Tom De Potter

Cardiac EP @OLVZaalst @CardioAalst | EHRA Advanced VT course director | EHRA Selection Committee Chair

[EHRAPresident @EHRAPresident]

🫀 #EHRAtopicweek | Vascular access in EP

How common are vascular complications in everyday EP practice?

Ultrasound-guided vascular access significantly reduces the overall vascular complication rate (1.2% vs. 3.2%) compared with the conventional approach (meta-analysis including 1 RCT and 1 observational study).

✅ Shorter puncture time
✅ Higher first-pass success
✅ Fewer puncture attempts
✅ Fewer inadvertent arterial punctures
✅ Benefits both trainees and experienced operators

Ultrasound-guided vascular access should become standard practice in every EP lab.

Read more 👉 https://t.co/Jw1CHjUzaD
@escardio #EHRA_ESC

[EHRAPresident @EHRAPresident]

New #EHRA_ESC CardioTalk podcast episode is out! 🚨

This month we are talking about a fundamental to every electrophysiologist topic, which often does not receive enough attention - Vascular access and closure management for EP interventions

Join @tomdepotter @simovicst @micaela_ebert sharing their expertise 🎙️

@escardio

[Tom De Potter @tomdepotter]

@DanielScherr3 @EHRAPresident Congratulations!

[Yara Menassa @YaraMenassa]

PFA meets precision. Looking forward to @tomdepotter ’s deep dive into Integrated PFA Mapping and the inspIRE system. ⚡🫀
⏰ Sat Feb 28, 11:50 AM
#WAFIB26 @nmarrouche @HanFengGHD @westernAFib @MassadChristian @mabou_khalil @carloelkhoury @DrAlexElDarzi @montaser4k

[Ivo Roca, FEHRA, FESC @ivroca]

End of 2,5 days #EHRA VT course. An honour to be part of the faculty, sharing ideas, workflows, failures.. #imaging #S3 functional mapping. v nice atmosphere. @Cardioschool @eladanter1 @Petr_Peichl @tomdepotter @EctorJoris @bisceglia C. Bisceglia @FredSacher_EP @hospitalclinic

[Tom De Potter @tomdepotter]

@ChiaraValeriano @finnakerstrom @DhirajGuptaBHRS @SNedios @Kasia_Rajpold @mcfinlay @Phiso_de @RolandTilz @SteliosTzeis

[Tom De Potter @tomdepotter]

Our consensus document on vascular access for EP procedures is in print! Group effort by #EHRA, #EAPCI and #ESC CV Surgery Working Group.

https://t.co/Z1CHFB4afS

[Tom De Potter @tomdepotter]

@DrRoderickTung @bogdienache Tailored-af showed benefit too - think we’ll see more with upcoming PFA catheter designs

[Roderick Tung @DrRoderickTung]

More evidence for single beat reentry

[Marco Bergonti @MBergonti]

All you need to know about #VT #Ablation in two days in 🇵🇹 Lisbon ☀️

With @tomdepotter @Petr_Peichl @Cardioschool @ivroca @eladanter1

📆 20–22 Nov 2025
🔗https://t.co/TPxc96FweB

Last spots available!

@EHRAPresident @Phiso_de @bordistef @simovicst @veramasloo @martaderiva

[Raviele Antonio @drraviele]

📌 Should blanking period after AF #ablation be maintained or abandoned?
👉 Pros
👉 Cons
#EPeeps #afib #CardioTwitter #MedTwitter @drjohnm @purerfellner @DrJasonAndrade @natale_md @DhirajGuptaBHRS @PrashSanders @Dominik_Linz @JonPicciniSr @JagSinghMD @tomdepotter @ftrae @Hragy

[Tom De Potter @tomdepotter]

🤐

[John Mandrola, MD @drjohnm]

I just had a revelation: all American electrophysiologists should be required to spend 2-4 weeks doing ablation cases in Europe before finishing training

[John Mandrola, MD @drjohnm]

I just had a revelation: all American electrophysiologists should be required to spend 2-4 weeks doing ablation cases in Europe before finishing training

[Tom De Potter @tomdepotter]

I don’t understand the desire for (right) flutter ablation with large single shot PFA. It’s not as if safe and efficient CTI ablation is an unmet need in EP. Clearly spasm is not innocent, as this data also shows.

Reminds me of cryoballoon ablation of the posterior wall which I’ve often compared to trying to open a bottle of wine with a fork: it may be the only tool you have at hand at a given moment trying to achieve a particular goal and sure, it’s doable if you are desperate enough.

That doesn’t make it a particularly bright idea though.

[Raviele Antonio @drraviele]

📌 Pulsed field ablation of cavotricuspid/mitral isthmus
👉 assoc. w/ coronary artery injury
🔷 acute spasm
🔷 mild stenosis at 3-m
#EPeeps #afib #AtrialFlutter #PFA #CardioTwitter #MedTwitter @natale_md @VivekReddyMD @Ed_Gerst @tomdepotter @DrJasonAndrade @DhirajGuptaBHRS @Hragy

[Tom De Potter @tomdepotter]

Interesting study supporting data that PFA is less associated with endothelial damage post ablation and thus also potentially less stroke risk. Enough to start a multicenter RCT to confirm - even shorter postablation treatment possible I believe @Dominik_Linz @ChristianHeeger

[Raviele Antonio @drraviele]

📌 In AF 👫 undergoing pulsed field #ablation (#PFA)
👉 discontinuation of #OAC 💊 1-mth after procedure
seems to be safe‼️
#EPeeps #afib #Anticoagulation #stroke #CardioTwitter #MedTwitter @natale_md @LuigiDiBiaseMD @PrashSanders @DhirajGuptaBHRS @tomdepotter @DrJasonAndrade

[Raviele Antonio @drraviele]

📌 In AF 👫 undergoing pulsed field #ablation (#PFA)
👉 discontinuation of #OAC 💊 1-mth after procedure
seems to be safe‼️
#EPeeps #afib #Anticoagulation #stroke #CardioTwitter #MedTwitter @natale_md @LuigiDiBiaseMD @PrashSanders @DhirajGuptaBHRS @tomdepotter @DrJasonAndrade

[Jan Verwerft @VerwerftJan]

🚨 New in Heart Rhythm!
We compared pulsed field ablation (#PFA) vs. radiofrequency ablation (#RFA) for #PVI (pulmonary vein isolation) in paroxysmal AF.
What happens to left atrial function after #PFA vs #RFA? The answer might surprise you.
🧵👇
🌟@LHoyesWouter | #LVerhaeghe🌟

[Raviele Antonio @drraviele]

📌 Activation patterns of the #heart❤️‍🔥
👉 during different forms of #pacing
#EPeeps #WomeninEP #CardioTwitter #CRT #LBBP #dontdisthehis #dontdisthehis @ZHeart11768530 @TrackYourHeart @MargaridaPujol @JagSinghMD @yolyabreuh @drrakeshg1 @aalahmadmd @EJSMD @tomdepotter @SeguraCardio

[Raviele Antonio @drraviele]

📌 In 👫 with AF & obesity
📣 Cath ablation 🔥 superior to lifestyle modif + AADs 💊 to ⬆️ freedom from AF at 1-y 👉 73% vs 34.6%
#EPeeps #afib #Obesity #CardioTwitter @PrashSanders @DrJasonAndrade @DrRoderickTung @DhirajGuptaBHRS @tomdepotter @SeguraCardio @Hragy @adribaran

[Raviele Antonio @drraviele]

📌 Is #CardioneuralAblation an effective & safe alternative to permanent pacemaker
👉 In 👫 with #VasovagalSyncope, functional sinus bradycardia, AV block❓
#EPeeps #WomeninEP #CardioTwitter #ECG @DrRoderickTung @MargaridaPujol @Dr_Santangeli @MDTolgaAksu @shivkumarmd @jczerpa