Xavier Richmond

Phoenix, AZ @AbbottCardio

[Zain Khalpey, MD, PhD, FACS @ZainKhalpey]

Pre & post voltage maps from hybrid (surgical epicardial + endocardial) ablation for inappropriate sinus tachycardia.

Resting HR: 130 → 70 bpm.
Back to work in 4 weeks, living a normal life.

🔗 Read the case: https://t.co/ywjYepjyby

#MedTwitter #Cardiology #HeartRhythm #Ablation

[Jeffrey Winterfield @JRWinterfield]

Enjoyed assisting with some workflow and technology improvements in FIH trials of novel Viewflex X ICE catheter from @AbbottCardio -- we performed ablation of PVC from suspected intramural site with RF to septal RVOT and adjacent ASOV. Will be curious to see what @dhakalbish thinks with his @PennEPFellows based ICE approach in trials tomorrow. Contouring of key structures including pap muscles and ASOV shown below:

@AMatthews0 @mikelean @Zachkoch13

[Zain Khalpey, MD, PhD, FACS @ZainKhalpey]

World First Robotic IST Ablation: Next Level

Yesterday, we successfully performed a groundbreaking procedure - the world's first robotic Inappropriate Sinus Tachycardia (IST) ablation. IST is a clinical syndrome that causes an inexplicably high resting heart rate (>100 bpm), leading to debilitating symptoms like palpitations, dyspnea, and dizziness. This condition is often misdiagnosed, especially in women, leaving patients suffering for years.

[Abbott @AbbottNews]

A world’s first for treating the most common abnormal heart rhythm. Our TactiFlex Ablation Catheter, Sensor Enabled, is now FDA approved, making it a first-of-its-kind treatment option for atrial fibrillation. https://t.co/AfS2apVTsA

ISI: https://t.co/T3LK4KnfW1

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

New EnsiteX NEAR FIELD software for gap identification in AF. Just after left PVs antral ablation, late PV potentials still there. Quick map shows no high frequency EGMs (dark) at posterior aspect inside ablation line (scar 0.04mV) but high freq signals (bright) at upper ridge... local ablation and that was it! #Epeeps

[Roderick Tung @DrRoderickTung]

An excerpt from live unstable VT case from PHX >#RIOCongress2022. Our unfiltered & genuine excitement with fellow @DrKatrapati says it all- physiology, intensity, risk/payoff to eradicate VT. Thank you to our patient for their generosity. #ablateVT #ILAM #VTin3D

[Academy of Medical Education @The_AME_SET]

Boost your EP and mapping knowledge with this week’s allied health post by @XavierR_EP https://t.co/qQmDxQ4FLk #EPeeps @JAFIB_EP @EPeeps_Bot @DJ_Lakkireddy #CardioTwitter

[Praneeth Katrapati @DrKatrapati]

Nice surprise during an Afib ablation. SVC x 2! Did some great work in the area with circumferential lesions. Discovered because of the size of the CS on ICE! @DrRoderickTung @uazmedphx #EPeeps

[AFPanico @AZ_EP_DOC]

Nice Right sided AT today…
Pt with frequent episodes of SVT despite medication. Intermediate RP on hospital EKG.
Nothing induced with EPS.
Bi and tri-germinal PACs with short runs on iso… quickly mapped and localized to posterior RA with HD-Grid. Local egm -35 msec. 1 and done!

[Adam Racette @Adam_EP]

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

[AFPanico @AZ_EP_DOC]

@XavierR_EP @XavierR_EP…Saw this pt last week - 0 VT!!
#ablateVT

[Xavier Richmond @XavierR_EP]

No lead means we’ll just have to hit the gym that much harder next week 💪🏽

[AFPanico @AZ_EP_DOC]

I’ve been fluoro-less pretty much since fellowship.. but this was my first completely “un-leaded” ESI case. Thanks @HeidiStover2 and @alexnhirsch !! @XavierR_EP missed all the fun. #noflouro #looseyourlead#progress

[Kaitlin Morris @KaitlinG_EP]

@chris_lewchuk @BrianGoski @KoerberScott No, first burn at exit site was able to terminate!

[Mike Lean @mike_lean]

@Segarspr and @subparsonsmaps using new technology to push the boundaries of what has historically been impossible. Innovative use of Omnipolar Technology for NoREF Mapping of a PW leak in AFib. #AbbottAF #OnlyWithOT #EPeeps

[Peter Weiss @Peteweissmd]

Left Lateral AP retrograde conduction with LA breakout mapped beautifully with omnipolar GRID on EnSiteX @AbbottCardio @uazmedphx

[Xavier Richmond @XavierR_EP]

Propagation, illustrating those MDPs captured by #HDGRID

[Xavier Richmond @XavierR_EP]

Ischemic VT w/ a figure-8-esque circuit, mapped beautifully by @ambrosepanico

[Roderick Tung @DrRoderickTung]

Omnipolar is game-changing for automated ILAM approach. New(L) vs. old(R) auto annotation display without any manual annotation. Yet another localized periaortic VT substrate from LMNA, with diastolic 🍽️ buffet during VT within sinus rhythm deceleration zone. @AbbottCardio

[Monica Korzon @MonicaKorzon]

#OmnipolarTechnology showcases a microreentry flutter in a single acquisition. OT EGMs are individually corrected to align to the wavefront providing the true EGM. 3x enhanced point density provides increased specificity to correctly exhibit the entire circuit.

[Kaitlin Morris @KaitlinG_EP]

eXciting de novo LA-AFL case by @drrakeshg1 on #EnSiteX. Both right and left chambers were mapped in under 25mins with almost 50k points using #HDGrid! Full-color propagation led to quick identification of the isthmus and a one burn term 🔥

#EPeeps @AbbottCardio