Giovanni Coluccia

Celebrating 1yr since the publication of our Atlas of ConductSystemPacing #LBBAP #HBP! Thanks @ilpensiero for their support & to the readers for their trust! I hope it has been (& will be) useful to become confident in recognizing #CSP in your procedures! tinyurl.com/CSPAtlas

@syamkumarmd @KostekMilan I definitely agree. Thank you @KostekMilan for tagging me!

@KostekMilan @javadm20 @JoySanyal74 @DaveRichley @enes_elvin @ugurcanpolatmd @drjohnm @Marek_Jastrz_EP @curilakarol @messapus @OCanoPerez @jeffrey_vinocur @Basalus @ALFIEEP1 @MargaridaPujol @drpmoskal @AllenAmornMD @UyenChauNguyen1 @Dr_JozaEP @DrAhranArnold @kvernooy @MihailChelu If there is stable junctional escape and good hemodynamic parameters, we don’t do it routinely. TPI is always considered an incremental infection risk

❓ temporary pacing YES/NO ❓ I'd like to ask electrophysiologists implanting permanent peacemakers whether they consider the temporary pacing mandatory in this setting prior to permanent PM implant. See 🧵 with 🔗

54F with presyncope and shortness of breath. #ECG revealed complete AV block, in the absence of reversible causes. Echocardiogram and cardiac MRI were normal. #LBBP allowed complete restoration of physiology! #Epeeps, enjoy some nice tracings here!👇

60M, DCM, EF 30%, sustained monomorphic #VT episodes w/several appropriate ICD therapies. #LowFluoro mapping of the LVOT revealed gorgeous signals just below the Ao valve: RF there and VT gone in seconds #ablateVT #EPeeps Proud of starting my experience @ V. Fazzi Hospital Lecce!

69M with pers typical CCW atrial #flutter and inferior vena cava occlusion. 1st time for me to perform CTI #ablation with a superior approach (I used it for AVJ and APs abl) from the right subclavian vein. No need for fluoroscopy! #Epeeps which access do you prefer in such cases?

@jacabreracardio @ilpensiero Thank you very much, Prof. @jacabreracardio, for your kind appreciation!!! 🙏

@messapus @ilpensiero Excellent atlas, I’ve had the opportunity to receive it, and thank you very much for the effort Giovanni y cols

Celebrating 1yr since the publication of our Atlas of ConductSystemPacing #LBBAP #HBP! Thanks @ilpensiero for their support & to the readers for their trust! I hope it has been (& will be) useful to become confident in recognizing #CSP in your procedures! tinyurl.com/CSPAtlas

@KostekMilan Thank you for appreciation and for the interest in our Atlas. Unfortunately, an English version has not encountered enough interest from my publisher, so far.. Let's see in the next future..! 🤞

@messapus Nice. What about the English version of your atlas? x.com/i/status/19658…

“A thing of beauty is a joy forever” (J. Keats). So, I am pleased to share these 👇 pearls, observed during a #LBBAP procedure in a 78F with syncope and documented episodes of complete AV block. Beautiful (electro)physiology in action! 😍 #ConductionSystemPacing #EPeeps

@curilakarol Thank you very much, Karol! 🙏 Your hope is also mine! 🤞

@messapus Very nice to see such excellent result in the are of 'LBBAP'. Lets hope we get back to LBBP with a standart criteria soon in the future ...

77M with hypertension, HFpEF and pers AFl. HD mapping of the LA revealed wide low-voltage areas on the posterior wall, with critical isthmus in between. The first RF application interrupted the #arrhythmia within seconds; a short #ablation line was done to connect scars. #EPeeps

@KostekMilan Thank you! 🙏🏻

UPGRADE to CSP ❗ In patients with PICM, upgrading to CSP could reduce the risk of all-cause death or HFH, as well as the incidence of procedure-related complications, compared to BVP. (n=69, of which 52 LBBAP, 17 HBP) or BVP (n=114) Congrats @messapus 👍🏻 heartrhythmjournal.com/article/S1547-…

#Epeeps, here our latest contribution in the field of Conduction System Pacing, just published in HR @hrs_journal 👉 tinyurl.com/PICMCSPCRT Comparative data suggesting a superiority of #CSP vs #BVP in patients with #HF and pacing-induced cardiomyopathy. #LBBAP #DontDisTheHis

Back from Bologna, Pisa, Rome, Naples, where I had the honor to speak in national meetings on arrhythmias and cardiac #EPeeps. Thanks to all the Organizers for having invited me, it was really exciting to meet (and learn from) friends and masters! Topics: #CSP #ECG #DontDisTheHis

@javadm20 @ilpensiero Not yet, we'll see! 🤞 Thank you very much, I really feel honored by your interest! 🙏

@messapus @ilpensiero Great; any English version?

59F with drug-refractory 2:1 paroxysmal AT; myopericarditis 5y ago. HD mapping revealed huge scars in the RA with reentry in between. #Epeeps, enjoy the pretty signals (& DiastolicBuffet©️) in the isthmus and all around! RF #ablation in the sweet spot restored SR. ..and #NoFluoro

LV summit PVC #ablateVT in a 64M with high burden, refractory monomorphic PVCs complicated by LV dysfunction (EF 40%, no LGE on MRI). Best precocity with juicy signals only in the great cardiac vein. RF 🔥on the endocardial aspect of LV summit suppressed PVC in seconds. #NoFluoro

#Epeeps, here my first PM implant using a persistent left sup. vena cava. In my few previous cases with this anomaly, indication was #CSP, CRT or ICD and I chose the right side. Not this time. Be creative with your stylets and consider longer leads for RV! linkedin.com/posts/cesario-…

Thought-provoking #LBBAP case today: how many #Epeeps would have stopped lead advancement at spot a) or b) instead of looking for QRS transition on UNI capture threshold test (only seen -and multiple- at spot c)? Would you have considered #ConductionSystem captured in spots a/b?

@OCanoPerez @Hisdoc1 @curilakarol @kvernooy @gauravaupadhyay @Marek_Jastrz_EP @KennethEllenbo1 @drpmoskal @HaranBurri @GDandamudiMD @Dr_JozaEP Congratulations on your really interesting paper! And thank you for sharing! 🙏

Check out our new ECG morphologic criteria to identify left bundle branch capture.@Hisdoc1 @curilakarol @kvernooy @gauravaupadhyay @Marek_Jastrz_EP @messapus @KennethEllenbo1 @drpmoskal @HaranBurri @GDandamudiMD @Dr_JozaEP kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…

@Dr_Pmorina @ZanonFrancesco @Marek_Jastrz_EP @curilakarol @KennethEllenbo1 @MargaridaPujol @pvijayaraman1 @micogriecomd @LinaMarcantoni @OCanoPerez @GDandamudiMD @ugurcanpolatmd Thank you for your comment, @Dr_Pmorina, I appreciate it very much and could not agree more!!! 🙏🏻

@messapus @ZanonFrancesco @Marek_Jastrz_EP @curilakarol @KennethEllenbo1 @MargaridaPujol @pvijayaraman1 @micogriecomd @LinaMarcantoni @OCanoPerez @GDandamudiMD @ugurcanpolatmd "HBP is difficult, the pacing parameters are bad,and threshold increase over time" This comments are recurrent statement in most articles based on older studies using inadequate HBP techniques. With rigorous techniques,short and long-term HBP are safe and the most physiological

#Epeeps, please do not abandon His bundle pacing! Look at our latest data here👉tinyurl.com/HBPCOI about long-term outcome of #dontdistheHis with CurrentOfInjury vs #LBBAP. And guess what..? No difference in the risk of lead-related complications! @ZanonFrancesco @Dr_Pmorina