【PFA beyond PVIは、RF beyond PVIより左房を焼き固めにくい可能性がある】
propensity match RF 28 vs PF 28
PVI+PWI 全例
MAI RF 15 vs PFA 22
左心房容積median
RF 161.5 → 122 mL P < 0.001
PF 170 → 176.5 mL P = 0.06
LA容積縮小は線維化/炎症/壊死による熱誘発性損傷の結果である可能性あり
🫀 #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
Multi-electrode mapping in AF ⚡
Devi Nair uses flow mapping + contact scanning with the Kardium Globe system to guide sequential PVI and lesion tagging in real time.
#EPeeps#PFA#AFib
New Post: Terumo Interventional Systems Announces First Procedure Using Its OPUSWAVE® Dual Sensor Imaging System in the United States https://t.co/i1rHOY4BW7 #ivus#terumo
Hawaii's first PVC ablation with CARTOSOUND SONATA™ at Pali Momi Medical Center. QDOT Micro identified ultra-early activation 70 ms pre-QRS, precisely matching a hyperechogenic focus on SOUNDSTAR CRYSTAL™ ICE at the anterolateral papillary muscle.
@prasitlumkum@TFern5334
Novel use of the Baylis PowerWire Pro for leaflet modification may offer advantages over the Asahi Astato wire, including fewer device exchanges, improved catheter support, and easier leaflet traversal. https://t.co/eUH679Vthp #JACCCaseReports
静脈留置針の外筒を用いて、癒着していない既存リードを追加穿刺なしでCSPリードに交換する実践的な方法をHeart Rhythm O2に報告しました。
A retained IV cannula sheath preserves venous access and facilitates CSP upgrade without additional puncture.
https://t.co/ANY0P2b3kC
#EPeeps
6月より、札幌心臓血管クリニック 臨床研究教育イノベーションセンター(Clinical Research Education and Innovation Center : CREIC)にて、現職と兼ねる形で研究員としてお世話になることになりました。
Coronary imaging、physiology、MCSをこれからも最先端でキャッチアップしていきます。