Left-atrial flutter (CL 265ms) mediated by leak in prior roof line. Tachycardia terminated with 1 RF application at critical isthmus localized with #HDGrid#EnsiteX
It was great hosting @mike_lean and @Austin_in_EP in Fort Worth to share our PVI workflows!
Right WACA approach can provide opportunities for septopulmonary connections… Observe the reverse 3 with Dr. T in this #MedinboxMonday.
What approaches are you taking for #AFib, #EPeeps?
@senthil_dorai@AbbottCardio #WelcomeToTheTParty
Open window map of WPW using the #HDGrid helped localize 🎯 this right anterior lateral accessory pathway with ease! Wide ➡️ narrow QRS after the first burn with the #TactiCath! @alhsheikh@ShowMeYourMaps
Basal anteroseptal LV PVC mapped with #HDGrid in unipolar catheter configuration. Unipolar EGM at site of earliest activation highlighted. #EnSiteX@AbbottCardio
Exciting to watch @MonicaYLo’s first commercial #TactiFlex case at @ArHeartHospital remotely. A number of new technologies coming together, allowing us to watch a top user’s best practices live. Congrats to the Little Rock @AbbottCardio team as well. @medinbox
Persistent a fib, during final portion of #pulmonary vein. Isolation, we noted via #OT , a bleeding isthmus in the left upper pulmonary vein posterior to the roof. Few applications, terminated #atrial fibrillation
First ischemic VT on #EnsiteX w/ full magnetic Voxel mode. Incredible stability for a conscious sedation case, including one CV when VT degenerated to VF. After a few burns in the critical isthmus, no VT inducible on isuprel and triple extra-stimuli! Case performed by @Maeskander
S.L.A.M. = Slow (pathway) Late Activation Mapping. This AVNRT case was mapped with #HDGrid on #EnsiteX using the new SLAM technique. HD Grid + OT allowed us to see some gorgeous🤩 slow pathway potentials giving us a clear ablation target! @JohnSummers_MD @AbbottCardio#Epeeps
Fidelity of HD grid signals is impressive. Here is a TAPVR (repair: baffle to single RSPV) patient with both fib and flutter. After PVI rhythm organized to flutter, the entire CL on the grid on lat MA. Termination during ablation! Thanks to mapping help @sarahwhittam11
More than just a PVI…
Ablated WACA lines and floor/roof lines for PWI but still did not have isolation of the right carina. Remapped right veins with #HDGrid and utilized OT vectors to localize two epicardial connections in that area! @drAAlbano#OnlywithOT#MidAmericaEP [1/2]
Phenomenal signal fidelity possible #OnlywithOT. Site of 1 burn term contained 37% of the TCL and ranged from 0.02-0.07 mV. With its low noise floor, we’re seeing things differently with #EnsiteX. #HDGrid#TCSE#MidAmericaEP