Thank you Dr. Luanda Grazette for inviting me to present at @miamivalves this past week comparing @CVRx_Inc Barostim and @ModulateHF Optimizer in the Management of #HFrEF#epeeps
At @FloridaHRS we always remain extremely proud of our physician founders (@dkenigsberg and Dr. Ahmed Osman) who consistently remain on the cutting edge of #epeeps procedures.
This ultra-compliant balloon fits all veins, allows for direct visualization, affords great safety, efficacy, & outcomes. Looking forward to next 500 cases & for incorporation of #PFA.
#epeeps stay tuned for manuscript on #zerofluoro#AF#afib#laser#ablation#pvi#pvai
#epeeps continue to take a haircut in reimbursement year after year. This is and will continue to be a major problem for doctors, patients, hospitals and industry. The timely access to high quality ablation and EP care by skilled operators will become but a memory.
Used the SafeCross™ sheath to perform transseptal puncture (without the need for a needle or sheath exchange) to map and ablate the left atrium endocardially during a Convergent hybrid #AFib#ablation with @cardiacerik Dr. Erik Beyer @FloridaMedCtr this am.
WACA of 4 distinct PVs using @CardioFocusAF X3 Laser Balloon. Endoscopic view of Left (A) & Right (B) PVs w/ seperate ostia isolated together in single pass. ICE image of LB occluding L (C) & R (E) PVs. (D) 3D map of LA & PVs demonstrating seperate PV ostia. #EPeeps#Afib
@cardiacerik & I implanted the 1st @CVRx_Inc device in Broward county at @FloridaMedCtr in a patient w/ DCM (EF 15%), NYHA Class III #CHF despite OMT.
Depicted (3rd pic) is Barostim electrode sutured to R common carotid artery below bifurcation. #EPeeps#cardiotwitter#medtwitter
@CardioFocusAF X3 laser 1st pass isolation of 31 mm LS (not L common) PV at 15 W in RAPID mode in <3 min. Precision post map shows WACA (top L), ICE (top R), endoscopic view bottom. Total case time ~1 hr. LA dwell time ~30 min. #zeroflouro#EPeeps@KyleManico@Nataliamartin03
Any balloon (i.e. endoscopic view of @CardioFocusAF laser balloon in insert) isolation of the RSPV (A), at times ETCO2 and O2Sat drops slightly. ICE picture below shows the proximity of this vein to the (B) pulmonary artery and explains the physiological phenomenon. #EPeeps
Agree @hhuang123. Wide area antral PV isolation, <30 minute LA dwell times, <60 minute procedure times, single shot isolation with low (zero) flouro are reproducibly attainable due to direct visualization and RAPID mode. #EPeeps@CardioFocusAF
@AbbottCardio Tacticath SE RFA of pt with post infarct CM s/p >100 ICD therapies. >10k points of LV with Precision in BIV pacing. 4 maps below: A voltage, B pace map 100%, C VT map color compression, D LAT map showing late diastolic potentials. Non-inducible at end. #EPeeps