx5

#Cardiology #CardioEd #CardioTwitter #MedTwitter #EPeeps #Cardiology #CardioTwitter #syncope

[Kevin Brady @Hapa_EP]

First case using #GridX with the 2 new sensors on the tip. Mapped so much faster than regular Grid, due to it being in high confidence 100% of the time, with way less geometry editing. But the best thing is no more having to say "We need more voxels"! 😂 #EPeeps

[CircEP @CirculationEP]

The addition of SVC ablation to PVI did not enhance freedom from atrial tachyarrhythmia at 12 months, and it led to increased complications. #ACC #HRS#EHRA @JorgeToquero @Susanamingo @VictorCastroUrd #AHAJournals #Epeeps
https://t.co/MwMhiSEqws

[Jose Luis Merino @joselmerino]

Just published! Our multicenter RCT on HPSD for PVI in AF patients – the POWER-FAST III trial: HPSD is not better and may even increase stroke risk. 📄💡

🔗 Read the full article free for 50 days: https://t.co/iNB0IgVQTj

#Cardiology #Electrophysiology #HPSD #PVI #AF

[HeartRhythm @hrs_journal]

Cardiac Resynchronization Therapy with Triple Fusion Using the SyncAV Dynamic Algorithm Compared to Conventionally Optimized Biventricular Pacing: Results from the Multicentric, Randomized, Doble-blinded CRUSTY Trial

@J_Francisco_EP

https://t.co/vK5EaVfe6g

[J.Francisco-Pascual @J_Francisco_EP]

⚡️Empezamos la 34 edición del curso de dispositivos de @vallhebron. Sold out! 40 inscritos en los talleres prácticos de este primer día! @SimulacioVH

[J.Francisco-Pascual @J_Francisco_EP]

📢📢⚠️Results of the CRUSTY Trial have now been published in @hrs_journal! We randomized #CRT optimization with the SyncAV algorithm vs. the conventional method. Promising results! Thanks to all co-authors for their terrific work over these years. #EPeeps #Cardiotwitter #cardio

[ADAS3D Medical @ADAS3D]

Discover the power of #ADAS3D in your EP lab! Intuitive interface, rapid analysis and capability to handle unlimited cases, our software empowers #Epeeps with advanced 3D imaging, streamlines workflows and enhances precision in cardiac mapping and ablation. Ask for a trial case.

[J.Francisco-Pascual @J_Francisco_EP]

📢📣📣Ya está disponible el programa e inscripciones para el 34º curso de dispositivos cardiacos en VH! ✋🤚Práctico y con simulación. 🔥Track adaptados para residentes, fellows y enfermería!✅Becas disponibles #cardiologia #CardioTwitter
https://t.co/CKEYmIZ5z3

[J.Francisco-Pascual @J_Francisco_EP]

���Nice example of the utility of multimodality imaging in guiding a challenging transbaffle puncture in a patient with TGA treated with atrial switch surgery (Senning). RF needle did the job!📍 @NRivasGandara @GPascual__ @VicGF #EPeeps #Cardiology #CardioTwitter

[Sachin Vadodaria @sachinjv]

Dr. @PrashSanders just completed a live case at #AFSymposium2024 this morning with our next generation Volt PFA System. Great to see this technology in action.

#Abbottproud #EPeeps

[Alba @AlbaSanor85]

https://t.co/NXfKxWDFen