The EP Nerd

RT @forkknifecab_EP: #EnSite Correlation Score 99% at LCC, though morphology consistent with epicardial neighbor, AIV. Intracardiac echo im…

The anterior right pulmonary vein antrum, an under appreciated topography? Atrial diverticulum seen here, perhaps culprit of temperature & impedance limiting during Radiofrequency #Ablation. Imaged during unrelated, Focal Atrial #Tachycardia #Ultrasound #EPeeps credit @Ashit_EPS

He is a great teacher

A joy to learn from @EPWoodsShop advancing Electrophysiology. #HRS2022 @AbbottCardio @AbbottGlobal

When patients know you 🎁. ANS 🧠🫀#Cardioneuroablation art By Andressa Moraes

Great VT week with @BiosenseWebster! #ablateVT Inferoapical isthmus from large Cx infarction. White line is LOB in ILAM, serving as a surface barrier that forces intramural conduction. Need greater resolve of SNO zone, as it is most critical region. Great collaboration ahead!

RV intracavitary structures in 4D ICE- the moderator band @PennMedicine

It was a nice channel, but we had to burn it 🔥 #VT #HDmapping with #Octaray. @AndreaSarkozy, @Salavtore4 ILAMs, Substrate and ECG in the comments   #EPeeps #CardioTwitter @EPeeps_Bot @BiosenseWebster

An “Atypical” Atrial Flutter disguised as #Afib revealed with strict EnSite AutoMap Stability, Correlation & Velocity discriminators. Single RF application restored sinus rhythm. #AlwaysBeMapping #AbbottAF @AbbottEP

Efficient single pass isolation for this paroxysmal #AFib s/p mitral valve replacement. A notably clean surgical LAA resection, unable to visualize on ICE or geometric reconstruction. #AbbottAF @AbbottEP @TheArtOf_EP

Intrapericardial saline/air to displace the phrenic nerve - monitoring contact force sensing vector and ablation catheter tip position with ICE is helpful @drluissaenz

Pulmonary vein proximity to descending Aorta, as seen on ICE. #AFib #TactiCathSE #EnSite @AbbottCardio

An abbreviated live recording of paroxysmal #AF #RF ablation. Single pass isolation #AccuracyMatters #EnSite @AbbottCardio

Ischemic cardiomyopathy, multiple shocks for monomorphic VT degenerating to VF. Induced with ease during SR EAM. PM papillary segmentation with PDX technique #HDGrid identified intracavitary pre-potentials #EPeeps @Ashit_EPS @B_Naz_MD doi.org/10.1016/j.hroo… @AbbottGlobal

First isolated the RPVs and post wall to clean up the substrate (good tip from @Davilandre) which made interpreting the induced flutter straightforward! Terminated with first abl then anchored to prior lines. Noninducible after! @forkknifecab_EP #HDGrid #EPeeps

How to consult cardiology

Computer graphics generated left atrial anatomy. Displaying #art & image data effectively and meaningfully for #Epeeps @Ashit_EPS #EnSite #Precision @AbbottCardio

What would you like to do in the next step?@EricTSLim @JeffZhanghk2017 @sabarisarav @Hapa_EP @szufski1 @forkknifecab_EP @Segarspr @ep_nerd @MunishSehgal17 @hikingsley87 #Epeeps

Focal atrial #tachycardia, simple, clear, centrifugal. #EnSite @forkknifecab_EP @AbbottCardio @AbbottGlobal

VT case using Dynamic Window of Interest (DWOI), case performed with @drluissaenz and @AdamsCardioMD at @fcardioinfantil. Thanks @mike_lean for sharing your workflow. @BiosenseWebster