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Redo AF/AT ablation in a patient with HCM. PVs isolated at the index procedure. Anterior mitral line, posterior wall isolation and CTI flutter in 60 min with AFFERA system Medtronic. Stelios Ourania Kariki Athanasios Saplaouras Panagiotis Mililis ⁩Petros Skalidis Michail Efremidis ⁩ #OCSC

One more case of ATs ablated with AFFERA mapping system. 1. MFL 2. localized reentry at the anterior wall 3. CTI flutter @ SteliosDragasis Panagiotis Mililis Athanasios Saplaouras Ourania Kariki Konstantinos Letsas Petros Skalidis Medtronic

Cardioneuroablation for treatment of complete AV block in a 28y old patient Stelios Panagiotis Mililis Athanasios Saplaouras Ourania Kariki Konstantinos Letsas Kosmas Valkanas #EPeeps

Left PM TLE due to pocket infection. Right side abandoned PM with 45yo leads. No systemic infection. Successful full extraction of the left system and implantation of leadless VDD PM. #onassiscardiacsurgerycenter Athanasios Saplaouras Stelios Ourania Kariki Konstantinos Letsas Michail Efremidis

T Line using AFFERA system for treating AT RAA macro reentry in a pt with right atrial myopathy ( prior CTI+ posterior RA line with RF) Stelios Panagiotis Mililis Athanasios Saplaouras Ourania Kariki Konstantinos Letsas Petros Skalidis #EPeeps

24yo abandoned leads complete extraction due to right pocket infection. Athanasios Saplaouras Konstantinos Letsas Stelios Ourania Kariki Michail Efremidis #onassiscardiacsurgerycentre

Epi and endo VT ablation for the management of an electrical storm.The procedure was supported by AV ECMO. A CMR-aided VT ablation was utilized @SteliosDragasis@athsaplaouras@ipetemil⁦Konstantinos Letsas⁩⁦Ourania Kariki⁩ ⁦Periklis Bellos⁩⁦Eva Nyktari⁩ #Onassis Hospital

A young patient with mechanical aortic and mitral valves presented with atrial tachycardia (AT). The AFFERA system was utilized for mapping and ablation, successfully converting AT to CTI AFL Stelios Panagiotis Mililis Athanasios Saplaouras Ourania Kariki Konstantinos Letsas Petros Skalidis #EPeeps

Combination of ICE and OPTRELL mapping catheter to guide PM PVC ablation Ourania Kariki Stelios Panagiotis Mililis Athanasios Saplaouras Konstantinos Letsas Kosmas Valkanas @MedicareHellas #EPeeps

Anterior wall LA AT converted into SR with only one PFA shot, using #Medtronic AFFERA system. Ourania Kariki Panagiotis Mililis Stelios Athanasios Saplaouras Petros Skalidis Konstantinos Letsas #epeeps #OnassisHospital

TTE to guide ablation catheter on top and between the heads of the AL PM PVC Ourania Kariki Stelios Panagiotis Mililis Athanasios Saplaouras Konstantinos Letsas Kosmas Valkanas #EPeeps

Transseptal puncture through an ASD occluder using a balloon-assisted technique and ICE guidance for atrial tachycardia ablation. A useful approach for complex cases. Panagiotis Mililis Stelios Ourania Kariki Athanasios Saplaouras Konstantinos Letsas Kosmas Valkanas #OCSC #Epeeps

Ischemic VT single shot ablated with the AFFERA system Diastolic Buffet also recorded Ourania Kariki Stelios Panagiotis Mililis Athanasios Saplaouras Konstantinos Letsas Petros Skalidis #EPeeps #Medtronic

Complete lead extraction of 14yo leads from right side in a patient with TGA post-Mustard. Complex anatomy, dense fibrosis — successfully extracted. ICD implanted contralaterally. #EPeeps #LeadExtraction Ourania Kariki Stelios Athanasios Saplaouras Konstantinos Letsas Michail Efremidis #OCSC

LBBAP in a NICM patient with severely enlarged LV and symptomatic AF. Going for pace & ablate strategy-aiming for physiologic pacing and better long-term outcomes. CRT alternative with a twist! Athanasios Saplaouras Ourania Kariki Stelios Konstantinos Letsas Michail Efremidis #EPeeps #LBBAP #OCSC

LV dwell time less than 50min for substrate/activation mapping & total LP abolition for the treatment of an ischemic VT using the Affera system Stelios Ourania Kariki Panagiotis Mililis Athanasios Saplaouras Konstantinos Letsas Petros Skalidis #OCSC #Epeeps

🚀Cardiac Electrophysiology Masterclass 2025 designed for young electrophysiologists. 🎓An outstanding faculty of EP leaders shared their valuable insights and expertise. Andreu Porta Sánchez Emin Evren Özcan Dimitris Asvestas Stelios Stelios Tzeis Michail Efremidis #Epeeps Onassis Hospital

Young-onset AF: onlinelibrary.wiley.com/doi/10.1111/jc… 📉Lower recurrence in ≤45y after first-time PVI 📈Risk rises linearly with age ⌛️Age 55–60 may mark a turning point for recurrence risk Michail Efremidis Konstantinos Letsas Κωνσταντινος Παμπορης Stelios Panagiotis Mililis Athanasios Saplaouras #Epeeps Journal of Cardiovascular Electrophysiology

Basal septal VT in a pt with ICM was ablated using AFFERA system. A diastolic pathway was identified, and VT terminated during RF application.⁦Panagiotis Mililis⁩ ⁦Stelios⁩ ⁦Ourania Kariki⁩ ⁦Athanasios Saplaouras⁩ ⁦Konstantinos Letsas⁩ ⁦Petros Skalidis⁩