Pasquale V. Falzone

Online OpenAcc. our small Pilot trial: PhysTAVI @CJCJournals CanadianJournal of CardiologyOpen LBBPvsRVpacing (AVBpostTAVI, ✅LVEF) ClinicalTr NCT04482816 Colab our Interv Card Group @hospitalclinic @AnderRegueiro @JlmontGirbau @tolosanaviu @EduGuasch cjcopen.ca/article/S2589-…

🚀 New publication alert! 🎓NERA-PVC study investigates the safety and effectiveness of non-endocardial RF ablation for treating premature ventricular complexes. A promising alternative when conventional approaches fall short. @Pask_27 onlinelibrary.wiley.com/doi/10.1111/jc…

@JRgar10 @AbbottCardio @ritmo_SEC @PabloFdezdeAspe @RVazGar Congratulations! Can’t wait to try the system 🙃

First experience with Volt catheter in A Coruña, 2 PVI cases + CTI line made with PFA. Congratulations a everyone and thank you for the support to @AbbottCardio @ritmo_SEC @PabloFdezdeAspe @RVazGar

🔥 New publication alert! NERA-PVC study investigates the safety and effectiveness of non-endocardial RF ablation for treating premature ventricular complexes. 📄 Read the full article in @JCardioEP . #EPeeps #ablation @ivroca @ArritmiasHMar

#Epeeps Recent evidence suggests that a simplified approach to #LBBAP procedure/follow-up is possible, increasing the potential for offering it anywhere and to any patient. @hrs_journal @ritmo_SEC @HaranBurri

@hrs_journal @HaranBurri Congratulations to @HaranBurri et al. We believe this work builds on the evidence that a simplified approach to LBBAP# is possible, as our group recently described in a study of over 100 patients: Heart Rhythm. 2024 Dec 24:S1547-5271(24)03703-2. doi: 10.1016/j.hrthm.2024.12.030.

@Hapa_EP Here comes the interesting part. Unipolar EGM was a QS, but pacemapping was only 85%

@Pask_27 The LAT map in the RVOT looks great! Broader breakout though and only -20 msec. How did the unipolar egm look? Also was pacematching performed in the RVOT?

A nice way to start the week. Patient in her mid 70s with PVCs induced cardiomyopathy. QRS morphology compatible con RVOT (?). During mapping in RVOT, -20 ms precocity was achieved, but in a large zone and RF application did not achieve PVC suppression (continues)

@Hapa_EP Thanks for your comment. We noticed the different morphology, but we interpreted as positional, because every EKG recorded in the outpatient clinic looked the same as the clinical EKG I posted. By the way, what do you think about LAT map in the RVOT?

@Pask_27 Although the PVC is V4 transition in the clinic ECG, it seems transitioning slightly earlier than sinus - bigger R/S ratio in V3. And in the ECG from the procedure, the PVC has abrupt V3 transition, along with notching on the V1 downstroke, which makes me suspect R/L jxn (ILT).

#EPeeps #ablatePVC @hospitaldelmar @ArritmiasHMar @ermengolvalles @ivroca @aportasanchez

@albertobareng It was a tough decision, but we performed PVI either. We were already in LA, the patient was in her mid 60s and had CV risk factors. In a younger patient without CVRF, probably the procedure would ended right there!

@Pask_27 did you perform also PV isolation? 🤔

When you “incidentally” find a concealed left accessory pathway (and induce AVRT) while mapping LA for AF ablation 😁.. Pentaray was already in LA, so let’s map (and burn) it! #EPPeeps #AVRT #AFablation #CARTO #pentaray

@tomdepotter I always wear lead, even if the procedure is supposed to be 100% fluoroless. As an early career operator, I feel more comfortable if I know that I could use fluoro if needed (although 99% of the procedure ends up with 0 seconds of fluoro).

Hey #EPeeps help me out. If you had an X-ray where 2 minutes of fluoro equals operator exposure (outside lead) of 100-200 nanoSv (aka banana dose - daily outside dose is magnitude higher at 2-10 μSv) and you use minimal fluoro would you wear lead for PVI Context see next post

Guess who performed his first Micra VR implantation? 😉. Special thank’s to @ermengolvalles for guiding me 🙏@ArritmiasHMar @hospitaldelmar #micra #leadless #lessismore

First European cases of #HDGridX. Amazing anatomy, no need for shaving and immediate collection, no shifts, 100% time high confidence acquisition, "just" real anatomy. Look LA anatomy without NO editing and its merging with CT. @laiallorca1 @OriolMartinT @hospitalclinic

#EPeeps Is it feasible to perform a CSP implantation procedure guided only by intracavitary and surface signals from pacing system analyzers? Find out in our latest article published in Heart Rhythm Journal. DOI: 10.1016/j.hrthm.2024.12.030 Thanks to all researchers!

It’s too late, she’s gone 😉. I was literally listening to the song “It’s too late”, by Derek and the dominos, while I deployed the effective RF pulse 😂 #EPeeps #ablation #wpw @hospitaldelmar @ArritmiasHMar

@jvillacastin Bloqueo de rama derecha enmascarado. Indica trastorno muy severo de la conducción IV.

Siguiendo con los bloqueos. Este señor de 73 años está asintomático. Qué bloqueo te parece que tiene en este electrocardiograma?

@PSanchezSomonte @hospitaldelmar Thank’s for the tip, next time I will try 😊

@Pask_27 @hospitaldelmar Great! Congrats! Try to place the esophageal probe without xray next time, it can be seen on ICE as well 😀 😉

Fellowship is over, but learning never will be! First (almost) fluoroless PVI with #EnsiteX at @hospitaldelmar . #ICE guided transeptal puncture, just 2 seconds of XRay to place the esophageal temperature probe. HD mapping with #HDGrid, ablation with #Tactiflex. #Lessismore