First LiveView case at UHCW today. Persistent AF with real-time LA posterior wall isolation reducing duration of RF delivery along the roof line. #epeeps #electrophysiology #cardiology #UHCW

Nice Left Posterior Fascicular VT case today. Incessant VT with activation map and mapping of P1 and P2: HDGRID showing fused signal ablation target. SR mapping of conduction system. Nil inducible post ablation with burst pacing and ISO. #epeeps #cardiology #vtablation

VT mapping sub-surgical tissue AVR in DCM. Clinical VT LVOT with single sleeve of very LPs extending from anterolateral aspect of tAVR into LV. Extensive ablation required with serial remapping = substrate elimination and VT non-inducibility. #epeeps #cardiology #vtablation

Nice ICM VT case today. Prior LAD infarct with ICD shocks for VT falling in the VF zone. VT stim induced Vflutter to VF. DEEP mapping identified septal conduction channel successful ablation with no further VT/VF inducible. #epeeps #cardiology #vtablation

CARTOFINDER identifies focal AF driver within posterior LA box wall isolation during persistent AF ablation. Single burn and quiescent. Confirmed exit block in SR pacing. #epeeps #AtrialFibrillation #cardiology

Redo-PAF, RLPV where to start ablation? HDGRID signals on all poles. LIVE VIEW gives the answer, first burn isolation. #epeeps #cardiology #AFablation

Redo redo redo PAF. Left PVs reconnected and SVC connected. Large SVC isolated with dissociated firing post-isolation #epeeps #cardiology #afablation

LVOT right/left commisural VT ablation. ICM with poor BiV pacing rates due to incessant ectopy. Activation map and pace map with limited ablation successful. #EPeeps #Cardiology #vtablation

Another nice LCC ectopic ablation. Activation map and pace map with acceleration response #epeeps #cardiology #vtablation

Inferior MI, EF30%, ICD, VE burden 35%, LV substrate/activation map 29ms preQRS at inferolateral BZ, unipolar QS, pacemap 93% = first burn acceleration and suppression. Good result team UHCW 👍 #epeeps #cardiology #vtablation

Challenging Ischaemic CM VT storm ablation today. 2 Dominant morphologies in heavily scarred LV. Incessant VT resistant to device and external shocks (BB, amio, mexilitine, lignocaine) #epeeps #cardiology #vtablation

First case of 2021. 25y male ARVC VT storm. Epicardial scar along inferior RV. Septal BZ ++DEEPs. VT activation map reentry along septal BZ. DEEP activation map identical to VT activation map! Ablation of the VTSOO and septal DEEPs. Nil inducible. #epeeps #cardiology #vtablation