#Epeeps and #Epfellows Join Sonny Jackman and me for a day sponsored by Biosense Webster. Sonny will do a deep dive into AVNRT and I'll present some tips as we walk through complex cases. See you in San Francisco!
Register here for free: https://t.co/6rOL1LKd0Q
#epeeps No, it's not atrial flutter north and south of the equator. Same patient, shared isthmus, both CW and CCW forms eliminated by connecting bottom of line of block (white stripe) to the TVA. Then a V pattern to the IVC to prevent CTI flutter. 😀😀 @tarrah_herrmann for maps
1. 75 yo man with 28 yo LAD infarct and endocardial ablation 8 years ago. Could induce clinical VT only from epicardium where entire circuit mapped. In fact, can see large part of CL on DecaNav. First lesion terminates. See thread for add'l maps (Thanks @satouchtonjr )
Again...the beauty of the incredible technology that we have today. This far left lateral/left anterior pathway would have been doable but very difficult without this open window mapping. With it, one burn got the pathway immediately.
In the midst of turmoil and our stormy present, the Vandy Heart Transplant team has performed a record 16 heart transplants this month. Importantly, many local surgical teams recovered hearts for us - including from Minneapolis this weekend. Grateful for such grace under pressure
Here is the map from my prior tweet with downstream entrainment. Entrainment was performed at purple area inferior to lateral line. CS was not fully in and abl was in CS just beyond the CS catheter @CRB_EP . Beautiful map by @mike_lean and @10HolmesDrop on the catheter. #Epeeps
Coherent map kinda cool. RA origin of AF with prior ablation. Circuit jumps from endo to epi, leaps over the brown patch before touching down again on endo. Transected the endo touchdown to terminate. Then intercaval line. Has full catheter MAZE now!
#Epeeps I don’t care what system you’re using, you know a mapper is next level when they start saving images of isthmus site entrainment. @mike_lean as good as it gets! Yes VT terminated there. @BiosenseWebster, #AblateVT. Top tier fellow @10HolmesDrop on the catheter.
Happy to be at 25th @AFSymposium! Before hopping a plane, nice case of repaired TAPVR with ASD patch. "Rotor" on posterior septum. 3 lesions through this channel terminated AFL. Line completed SVC to IVC. Gray is dense scar. Thx @tarrah_herrmann for map
#EPeeps - Follow up to prior tweet. Map the NCC. By far the earliest. Thanks to @mike_lean for the awesome maps. @bchTicTocDoc @dngibson2 @ep_travis@wgstevenson1