Raul Ramirez

Clinical support specialist - Biosense webster

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

New edition of our international course on Ventricular Arrhythmia Ablation with Carto 😀 "Advanced Mapping Concepts in VT-PVC". Thanks to all attendants from all over Europe and J&J institute, Education EMEA (Claudio Albertini's great team) and superb J&J local support

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

incisional flutter in a repaired tetralogy of Fallot...lateral view of right atrium... loving EP mapping😍

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

Incorporating J&J Varipulse PFA to our single-shot PFA portfolio. Very useful contact info before applying PFA 😀

[pepe segura @pepeseg64]

Impresionante jornada en la realización de la Ablacion de un Flutter izdo, endo -epicardico, complejo con la generosidad en las enseñanzas del Dr Javier Moreno en hospital Reina Sofía de Cordoba @arritmias_HRC @HUReinaSofia @MPAOSS @grupocorpal

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

I wish all Ventricular Ectopy ablations showed these signals... mapping with Optrell this time. Always looking for discrete PrePotentials
#AblateVT #EPeeps

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

different VENTRICULAR ECTOPY morphologies coming from same area, SEPTAL FASCICLE⚡️on an ischemic patient... angry😡 Purkinje fibers we guess... Optrell as mapping tool #AblateVT #EPeeps

[Eduardo Franco Díez @EduFrancoDiez]

4th ablation 😓 in a 78 y/o female with atrial arrhythmias. AF: PVI + roof line -> perimitral AFL: anteroseptal line -> Recurrence due to epicardial bridge in prior line: endocardial reinforcement of prior line -> Re-recurrence of same AFL...
@cris_lozano
@Arritmias_HRC

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

CTI-dependent flutter in a MUSTARD operated d-TGA. Ablation performed through aorta and systemic RV into systemic RA (successful) and later reinforced from ICV-LA junction #Epeeps

[Arritmias Hospital Dr. Negrín ⚡ @ArritmiasNegrin]

DE ESTRENO🕺💃

Nuestra 1a experiencia con #CARTOV8 de @BiosenseWebster para un caso complejo🤺 de FLA atípico

A los🕹️del navegador contamos con 👩‍🏫@RsAtenea que nos ha enseñado todos los puntos fuertes💪 de esta nueva versión y como siempre @ElectroYes

Ahí 🔥 y ahí se fue!😁

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

CARTO v8‼️ VT substrate mapping leading to VT circuit in ischemic patient... Baseline VVI map shows nice channel of slow conduction (between yellow lines). Local EGM fragmentation (green tags) and slow conduction (white vectors) are automatically tracked right there... VT map confirms substrate findings... 😀 #Epeeps #AblateVT

[Eduardo Franco Díez @EduFrancoDiez]

LAT map and pace-mapping map (PASO): basal inferolateral RV, near tricuspid annulus.

[Eduardo Franco Díez @EduFrancoDiez]

Today’s case: ventricular ectopic beats ablation coming from …. Where do you think according to the 12-lead ECG??
@Arritmias_HRC

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

Atriopulmonary CLASSIC FONTAN atypical FLUTTER... so big the right atrium and yet a single RF application for ablation 😀. Focal ATs also exist in complex substrates (see CT scan 👇🧵) #Epeeps

[Iñigo sainz @Iigosainz1]

Microreentry VT case in a patient with ischaemic cardiopathy with Late anotation mapping (LAM).
#EPeeps,#ablateVT

[Theo Xenos @t_xenos]

Amazing 2 days this week at ⁦@Arritmias_HRC⁩ in Madrid with Dr. Javier Moreno! Deep diving on VT mapping, though a highly interactive workshop and live case. Thank you for your hospitality! Looking forward to coming back here! ⁦⁦⁦@BiosenseWebster⁩ #ablateVT

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

LV SUMMIT ventricular ectopy ABLATION with Carto v8... transient success from aortic LCC and pulmonary artery. Final success 😃at GCV... with great local signals‼️ 👇🧵. Blue tags show transient and definite success #Epeeps

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

intentionally mapping focal AT inside LEFT MAIN with a Pentaray spline 😱... redo case... similar ablation as first one was performed, but much longer time, to reach epicardial origin as suggested by good left main atrial timing. #Epeeps
See that middle bipolar Pentaray signals (wider interelectrode distance) in LA suggest prepotential as a far-field signal

[Arritmias H. Ramón y Cajal, Madrid. @Arritmias_HRC]

ATYPICAL ATRIAL FLUTTER post PV ablation‼️. The danger of leaving 2 gaps in a WACA 😱. Carto v8 displays activation, automatic tracking of fragmented EGMs and local slow conduction, paving the way for a simple focal ablation...more mapping and understanding, less ablation... #Epeeps

[Cristina Lozano @cris_lozano]

So we looked at velocity vectors, with emphasis in the slow ones (we applied a <0.2 m/s filter): although volatje seemed normal, a region of slow conduction could be seen in the posteroseptal region 🧐

[Cristina Lozano @cris_lozano]

Radiofrequency applications there induced slow nodal rhythm. No more slow pathway could be seen afterwards and no other arrhtyhmias were induced 🌈 Thanks to @Raulramesc for his support in the case!