How to distinguish between reentry and focal AT mechanisms?... Our new case shows,how we can apply 3 main criteria for understanding mechanisms of 2 different ATs in the same Patient. #EPeeps Evgeny Lian @BiosenseWebster Lukas Kleinhans Robert Pantlik Thomas Demming #EP_Bevensen

Remember our last post with AT mechanisms? But it’s not always so simple… In this case of reentry RA AT not all criteria are met due to epicardial bridging. #EPeeps #EP_Bevensen Evgeny Lian Robert Pantlik Thomas Demming @BiosenseWebster Lukas Kleinhans #cardiotwitter

#David in #EP_Bevensen!Amazing hands-on training and great opportunity to improve catheter manipulation skills for #EPeeps. Thanks @BiosenseWebster Lukas Kleinhans! With Evgeny Lian Robert Pantlik Thomas Demming

Tweetorial, 1/8 40 yo,male, narrow QRS tachycardia 170 bpm. Check out step by step EP diagnostic algorithm for narrow complex tachy! #EPeeps #CardioTwitter #EP_Bevensen @BiosenseWebster Lukas Kleinhans Evgeny Lian Thomas Demming Robert Pantlik

Mapping and ablation of parahisian AP from previous case. #EPeeps #EP_Bevensen #cardiotwitter Evgeny Lian Robert Pantlik Thomas Demming @BiosenseWebster Lukas Kleinhans

Check out our approach for mapping and ablation of papillary muscles VT! Step1:Create FAM activation map of the LV with 1⃣PVC Pattern matching 2⃣Force filter= OFF 3⃣LAT stability = OFF #EPeeps #cardiotwitter EP_Bot Evgeny Lian Robert Pantlik Thomas Demming @BiosenseWebster

#EPeeps, AT in the last post➡️ectopy from tricuspid annulus!In this case our problem was bumping with further non-inducibility.TIMELINE @BiosenseWebster helped to find the bumping site and ablate there. 6M follow-up NO AT so far:)Lukas Kleinhans Evgeny Lian #EP_Bevensen

#EPeeps Enjoy our new case with AVRT through concealed AP.Check out how OWM depends on the: 1⃣Direction of the slanted AP 2⃣Direction of the wavefront propagation (pacing site) Together with Evgeny Lian Robert Pantlik Thomas Demming Lukas Kleinhans #EP_Bevensen #CardioTwitter

#EPeeps PVC from x.com/veramasloo/sta… -LPF! ✅Sup axis ✅RBBB(rsR’)+LAFB ✅narrowQRS LV Map @BiosenseWebster Carolin Lukas Kleinhans Mapping of fascicular signals in SR/PVC. Ablation in the earliest fascicular prepotential abollished PVC Evgeny Lian #EP_Kiel #Cardiotwitter

#EPeeps here’s the ripple map @BiosenseWebster Carolin (special for Leon Iden and Dr Vishal Luther ) of the previous AT x.com/veramasloo/sta… Evgeny Lian Thomas Demming #EP_Kiel #CardioTwitter

#Epeeps in the last case x.com/veramasloo/sta… EP study revealed orthodromic AVRT with concealed left inferior WPW!Enjoy LV paced OWM with @BiosenseWebster😊Evgeny Lian #CardioTwitter DD in ECG: -end with A➡️not AT -not typical axis for fasc.VT -AVNRT DD WPW only in EPU

#Epeep, in this postMI patient x.com/evgeny_lyan/st… VT with broad infero-septal exit site. It looks like reentry, but we're missing the mid-diastolic part. #EP_Kiel Vera Maslova Thomas Demming @CaroM2990 @BiosenseWebster @seriedel

#Epeeps, we abolished this x.com/evgeny_lyan/st… septal VT with intramural channel by bipolar RFA (30W). #EP_Kiel Piotr Futyma, MD Vera Maslova Thomas Demming Carolin Müller Lukas Kleinhans @BiosenseWebster

#Epeeps, this parahisian PVC x.com/evgeny_lyan/st… was abolished under TV using inverse loop (30W). 👉MapUni QS 👉less risk of damage of left-sided His-bundle #EP_Kiel Vera Maslova Thomas Demming 👍Syamkumar Finn Åkerström Kevin Brady AFPanico

#EPeeps Cannot find the gap🔴? Look, how accurate the new LAT velocity vectors @BiosenseWebster CARTO 3 V8 depict the gaps! Evgeny Lian Lukas Kleinhans @seriedel #EP_Kiel

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

#Epeeps, the patient had this reentry VT with the exit in LVOT. #EP_Kiel, Vera Maslova, Lukas Kleinhans, Sebastián Hernández,FELIquis ❤️👨🏻‍⚕️ elvis

#Epeeps, two activation maps using #Optrell. Young male, DCM, hemodynamically unstable VT, redo after septal bipolar ablation. What is going on here? #EP_Kiel Vera Maslova @simon_baron_gierke Lukas Kleinhans @seriedel Arash Arya Elad Anter Piotr Futyma, MD

#Epeeps, our first experience with #Optrell catheter (x.com/evgeny_lyan/st…): perfectly integrates as an excellent tool for our functional VT substrate mapping workflow. Beat to beat local conduction vectors for revealing block lines and DEEP mapping. #EP_Kiel Vera Maslova

All you need to know about Typical Atrial Flutter as #YoungestDGK and Young DGK ! #EP_Kiel Evgeny Lian Sebastian Feickert Laura Rottner Christian-H. Heeger David Duncker Hannah Billig Philipp Breitbart Berkan Kurt Henrike Hillmann JMC Dominik Hubricht El Hamriti Mustapha Luis Eichelmann 🇪🇺