Another nice example of successful VT-Ablation in ICM with incessant VT from today using #Carto_V8 and #OctaRay under hemodynamic support with #Impella demonstrating the powerful tools Ripple Map and Complex signals. Thanks to Philipp Sommer El Hamriti Mustapha @BiosenseWebster, @Abiomed

Another uneventful #Varipulse case HDZ NRW. 16 impulses for PVI, 7 more for a strange low voltage area at the posterior wall. Thanks to @BiosenseWebster, Moneeb Khalaph, Martin Braun, Christian Sohns, Guram Imnadze, El Hamriti Mustapha, Vanessa Sciacca AGEP Young DGK

Comparative Efficacy and Safety of PFA Versus RFA of Idiopathic LV Arrhythmias - PFA outperformed RFA in challenging locations like Papillary, LV summit via distal CS and direct epicardium. jacc.org/doi/10.1016/j.… Congrats to star fellow Arwa Younis MD Cleveland Clinic Heart, Vascular & Thoracic Oussama Wazni

The treatment of AF going into the future will likely be PFA. Now it is the time to explore further its utility and applications in the ventricles!! Thanks to Pasquale Santangeli, Oussama Wazni, Cleveland Clinic Heart, Vascular & Thoracic for mentoring and making this possible!

ICE (👀) guided PFA can ⬆️ Catheter contact ⬆️ FPI ⬇️ Fluoroscopy use Pasquale Santangeli Jose Osorio Daniel Alyesh Dr. Devi G Nair Mansour Razminia Oussama Wazni Shady Nakhla ALBERTO ALFIE CarinaHardyEP #EPeeps

VT non-inducibility at PES is not a reliable procedural endpoint for high-risk patients with structural heart disease and VT Cleveland Clinic Heart, Vascular & Thoracic Jakub Sroubek Oussama Wazni Ayman Hussein MD Europace Editor-in-Chief academic.oup.com/europace/artic…

Infarct VT w/ U-shaped WADL in sinus w/ perfect match with a “dead-end” CT wall thickness channel (inHEART). No surprise the VT isthmus was there. A substrate dead end doesn’t necessarily mean bystander! VT is in 3D! BIDMC VT Center Enrico Ferro, MD @davilandre Roderick Tung

I love being involved with such a fun project to help spread the EP love - take a listen and let me know what you think! #epeeps Nicole Dorman

Effect of Reference Electrode on Intracardiac Electrograms: Close Indifferent Electrode vs. Wilson Central Terminal Masateru Takigawa heartrhythmjournal.com/article/S1547-…

📌New in Journal of Cardiovascular Electrophysiology "VARIPULSE: A step-by-step guide to pulmonary vein isolation" by Dr. Devi G Nair Tom De Potter Tara Gomez 📷 onlinelibrary.wiley.com/doi/10.1111/jc… #EPeeps

Amazing first experience with @BiosenseWebster ⚡️⚡️⚡️Varipulse PFA⚡️⚡️⚡️ ➡️ Impressive stability ➡️ Instant PVI ➡️ Full mapping power Proud to be part of this journey as 3️⃣rd clinic in 🇩🇪. Thank you for great team effort & support. Martin Borlich Holger Nef @seriedel

Tug tests for Watchman! ICE is invaluable for assessment of tissue contact with the device. Third example done with 2D ICE shows minimal apposition on ridge and was repositioned. Other two images are Nuvison. #EPeeps #cardiotwitter

Our data shows the great benefit of AF ablation in HF patients irrespective of their HF subtype. This has huge implications especially in those with HFpEF, where lack of atrial contraction may be crucial. Ayman Hussein MD Oussama Wazni Pasquale Santangeli Cleveland Clinic Heart, Vascular & Thoracic Chadi Tabaja

Used the new Johnson & Johnson MedTech | Electrophysiology #CARTO #FARAVIEW software for #ZeroFluoro BostonSci Cardiology #PFA of #AF. As shown in the video, this advancement enables #dynamic visualization of the catheter in both the flower and basket configuration automatically. Luis Parada Kyle Heath

Reflecting on an incredible Advanced VT course last week with Andre d’Avila Timothy Maher, MD Gregory Michaud and #AndyLocke and the BIDMC VT Center in partnership with Johnson & Johnson MedTech | Electrophysiology. Looking forward to continuing this work and to see what’s in store in the VT space!

Percutaneous VT Ablation via RA-to-LV Access in Patients With Double Mechanical Valves: A Multicenter Registry jacc.org/doi/full/10.10… Kostas Siontis Cleveland Clinic Heart, Vascular & Thoracic JACC Journals Kalyanam Shivkumar MD PhD

Significantly less acute brain emboli among left ventricular catheter ablation patients randomized to a transseptal versus a retrograde aortic approach per our The Patient-Centered Outcomes Research Institute-funded #TRAVERSE trial. Thank you to our patients who helped design and implement the study, my generous EP

Precordial lead location relative to the heart

Bipolar VT ablation HCMP patient ground catheter on the epi ( via surgical window) and active catheter at the endo #Epeeps

Use of a variable loop PFA catheter with integrated 3D mapping for paroxysmal AF ablation provided a clinical benefit success rate of >85%. #PFA #AFib Tom De Potter Vivek Y. Reddy Atul Verma @anteanic4 doi.org/10.1161/CIRCEP…