Despite extensive anterior scar, activation of the left atrial appendage appeared to be maintained through two residual conduction pathways including superior conduction consistent with Bachmann's bundle and a second pathway around the scar.
#epeeps#cardiotwitter
With the recent approval of Pulse Select from Medtronic and expected approval of the Farapulse system from Boston Scientific in Q1, there is a need to critically appraise the existing PFA data.
As the 3rd leading enrolling site for Pulsed AF and the current leading enroller in Advantage AF, our center has significant experience with both systems. The intent here is to attempt to provide one EP's review of the existing data in a dispassionate, unbiased way.
This 🧵 represents my first pass at doing that (and my first Tweetorial). If there are errors or omissions, please call them out!
@PraveenRao_EP@SA_Sandberg@cooper_dh @DoctorPhillEP @VivekReddyMD@Ed_Gerst@noseworthypeter@SurajKapa@Drdevignair
Congratulations to @VivekReddyMD and team on the first procedure of the ADVANTAGE AF trial using the FARAPULSE™ PFA System.
Caution: Investigational Device. Limited by US law to investigational use only. Not available for sale.
What does analysis of data from a single building in Chicago reveal? Turning off just half the lighted windows during spring and fall migration could cut fatal bird collisions by 60 percent. https://t.co/yxFSB87L78
Redo procedure with @LluisMont2. Mapping with @rhythmia and lumipoint. Gap in the LIPV also detected by @ADAS3D@GalgoMedical in the post ablation CMR. Isolation of LIPV (1shot) and mapping of right atrial flutter between 2scars also in the CMR (@ADAS3D). Imaging and mapping!!
68yo man, previous MI in 2014. CMR : LGE in septal and inferior areas. Recurrent #VTs with ATP and Shocks in the last month. Admitted to our dept. NIPS did not induce sustained VT. SR: caudo-cranial with septum first activated. #LPs localised to ant.septum.Substrate only approach
Post PVI, developed PAC mapped to low post septal area below the RIPV. Awesome map with #Rhythmia Showed precise location. #LUMIPOINT worked just great. One burn and gone!!
#EPpeeps
Nice illustration of epicardial connection into a RPV WACA. >50ms splits all around original line. Connection mechanism was not initially clear due to annotation of a later peak. #EPeeps
@KennKaufman I recommend wearing Parrott Zik (no puns please) headphones. They are amazing, I often listen to bird calls walking thru airport. Blissful.
@DrRoderickTung@BSCCardiology@AbbottGlobal That is complex. It seems the ventricular "blanking" feature is disabled on Rhythmia and an RTMD Orion catheter was also used for NavX map?