Panagiotis Mililis

Our latest study on the feasibility of functional substrate mapping with a novel lattice-tip catheter: implications for ventricular tachycardia ablation @SteliosDragasis @Kariki_O @petros_skalidis @athsaplaouras @ipetemil @koskinastavrina @MEfraimidis heartrhythmopen.com/article/S2666-…

🎯 Complete TLE: 13yo dual-coil ICD 🪢 Tandem + WireTRUST mod (EBU in 13F steerable/18F sheath) for a secure rail. Safe 13F TightRail advance. #EPeeps #LeadExtraction #OnassisHospital @Kariki_O @athsaplaouras @SteliosDragasis @koskinastavrina @K_Letsas @MEfraimidis

Scar-related VT. Functional mapping with AFFERA system. Mid-diastolic potential. VT termination. @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas ⁦@koskinastavrina⁩ @PetrosSkalidis #Onassis Hospital #Affera

Redo ablation after initial PFA (3 cases): 2 after Farapulse (RSPV leak;reconnection post-box isolation) and 1 after Affera (all PVs isolated, with a roof corridor inducing roof flutter)@ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @PetrosSkalidis #Onasseio

Our new paper is out in the European Heart Journal! A practical, updated guide to antiarrhythmic drug use — distilled into 10 key messages for modern clinical practice. Proud to work with James Reiffel & John Camm on this. doi.org/10.1093/eurhea…

One patient, three atrial tachycardias. All mapped and treated with precision using Affera system @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @ Vasilis Michopoulos #Onasseio Hospital

Novel technique to optimize extravascular ICD implantation with the use of a video-assisted thoracoscopic epicardial access tool @EhdaieMD @EugenioCingolan heartrhythmjournal.com/article/S1547-…

Single shot AT ablation,using Affera system. @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @TomohiroNagao @PetrosSkalidis #Onasseio Hospital

Great talk @DJ_Lakkireddy on important limitations of PFA outside of the veins. Single digit long term durability in La Fazia et al. Dual energy sources can’t come soon enough for redo ablations. There need not be discussions with current PFA iterations for VT. ahajournals.org/doi/10.1161/CI…

Atropine unmasks functional EGM fragmentation in GPs areas, refining targets for selective cardioneuroablation in vagally mediated syncope #AHAJournals #Epeeps doi.org/10.1161/CIRCEP…

Stunning effect following PFA PVI leading to conduction block at the posterior wall of LA. Just stunning or something more? @SteliosDragasis @Kariki_O @athsaplaouras @ipetemil @koskinastavrina @Panagiotis_Gkn @MEfraimidis #Onassis Hospital #Epeeps

Bi-atrial AT after PVI, mapped with Affera system. One PFA application at the superior septum → SR restored.⁦@ipetemil⁩ ⁦@Kariki_O⁩ ⁦@athsaplaouras⁩ ⁦@SteliosDragasis⁩ ⁦@K_Letsas⁩ ⁦@V_Michopoulos⁩ ⁦@PetrosSkalidis⁩ #Onasseio Hospital

WITHDRAW-AF RCT 📌 In👫w/ presumed AF-induced #cardiomyopathy & normalized #LVEF after SR restoration 👉 withdrawal of #HF therapy is not assoc w/ LVEF ⬇️ again in 90% of👫in the following 6-m #EPeeps #afib #HeartFailure #CardioTwitter #MedTwitter @DrMarthaGulati @JagSinghMD

26yo leads, Leads & TV endocarditis At Onassis Hospital: ✅ Superior+femoral extraction ✅ Temp pacing via RJV ✅ 6w ABx ✅ Micra after sterilization Infection gone, pacing restored. 💪 #EPeeps #LeadExtraction @athsaplaouras @Kariki_O @SteliosDragasis @K_Letsas @MEfraimidis

cMRI aided VT ablation with AFFERA system. Excellent correlation of DeEP mapping areas with cMRI corridors and easy termination.⁦ @SteliosDragasis @ipetemil @Kariki_O @athsaplaouras @A_martinos @stavrinakoskina @PetrosSkalidis @eva_nyktari @MEfraimidis @Medtronic @EPeeps

Pers AF ablation case with AFFERA system leaving the lab in SR. @A_Martinos @koskinastavrina @ipetemil @athsaplaouras @SteliosDragasis @MEfraimidis @PetrosSkalidis @Medtronic ⁩ #Onassis Hospital

🎥 Lead Extraction Highlights In the past 40 days, we performed 4 complete TLE procedures of long-dwelling leads for different indications. 🔗 #LeadExtraction #CardiacDevices #TLE #Epeeps #OnassisHospital @MEfraimidis @K_Letsas @athsaplaouras @Kariki_O @SteliosDragasis

“A second VT ablation was performed in a patient with ischemic cardiomyopathy using the AFFERA system, with a clear depiction of the diastolic isthmus ⁦@SteliosDragasis⁩ ⁦@Kariki_O⁩ ⁦@ipetemil⁩ ⁦@athsaplaouras⁩ ⁦@K_Letsas⁩ ⁦@PetrosSkalidis⁩

Basal septal VT in a pt with ICM was ablated using AFFERA system. A diastolic pathway was identified, and VT terminated during RF application.⁦@ipetemil⁩ ⁦@SteliosDragasis⁩ ⁦@Kariki_O⁩ ⁦@athsaplaouras⁩ ⁦@K_Letsas⁩ ⁦@PetrosSkalidis⁩

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 @MEfraimidis @K_Letsas @konstantinospab @SteliosDragasis @ipetemil @athsaplaouras #Epeeps @JCardioEP