Detlef

First 10 cases completed using #VOLT technology. Key learnings so far: steep learning curve for PVI (RIPV sometimes tricky), no coughing (even under just deep sedation), septal substrate modification possible (see case below). And of course: full integration in 3D mapping #EnsiteX #everypatientdeservesamap @AbbottCardio @MBraunEP @VanessaSciacca_ @MoneebKhalaph @Cardioschool @melhamriti @AGEP_DGK @YoungDgk @DGK_org @EHRAPresident @MBergonti @RolandTilz @ChristianHeeger @danielsteven_ep

First in Europe- today we at the #HDZNRW had the pleasure to work with the #EnsiteX 3.1.1 and the new Contact Index module. Electrical coupling information (129Ohm baseline) and before PFA (52-69Ohm, indicating a firm tissue contact) will contribute to better lesion prediction and hopefully enhanced patient outcome. Pre (in AF) and post-ablation voltage mapping (Voxel Mode) demonstrating good lesion delineation. #everypatientdeservesamap #mappingmatters #contactmatters @chris_sohns @AbbottCardio @sachinjv @AGEP_DGK @YoungDgk @DGK_org @ChristianHeeger @RolandTilz @danielsteven_ep @jongichun @VanessaSciacca_ @MartinBraun @melhamriti @MoneebKhalaph

👇Incessant Biatrial AT Meets HD Grid X👇 👉 I had the honor of performing the first commercial case using the #HD_Grid_X catheter in the German-speaking countries (Germany, Switzerland, and Austria) 🙏🙏 👉 The activation map revealed a biatrial AT, with termination of the tachycardia occurring 9 seconds after RF energy delivery🤩🤩 👉 #HD_Grid_X undoubtedly enhances procedures by improving precision, safety, and efficiency #EPeeps @AbbottNews A lot of thanks to @Phiso_de @MBraunEP and our @HdzNrw Team! @chris_sohns @VanessaSciacca_ @MoneebKhalaph @Cardioschool @N_Trajkovska @GNageler @SentisAndreas @steeb_chr @StephanWinnik #CardioTwitter @Natalie_L_Ab

Today we introduced the new and now available #Abbott Advisor HD-Grid X as a first case in DACHPL. It demonstrated convincing fast and accurate electroanatomical mapping! Thanks to the whole Team, especially to @ChrSteeb and @melhamriti @PhiSo_de, @chris_sohns, @VanessaSciacca_

👇Transbaffle Puncture for Mapping and Ablation of Arrhythmia in TGA patients After Mustard Correction👇 #EPeeps Here is an overview of one of my favorite procedures: arrhythmia ablation after Mustard correction (In 6 steps): 👉 Step 1: Perform baffle angiography. 👉 Step 2: Monitor pressure during puncture of the lower portion of the baffle. 👉 Step 3: Insert the wire into theRSPV. 👉 Step 4: Advance the sheath over the wire into the pulmonary venous atrium. 👉 Step 5: Introduce the mapping catheter into the RSPV (and carefully assess the signals). 👉 Step 6: Perform angiography of the RSPV. 👉 Final Step: Enjoy the procedure! 👈 @Phiso_de @chris_sohns @MBraunEP @VanessaSciacca_ @MoneebKhalaph @Cardioschool @AbbottNews @steeb_chr @_JanzenD @AGEP_DGK @YoungDgk @medinbox

We are happy to host the 🫀 #VTSchool today with ⚡️ #EP_Kiel @veramasloo Fabian Moser in @UKSH_KI_HL and @DavidDuncker @NKarfoul from Hannover. Together with @AbbottCardio @RominaKrger5

👇PVI and Challenging Heart Anatomy: Dextroposition of the Heart👇 👉 A 57-year-old patient with symptomatic paroxysmal atrial fibrillation and atrial flutter had their heart shifted to the right side due to a previous pneumonectomy. Despite this, we performed PVI + CTI ablation 👉 The patient had frequent SVEs with early activation in the LPV, and triggered atrial fibrillation. 👉 Post-PVI, automatic activity was observed in the LPV without atrial conduction (scene 4-5)🤩🤩 👉 Learning points for me: 1. PVI is reasonable and feasible in patients with altered anatomy #EPeeps 2. Proper adjustments, such as using RAO 20° instead of LAO 40°, are essential to accommodate the heart's position and ensure procedural success and safety (scene 2) 3. #Ensite_X from @AbbottNews provides very accurate mapping (scene 3) @Phiso_de @MBraunEP @chris_sohns @VanessaSciacca_ @MoneebKhalaph @Cardioschool @DFahadAlmehmadi @ECGEPSCADEVICE @ecgrhythms #CardioTwitter @EHJCREiC @ESC_Journals @steeb_chr @_JanzenD

👇Idiopathic epicardial and focal VT; have you seen this before❓👇 A young patient with normal LVEF, MRI, and other diagnostic findings presented with incessant refractory and highly symptomatic tachycardia for several months. The patient had previously undergone an unsuccessful ablation attempt externally (endocardial + CS without effect). With the first RF pulse in the epicardium, the tachycardia was terminated permanently🤩🤩 #EPeeps It is wonderful that the patient can now return to a calm and normal daily life😊😊 @Phiso_de @MBraunEP @VanessaSciacca_ @chris_sohns @MoneebKhalaph @Cardioschool @steeb_chr @AleSpoken @AbbottNews #CardioTwitter @AGEP_DGK @_JanzenD

3-D mapping in #Farapulse procedures now even more helpful: Ensite X v 3.0.2. with enhanced visualization of the pentaspline catheter. @AbbottCardio @BSCCardiology @AGEP_DGK @YoungDgk @chris_sohns @melhamriti @VanessaSciacca_

⚡️MUST WATCH: #VOLT BOX CASE in 138 seconds⚡️ 🥇 FIRST IN GERMANY🥇 🏀"balloon in basket" pulsed field ablation for treatment of #AF ‼️investigational Device - #VOLT study ‼️ ✅time to ambulation - one hour 🙏Team #EPLuebeck @AGEP_DGK @YoungDgk @AbbottNews @drjohnm #EPeeps

🥇FIRST IN GERMANY🥇 🎈"balloon in basket" pulsed field AF ablation ⚡️#VOLT catheter and 3D map ‼️investigational Device - #VOLT study 🙏Team #EPLuebeck @AbbottNews @giuliavogler @UKSH_KI_HL @UniLuebeck @AGEP_DGK #EPeeps @Phiso_de @KardiologieHH #EHRA @Dominik_Linz

#Epeeps no weekend-work in EP? Today, incessant VT with >50 shocks despite hemodynamic support and sedation…. First epicardial RF terminated in 11s. @HdzNrw @melhamriti @MoneebKhalaph @MBraunEP @chris_sohns #weekend