Yogesh

Ischemic VT, Post CABG, Post ICD, presented with recurrent shocks, #ILAM and VT map with #HDGrid, done by Dr. Azlan at IJN - Malaysia @DrRoderickTung @isha229 @IJNDotComDotMy @murphy_lzy @JeffZhanghk2017 @sabarisarav @Mya49099911 @Hapa_EP @sachinjv

2022: 1st AF ablation (another hospital). 2023: recurrence. Pentaray showed completely isolated PVs. CNA due to vagotonia. 2026: recurrence. HD-Grid map showed LSPV and RSPV reconnection. Question: Did the pentaray fail to show EGMs due to bipolar blindness? #epeeps #ensitex

First use of single shot ballon based PFA ⁦@AlfHeartCentre⁩ good contact, comprehensive PVI & PWI

CO₂-assisted pericardial access: fewer complications than dry access - regardless of needle choice (Tuohy or Micropuncture). Evidence keeps building. jacc.org/doi/10.1016/j.… @CleClinicHVTI @castellobrancob @bruno_wilnes

Dr. Dhanunjaya Lakkireddy walks through how myocardial inflammation, micro-scar formation, & Purkinje system involvement can explain PVCs. Full discussion on the MedicalVisual Clinician Hub: hcp.medicalvisual.com @DJ_Lakkireddy #Myocarditis #VentricularArrhythmias

Ablation of a left ventricular summit premature ventricular contraction using radiofrequency through a guidewire

As described by Wilber et al, in a subset of patients with inferior MI, "an isthmus of surviving tissue between the scar border and mitral annulus appears to constitute a critical region of slow conduction." This isthmus provides a target for VT ablation. doi.org/10.1161/01.CIR…

Refining activation maps of atrial tachycardia! 👇 Near field EGM detection with peak frequency emphasis highlighting the critical site of reentry. #EPeeps

This multicenter trial shows a high efficacy rate and an excellent safety rate for a novel balloon-in-basket #PFA device tested in both PAF and PeAF populations. Get the details: jacc.org/doi/10.1016/j.… #JACCCEP #afsymposium2026 #AFib #EPeeps

First-in-Nation: Integrating ViewFlex X SE ICE with VOLT PFA This week started with a meaningful milestone at St. Bernards Healthcare (Jonesboro, AR) — first-in-nation combining Abbott’s ViewFlex X Sensor Enabled ICE with the VOLT PFA platform. This builds on our prior experience with: • FIH clinical trial use of ViewFlex X SE • Post-FDA VOLT PFA cases as part of the VOLT LMR What stood out was how well imaging + mapping + energy delivery functioned as one ecosystem in a zero fluoroscopy / zero contrast workflow . Key takeaways 🔹 ICE integrated into EnSite X for real-time anatomic confirmation during PFA 🔹 Safe ICE-in-LA workflow and transseptal planning that reduced unnecessary manipulation in small LA anatomy. Integration helped support transseptal decision-making up front—optimizing trajectory and reducing unnecessary catheter manipulation in small LA anatomy. 🔹 Quick LA shell creation to confirm ridge/posterior wall/carina geometry early 🔹 Small atria lesion strategy: integration helped us decide tighter antral lesions vs intentionally addressing a posterior “critical isthmus” when the posterior corridor was inherently narrow 🔹 During VOLT delivery: very low microbubble visualization on ICE and no clinical hemolysis observed VOLT workflow highlights: single-catheter mapping/pacing/ablation, impedance-based contact visualization, balloon-in-basket (8 splines), selective electrode delivery; PVI ± PVI+ as clinically indicated (GA used). Grateful for the St. Bernards EP Lab team and the Abbott clinical support team. #ViewFlexXSE #VOLTPFA #FirstInNation #ICE #EnSiteX #ZeroFluoro #ZeroContrast #EPWorkflow #Innovation #epeeps @StBernards | @ARGJonesboro I @AbbottNews I @AbbottCardio

The pulmonary veins and posterior wall are isolated, but the patient is now in this atypical flutter 🪭. Which lesion set would you perform next? #EPeeps

Elimination of VT and PVC by Ablation of Oppositely Directed Re-Entrant Circuits -PVC ablation at a site other than the earliest activation site authors.elsevier.com/a/1lv-7,siTgof…

HCM related VT. Nice mapping. terminated in 2 seconds. Love #HDGrid #HDGridX #SagaUniversity

Great case of redo VT with investigational Tactiflex dual energy catheter on a patient with intramural substrate and previously failed 3 ablations including alcohol ablation. Patient was in incessant slow VT, entrained and terminated at the isthmus site with second PFA.

Interesting observation with contemporary approaches and high density VT mapping. Similar to what we found >10 years ago with point by point mapping and limited activation/entrainment. heartrhythmjournal.com/article/S1547-… Epicardial ablation is an important option in #HCM @natale_md @LuigiDiBiaseMD

Utilization of #AI based tools for delineating cardiac structures with ICE during #AblateVT cases as part of #FIH trials with new @AbbottCardio exceeded expectations - rapid definition of valves, paps in LV:

Peak Frequency Mapping to Differentiate the Sinus Node and Superior Vena Cava during Atrial Fibrillation heartrhythmcasereports.com/article/S2214-…

First-in-Human cases  with ViewFlex™ SE + EnSite™ X v5 at #ArrhythmiaResearchGroup Group and St. Bernards Healthcare as part of ViewFlex SE Trial. Pushing the boundaries of EP workflows with the first clinical use of the @AbbottCardio ViewFlex™ SE ICE catheter, now paired with AI-assisted map creation, Grid Mapping, and real-time Contact Assessment using Farapulse and PulseSelect PFA systems. Some of the features that caught my eye:     Physician-ready geometry with EnSite Echo     Simplified ICE navigation to stay focused on therapy     Single-handed deflection via auto-locking mechanism     Color-coded deflection indicators for intuitive control     Softer, more stable catheter with enhanced torque response      Sterile tip-to-connector (no sterile bagging)      Single catheter cable = less clutter, more efficiency     Contact is critical in PFA — and the new Contact Index on EnSite X v5 lets you validate contact instantly and tag lesions appropriately. Powered by AI. Backed by precision. Designed for EPs. A simplified, smarter, and safer workflow is best workflow ever. #FirstInHuman #ViewFlexSE #AIinHealthcare #ICEIntegration #CatheterInnovation #PFA #MedTechInnovation #epeeps @AbbottNews

Well-visualized VT circuit in ischemic CM— good job, team! #HDGridX #EnSiteX #SagaUniversity

Inspiring day at the #ReVoltAgainstTheOrdinary event in Frankfurt exploring powerful data and workflows with #VoltPFA. Thanks to our incredible faculty, speakers, and attendees for helping us push the boundaries of what’s possible in #AFib care! #AbbottProud

Pulsed-Field Ablation With a Pentaspline Catheter for Ventricular Arrhythmias: First US Series @arwayounis2 @CleClinicHVTI @hrs_journal heartrhythmjournal.com/article/S1547-…