Giovanni Coluccia

MD, Cardiac electrophysiologist

[Giovanni Coluccia @messapus]

Celebrating 1yr since the publication of our Atlas of ConductSystemPacing #LBBAP #HBP! Thanks @ilpensiero for their support & to the readers for their trust! I hope it has been (& will be) useful to become confident in recognizing #CSP in your procedures! https://t.co/mPySyWXEL0

[Giovanni Coluccia @messapus]

https://t.co/pM8vOqbpur #EPeeps, please welcome our resident G. Tarantino, here in his very first #CSP procedure. A challenging case with an amazing result!👇🏻Congratulations, Giacomo, it's a real pleasure for me to share knowledge and experience with talented colleagues like you!

[Giovanni Coluccia @messapus]

In medicine one of the greatest impacts on professional growth comes from ​shadowing a master. Ezio Soldati, MD (​*1957 +​April 9th 2024) was a renown​ed electrophysiologist I had the honour to be a mentee during my ten years ​at Pisa University Hospital, IT. Thank you, Ezio!🙏🖤

[Giovanni Coluccia @messapus]

@syamkumarmd @KostekMilan I definitely agree.
Thank you @KostekMilan for tagging me!

[Giovanni Coluccia @messapus]

54F with presyncope and shortness of breath. #ECG revealed complete AV block, in the absence of reversible causes. Echocardiogram and cardiac MRI were normal.
#LBBP allowed complete restoration of physiology! #Epeeps, enjoy some nice tracings here!👇

[Giovanni Coluccia @messapus]

60M, DCM, EF 30%, sustained monomorphic #VT episodes w/several appropriate ICD therapies. #LowFluoro mapping of the LVOT revealed gorgeous signals just below the Ao valve: RF there and VT gone in seconds #ablateVT #EPeeps Proud of starting my experience @ V. Fazzi Hospital Lecce!

[Giovanni Coluccia @messapus]

69M with pers typical CCW atrial #flutter and inferior vena cava occlusion. 1st time for me to perform CTI #ablation with a superior approach (I used it for AVJ and APs abl) from the right subclavian vein. No need for fluoroscopy! #Epeeps which access do you prefer in such cases?

[Giovanni Coluccia @messapus]

@jacabreracardio @ilpensiero Thank you very much, Prof. @jacabreracardio, for your kind appreciation!!! 🙏

[Giovanni Coluccia @messapus]

Celebrating 1yr since the publication of our Atlas of ConductSystemPacing #LBBAP #HBP! Thanks @ilpensiero for their support & to the readers for their trust! I hope it has been (& will be) useful to become confident in recognizing #CSP in your procedures! https://t.co/mPySyWXEL0

[Giovanni Coluccia @messapus]

@KostekMilan Thank you for appreciation and for the interest in our Atlas. Unfortunately, an English version has not encountered enough interest from my publisher, so far.. Let's see in the next future..! 🤞

[Giovanni Coluccia @messapus]

“A thing of beauty is a joy forever” (J. Keats). So, I am pleased to share these 👇 pearls, observed during a #LBBAP procedure in a 78F with syncope and documented episodes of complete AV block. Beautiful (electro)physiology in action! 😍 #ConductionSystemPacing #EPeeps

[Giovanni Coluccia @messapus]

@curilakarol Thank you very much, Karol! 🙏
Your hope is also mine! 🤞

[Giovanni Coluccia @messapus]

77M with hypertension, HFpEF and pers AFl. HD mapping of the LA revealed wide low-voltage areas on the posterior wall, with critical isthmus in between. The first RF application interrupted the #arrhythmia within seconds; a short #ablation line was done to connect scars. #EPeeps

[Giovanni Coluccia @messapus]

@KostekMilan Thank you! 🙏🏻

[Giovanni Coluccia @messapus]

#Epeeps, here our latest contribution in the field of Conduction System Pacing, just published in HR @hrs_journal 👉 https://t.co/6HbCX5DURd Comparative data suggesting a superiority of #CSP vs #BVP in patients with #HF and pacing-induced cardiomyopathy. #LBBAP #DontDisTheHis

[Giovanni Coluccia @messapus]

Back from Bologna, Pisa, Rome, Naples, where I had the honor to speak in national meetings on arrhythmias and cardiac #EPeeps. Thanks to all the Organizers for having invited me, it was really exciting to meet (and learn from) friends and masters! Topics: #CSP #ECG #DontDisTheHis

[Giovanni Coluccia @messapus]

@javadm20 @ilpensiero Not yet, we'll see! 🤞 Thank you very much, I really feel honored by your interest! 🙏

[Giovanni Coluccia @messapus]

59F with drug-refractory 2:1 paroxysmal AT; myopericarditis 5y ago. HD mapping revealed huge scars in the RA with reentry in between. #Epeeps, enjoy the pretty signals (& DiastolicBuffet©️) in the isthmus and all around! RF #ablation in the sweet spot restored SR. ..and #NoFluoro

[Giovanni Coluccia @messapus]

LV summit PVC #ablateVT in a 64M with high burden, refractory monomorphic PVCs complicated by LV dysfunction (EF 40%, no LGE on MRI). Best precocity with juicy signals only in the great cardiac vein. RF 🔥on the endocardial aspect of LV summit suppressed PVC in seconds. #NoFluoro

[Giovanni Coluccia @messapus]

#Epeeps, here my first PM implant using a persistent left sup. vena cava. In my few previous cases with this anomaly, indication was #CSP, CRT or ICD and I chose the right side. Not this time. Be creative with your stylets and consider longer leads for RV! https://t.co/TrmTOH0jDh

[Giovanni Coluccia @messapus]

Thought-provoking #LBBAP case today: how many #Epeeps would have stopped lead advancement at spot a) or b) instead of looking for QRS transition on UNI capture threshold test (only seen -and multiple- at spot c)? Would you have considered #ConductionSystem captured in spots a/b?