Today I share with you something that I have been working on in the shadows: #Anatomy + #ScientificIllustration + #Art And I can only inaugurate it with the one who in his day stated that «Boredom is the biggest disease in the world, darling», the mythical #FreddieMercury

I'M NOT A ONE IN A MILLION KIND OF GIRL. I'M A ONCE IN A LIFETIME KIND OF WOMAN «Remember, if you ever need a helping hand, it's at the end of your arm. As you get older, remember you have another hand: the 1st is to help yourself, the second is to help others». #AudreyHepburn

LV summit PVC healthy 26 y.o. Earliest 34 ms pre-QRS from LCC 2 lesions with good suppression. Below LVS 1.5 cm away 98% pace match 2 additional lesions. No PVC for 16 hours observation. Ensite X Tactiflec DF excellent mapping ⁦George Crowell⁩ ⁦Brock Gambill⁩

Patient with long QT syndrome with both pAF and >20% PVC burden. Twofer ablation PVI and RVOT PVC with complete resolution of PVC activity. Excellent mapping George Crowell #Epeeps

Branched and multiple AP have been described across the tricuspid. #OWM in ORT diffuse atrial activation. Ablation shifted retrograde atrial activation. Successful burns had transient AP potentials higher up. Brock Gambill and I need to stare more at this. #EPeeps #WPW

Paroxysmal AF Ablation aided by CT integration. Favorable anatomy for PVI. #PMA #EnSiteX Jeff Hsing Brock Gambill

What is it about the R-L interleaflet triangle (ILT) between the right and left coronary cusps that causes it to be the site of successful ablation for so many LV summit PVCs? Mike Eskander Roderick Tung Fermin Carlos Garcia javad mikaeili JMC Babak Nazer Michel Barakat #EPeeps #ablateVT

PVC mapped to the apical base of AL Pap, predicted by ECG. #PDXTechnique used to highlight earliest, ablated using #TactiCath ahajournals.org/doi/full/10.11… #PMA

FaraWave before/after Ensite X v3.0.2 software update. Super helpful for shadowing initial catheter orientation and rotating ~30 degrees for next set of applications in each pose. PF projection map (red) has great correlation to how the post voltage map will appear! 👍 #ablateAF

Now in its 3rd year, the Fellows Hands-On Learning Course remains one of the most important programs Heart Rhythm Society. Thank you Edward Gerstenfeld, Babak Nazer, Chris Cheung, Dr. Thomas Dewland, & all the clinical experts who took a few hours to demo mapping with future EP leaders. #HRS2024

Open Window Mapping with #HDGrid quickly confirmed this pathway location. Compressed isochrones draw focus to ventricular insertion. #WPW #PMA @seshadribalaji6 Saket Sanghai MD FACC FHRS Francis Phan, MD

A Nodal response to Parahisian Pacing was surprisingly discordant to a timely PHC delivered <20 msec to measured HIS bundle potential during tachycardia, perturbing subsequent A. Earliest A mapped to Superior Lateral Tricuspid Annulus, participation confirmed with reset. Always

Happy Fib Friday! Live images during recent AF procedures. Accurate anatomy makes for a seamless ablation with #TactiFlex #PMA

#HDGrid highlighted prepotential in this NCC AT. Immediate termination during first burn with #TactiFlex #PMA

Live screen grab from recent first pass PVI with #TactiCath Total RF time of 730sec #PMA Ashit Patel

Emphasized peak frequency in this redo AF ablation to aid in isolation of the posterior wall Jeff Hsing Arek Karagoezian Brock Gambill #PMA

Hx 3rd time redo, PVI, previous CTI, and mitral line. Mitral line reconnection evident with CSP map and CW mitral AFL induction. Ultimately had success at the CS. Ashit Patel Jordan Hemmen #PMA

It's been a while since I last used "open window" 🪟 technique for mapping an accessory pathway. This time combined with OT activation vectors 💘. Still a powerful tool to keep in your back pocket! 🛠️ Case performed by Michel Barakat. #EPeeps

A patient frequently burdened with these PVC's originating at an anterior lateral attachment network of trabeculae carneae. Elongated strands of muscles lining the LV that attach to the solid portion of the LV wall. Permanently suppressed by #TactiFlex at site of 99%

Clinical PVC mapped to moderator band via continuous score mapping with a correlation of 96%. The PDX technique was employed to project points to endocavitary structures, enabling precise identification and visualization of the ablation target. #PMA pmc.ncbi.nlm.nih.gov/articles/PMC81…