Beautiful SEEM of truly midmyocardial VT in NICM with breakout epi (left) 25ms before endo (right). Far-field signals on earliest endo as the wavefront emerges to the surface. Ablated on both surfaces at 40W>NI. Andrew Chen Nathan Shatz Mansour Razminia #VTin3D

CONTINUOUS pacing while screwing LBB lead - fantastic method for depth assessment just published mp.pl/kardiologiapol… #dontdisthehis

Diastolic buffet for ICM VT at 240bpm, with brief dive into midmyo at 15,16. #ablateVT #VTin3D Andrew Chen Libby Rosinski Nathan Shatz

Lovely flutter today post-Cryo (veins quiet). Termination sites corresponded with isochronal crowding. Map credits to our fellow Aalap Narichania and cartographer @AllieBuck14! #LoveEP #Epeeps Roderick Tung Andrew Beaser Hemal Nayak Ryan Burris, MD Andrew Chen

Beautiful case - NICM, epicardial scar presented in storm - epi map, lateral wall isthmus, midmyo component with mid & basal lateral wall exit, clean term with Andrew Beaser, Roderick Tung, Nathan Shatz, Ryan Burris, MD

Basal Superior Intraseptal recording (1,2 fractionated presystolic) from midmyo substrate, inaccessible with high power RVOT/LVOT. Finished off with EtOH with Aalap Narichania Ryan Burris, MD Nathan Shatz 🍸🥃@MiguelVldrbno Fermin Carlos Garcia

Recurrent VF, EF 55%, ablation of PVC triggers from left anterior and upper septal fascicles - maps of sinus rhythm pre and post ablation with Roderick Tung Libby Rosinski; UCEP Hemal Nayak Gaurav A. Upadhyay Andrew Beaser Ryan Burris, MD Pablo Salazar, MD Swati N. Rao Nathan Shatz

Patient with long standing persistent AF on uninterrupted Warfarin with therapeutic INR, came in for catheter ablation today. No prior TEE. Worth watching!

Correction of bifascicular block is a beautiful thing, haven't done of these with G-money for a while #dontdisthehis #Epeeps Gaurav A. Upadhyay Roderick Tung Pugal Vijayaraman Kevin Vernooy Parikshit S Sharma, MD, MPH, FACC, FHRS Hemal Nayak Andrew Beaser Robert Schaller Ahran Arnold Weijian Huang Marek Jastrzębski

Convergent VT? A treat to actually see within the pericardial space! #ablateVT Andrew Chen Aalap Narichania Hemal Nayak AtriCure, Inc. DIRECT SUBXIPHOID PERICARDIOSCOPIC VISUALIZATION OF EPICARDIAL VENTRICULAR TACHYCARDIA MAPPING AND ABLATION heartrhythmopen.com/article/S2666-…

First use of Octaray for me at GMC - persistent AF, LA volume 300 ml, PVI/CTI, posterior box, targeted GP ablation Ty for the opportunity Tyler Beebe

The revolution within the field of cardiac pacing continues! Preserving and restoring nature’s best physiology is gaining more evidence and there will be an explosion of larger trials coming soon.

Thanks to many @NorthShoreWeb and @BiosenseWebster for this contribution to the AdmIRE study. An amazing day for us. #EPeeps

5th Persistent Left SVC since Feb 2023!! Strong work on the map by freshly minted Austin Lane Redo case - veins isolated, normal voltage. Challenging to isolate that monster - but seemed to be trigger! @BiosenseWebster Hakeem Ayinde Smit Vasaiwala, MD Jeffrey M Vinocur Jeffrey Winterfield

80 F HTN, with Mobitz II HB, baseline LBBB 148 ms, first attempt with Abbott Locator 3D CSP sheath Thomas Ziccardi Gaurav A. Upadhyay

70 M, persistent AF, EF 45%, thank you Tyler Beebe for letting us try Q-Dot Micro Ablation catheter, first pass iso PVI/CTI Dan Garcia MD, PhD

45 F, NICM EF35%, suspicion PVC induced with 33% burden, LV summit - single burn term ILT (Qdot)

3-DVTの新しい概念とILAMとの相関を解析しました。関わった全てのスタッフに感謝。 Chicago❄️, Arizona🌵, Tokyo🍣 I appreciate great boss and all staff 🇺🇸🇯🇵 Roderick Tung ahajournals.org/doi/10.1161/CI…