Piotr Futyma, MD

Bipolar ablation, co-founder. Professor UR & St Joseph's HRC. EHRA Scientific Initiatives Committee. Section editor @JICE_EP

[Piotr Futyma, MD @ftrae]

My baby 💙💚

Conflict of interest: all the way since 2014

Have a great weekend #EPeeps !

[EP-Live Austin @EPLive2]

Up next at #EPLive2026: Dr. Wendy Tzou is presenting a recorded case on Bipolar Ablation! ⚡️🫀

When standard unipolar RF energy isn't enough to cross thick or deep intramural tissue substrates, switching to a bipolar configuration can be a game-changer for procedural success.

#EPLiveAustin #EPLive #Cardiology #EPMidst

[Piotr Futyma, MD @ftrae]

@javadm20 This statement is not supported by the study results 🙂

[Piotr Futyma, MD @ftrae]

@fvassallomd @javadm20 @syamkumarmd I think that the explanation is much more prosaic - they had to take whatever they had (old nMarq catheter) and adapt it to high-voltage ablation ASAP in order not stay out of the PFA game.

They had to flush the holes not to redesign nMarq catheter from zero

[Piotr Futyma, MD @ftrae]

@fvassallomd @javadm20 @syamkumarmd Unlikely caused by irrigation feature as it actually reduces surrounding temperature

[Paweł Basiukiewicz @PBasiukiewicz]

12 months post PVI. Right thigh swelling. Diagnosis ?

#cardiotwitter

[Heart Rhythm Case Reports @HRS_CaseReports]

Contained pulmonary vein injury presenting as a hemorrhagic bulla post–pulsed field ablation: A case report
@Deepti_RG @Dr_JozaEP
https://t.co/ghJmXHpzkt

[Piotr Futyma, MD @ftrae]

Most PFA tools are CE marked for PVI only - don't you think it should be performed before the PFA is implemented for therapy outside PVs?

Currently too many patients end up with a Pablo Picasso-style of the linear lesion set in the left atrium due to lack of durability IMO

https://t.co/p6hGEdoRVi

[Piotr Futyma, MD @ftrae]

Durable block of the anterior and mitral lines is difficult to achieve, even with a lattice-tip catheter

[Radosław Lenarczyk @RLenarczyk]

3️⃣1️⃣/36 (86%) PVs and 5️⃣4️⃣/71 (76%) linear lesions durably isolated/blocked after a dual-energy lattice-tip catheter #ablation (#PFA/#RF)- data from
invasive remapping 👇 https://t.co/yTX9zS1W8o
@SergeBoveda @RolandTilz @ftrae @EuropaceEiC

[Piotr Futyma, MD @ftrae]

One of the reasons is that I'm against unnecessary animal experiments.

Kudos to @True_EP @LuigiDiBiaseMD et al. for the inspiration

[Vera Maslova @veramasloo]

@JICE_EP @ftrae Interesting! @ftrae why potato? And not for example porcine?

[Piotr Futyma, MD @ftrae]

@A_Ahmad79 @JorgeODiaz3 No.

[𝐀𝐘𝐄𝐃𝐔𝐀𝐒𝐄 𝐏𝐔𝐘𝐎𝐋 ⚓️ @Mmaasemy3]

We will miss you EL BOMBER🥹❤️

[Piotr Futyma, MD @ftrae]

@RLenarczyk Acute validation is obvious but follow up reconnections are an issue - would you advocate for routine follow up remapping?

[Atiqa Batul @BatulAtiqa]

@ftrae No difference between anterior and lateral mitral lines! Should lesion stacking be done routinely? PF +RF or PF+PF? Have had some early reconnections despite acute block.

[Piotr Futyma, MD @ftrae]

@BatulAtiqa PF/RF lesion stacking may be one of opinions, but still - will it eliminate acute vs chronic linear lesion durability mismatch?

[Faisal Scientist @zaidheartsci]

@ftrae Precisely. My experience is the same. Durable anterior and mitral block is anatomy-dependent, not catheter-dependent.

[Piotr Futyma, MD @ftrae]

@DiangeloSilvano Acute effects (intraprocedural AT termination with PFA) may be considered impressing but they totally do not correspond with long-term lesion duarbility within the ablation targets outside PVs. cc @ivroca @Arritmias_HRC @jskoruth

[Piotr Futyma, MD @ftrae]

We need more robust remapping data for PFA performed outside PVs

[Paul Mccallum @Paulmcc05]

PFA a year and a half ago, veins, posterior wall and mitral isthmus line. This was the pre-map on the re-do, patient was in atypical flutter.

[Ata Ul Haiy, MD @ata1995]

This EP world is wildly electrifying! 🤯

[Piotr Futyma, MD @ftrae]

@syamkumarmd First part is pacing from proximal CS

[Piotr Futyma, MD @ftrae]

Bradycardia-induced atrial fibrillation

[Piotr Futyma, MD @ftrae]

Some patients with vagally mediated AF can benefit most from cardioneuroablative effect and may not need full PVI

Some of them may not even require any ablation in the left atrium

Check out our @JACCJournals paper using shareable link (before it expires) https://t.co/YCLRdvs9HR

[Piotr Futyma, MD @ftrae]

@Wenckeback @JACCJournals @lukaszzarebski1 @shivkumarmd No way to prove - AF initiation and sustainability is too complex for straightforward determination. We used short-term deceleration capacity as a marker of increased parasympathetic drive

[Piotr Futyma, MD @ftrae]

Some patients with vagally mediated AF can benefit most from cardioneuroablative effect and may not need full PVI

Some of them may not even require any ablation in the left atrium

Check out our @JACCJournals paper using shareable link (before it expires) https://t.co/YCLRdvs9HR