Giorgi Papiashvili, MD, PhD, FESC

Cardiologist, Cardiac electrophysiologist, EHRA certified electrophysiology and device specialist. Jo Ann University Hospital and Healthycore hospital.

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

@ftrae Agree. PFA was not an option at that case though.

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

Can RVOT PVCs with transition at V4 still be ablated from the left side? Despite local EGMs being much better on the right, RF resulted only in very late and brief suppression. RF from the left, opposite to the RV lesions immediately eliminated the ectopy.

[JACC Journals @JACCJournals]

ADVANTAGE AF subanalysis: Linear bipolar PFA for CTI shows safety and efficacy comparable to RF, with greater efficiency, and supports a standardized coronary safety protocol.

Details in #JACC: https://t.co/JOd9g7okFl

#AFSymposium2026 #AFib #epAblation #EPeeps @VivekReddyMD

[Adolfo Fontenla @AdolfoFontenla]

Publicada nuestra revisión de la anatomía e histología del seno coronario🫀 relevante para la enolización de la vena de Marshall en FA!
Esperamos que el tema os resulte tan apasionante como a nosotros 🤩@CardioQuironMad
Disponible online👇🏼
https://t.co/ILaZ9u5Ibh

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

Wide Complex Tachycardia Differentiation: A Reappraisal of the State‐of‐the‐Art | Journal of the American Heart Association https://t.co/yV7zjo6wi6

[HeartRhythm @hrs_journal]

Thrombo-inflammation and Hemolysis after Pulsed Field Ablation with a Pentaspline Catheter: Clinical Predictors, Renal Safety and Rhythm Outcomes

https://t.co/96ONA2FV89

[Dr. José Ángel Cabrera @jacabreracardio]

Our new topic in “Da Vinci" Anatomy Corner @cardiac_anatomy
@JACCJournals Case Reports

https://t.co/AQa10mXngv

🔹Fundamental Anatomy and its Impact on Clinical Practice: The Membranous Septum and Conduction System in TAVI🔹
@AndreaScotti21 @GilbertTangMD @DamianSanc1955

[Milan Koštek @KostekMilan]

"Multipolar EGMs are superior to unipolar EGMs in predicting the location of a PVC, reflected by a smaller area of QS morphology and narrowing down the diffuse breakout of early activation."
https://t.co/jBhx5dBXZi

[Ahmed Teebi, MD MPH MSc🗝️ @Teebi_MD]

🧵 The FARAPOINT™ Pulsed Field Ablation (#PFA) Catheter has now received #FDA approval for treatment of atrial flutter! 

EP in 2026 has never been more well-equipped. Incredible era—more tools, more precision, more options for our patients.

#Epeeps

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

@Mishi_2210 95

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

Entrainment is an indispensable tool for the electrophysiologist. Colors can be misleading. Three distinct flutter circuits identified during a single procedure.

[Dr. José Ángel Cabrera @jacabreracardio]

From Structure to Clinical Insight: The Da Vinci Corner's New Series on Fundamental Anatomy | JACC: Case Reports https://t.co/I2DUHuQmjJ

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

@javadm20 septal. parahisian maybe.

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

The patient with persistent atypical atrial flutter after PVI. CCW activation around mitral annulus. LIPV reconnected and the gap can be seen on its anterior aspect. Anterior mitral line slowed and terminated the flutter. Re-isolation of left TVs and CTI line afterwards.

[Akihiko Nogami @AkihikoNogami]

Young PFA is already as effective as RF - a technology refined over 30 years!

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

My explanation was possible epicardial connection via Septo-Pulmonary bundle and endocardial breakthrough at right inferior part of the posterior LA. Ablated on the roof where ablation slowed and terminated the tachycardia.

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

39 yo F s/p aortic and mitral valve replacement and cryo PVI. Redo case with RSPV reconnection and re-isolation. Induced MRAT with CL of 424 ms. Confusing caudo-cranial activation on both posterior and anterior LA. Good PPI at proximal CS and LA roof.

[Dominik Linz @Dominik_Linz]

#EPeeps

Ablation of cavo-tricuspid isthmus dependent atrial flutter using a focal monopolar pulsed-field ablation catheter: Feasibility, periprocedural coronary spasms and conduction disorders.

✴️84 patients from 2 large EP centers…

👉🏻For focal #PFA vs #RFA radiofrequency:
- the proportion of first pass block was higher (93% vs 55%)
- procedure times were shorter (7 [5,11] min vs 17 [15,19] min)

But ‼️Despite nitroglycerine administration:
- 4 patients (5%) presented transient ST elevation
- 2 patients (2%) showed a transient complete AV block during ablation.

Conclusion: ✏️
CTI ablation using focal PFA is feasible, but operators should be aware of rare but critical conduction disturbances and coronary spasm during the procedure, even when preventive measures such as nitroglycerine administration are employed.

Now online @hrs_journal
📖 https://t.co/C6j9LT3kWq

More publications will follow 🙂
#AFib_MUMC_UCPH

@JLuermans @kvernooy
@arnelasaljic @florentfarnir

@PrashSanders @DrJasonAndrade @AndreasMetzner7 @DanielScherr3 @drjohnm @jskoruth @Phiso_de @TorBiering @Drdevignair @ChristianHeeger @True_EP @ftrae @drraviele @ManningerMartin @WakiliReza

[Dr. José Ángel Cabrera @jacabreracardio]

Dear colleagues and friends,
We are pleased to share with you our recent work. @JACCJournals #JACCEP

“Left Bundle Branch Pacing: Histology, the Key to Understand Different Responses”

https://t.co/4mBSQb4i28

“A picture is worth a thousand words.”👇

[Giorgi Papiashvili, MD, PhD, FESC @ReentryCircuit]

@jacabreracardio @JACCJournals @davidgzcasal @TomasDatino @AdolfoFontenla @curilakarol @DamianSanc1955 This is excellent. Congratulations!