Charles Te

You too can make ablate and pace (CSP) an elegant procedure, approx 1hr procedure time. Make pocket. Get access. Place lead. Ablate from pocket. Add atrial lead. (If necessary) Tie down lead(s). Irrigate. Attach device and tie down. Close pocket. h/t @SergioPinski

We’d like to introduce the new 👉 editorial series with narrated videos and illustrated images: Fundamental Anatomy and Its Impact on Clinical Practice in ‘Da Vinci’ Anatomy Corner @JACCJournals #JACCCaseReports The first subject: Myocardial Bridging eur02.safelinks.protection.outlook.com/?url=https%3A%…

Transventricular VT Ablation Guided by LBBAP Lead in a Patient With Mechanical Double Valve Replacement Thank you very much for your inspiration @drtopaloglu @ACH_epteam @ozcanozeke @ElifhandeMD @drfiratozcan

Love the poster sessions at #HRS2025 Highlight was this MacGyver solution to DF-4 ICD lead downgrade to CRT-P problem. Since industry won't give us adapters, we have to get creative. 5mm Uni to IS-1 adapter with cut lead cap as insulator turns DF-4 ICD lead into unipolar pacing lead. -- Woo et al, including my friend and NP superstar Kelly Bergen. #HRS2025

🔥 LBCT #EHRA2025 Heart Sync-LBBP CRT vs LBBP in systolic #HF: prospective, RCT 200 pts, 1:1 ⭐️LBBP bests BiVp for: ♥️ narrower QRS duration ♥️ primary endpoint of combined #HF + death as well as 2ndry individual endpoints (mostly male, nonischemic, ⬇️ mortality)

* BREAKING* ABIM loses copyright infringement case against Dr. Jaime Salas-Rushford AND loses effort to seal opinion. Depositions, tactics, ABIM attorney insults, secret agreements: entire docket. All public now. medtees.com/content/SEALED… medtees.com/content/DNJ%20…

@heartablator @drjohnm @josoriomd Have a hunch the use of fluoro nowadays depends on when you finished fellowship and how long have been in practice. Today’s graduating fellows have prob never had to do a case without 3D mapping. No lead/fluoro cases could be routine for a fellow about to start practice.

@drjohnm @josoriomd perhaps this is something we can run in REAL AF. A survey on the prevalence of orthopedic injuries among operators in REAL AF stratified by whether they are or are not using fluoroscopy. Similar to the paper we did in Canada with David Birnie years ago.

Another thing about zero fluoro ablation is that is industry friendly and higher cost because you have to use an intracardiac echo catheter and 3d mapping.

@MattyOrtman @drjohnm @HRS_CaseReports A CS catheter or even ICE catheter can go in the liver too. Venous anatomy/tortuosity can be weird.

Complications happen—to EVERY operator, but, I stand by my contention that flouroless ablation is an unnecessary parlor trick. 1-2 min of X-ray is not a problem. Plus, the same operator doing a zero fluoro case, often does a CRT device w 45+ min of fluoro.

Imagine if your patients had their implant cards sent to their #iPhone immed’ly after their #RadialFirst coronary stent or #TAVR? Implants stored forever with legible, durable, transferable data that may prove essential. Stent size/length & serial number on back!

The long-term incidence of stroke in AF is low, especially after ablation of paroxysmals. Stroke scores are from another era and were not developed or validated in this population: CHADSVASC was derived from 20-year old data with ONE YEAR of follow-up. The treatment effect of statins, BP control, and reduced risk of HF may be contributing more to fewer strokes in AF. Recent AF screening trials have all shown stroke event rates lower than historical. We need a clever and cautious way to redefine risk stroke in contemporary AF patients before assuming that the historical reduction is all from therapy. #AHA24

@drjohnm But it’s a core measure?

It’s late in London but here’s my hot take of the ABYSS trial #ESCCongress — Okay to stop beta blockers after MI (good EF) medscape.com/viewarticle/be…

@kendallbaker See his live show. It’s incredible.

How the heck does he do this…?

3D LEADS

Elias Sports Bureau reports tonight is the first Red Panda 5-bowl, MidFirst halfcourt shot combo

Iconic Figures: The first catheter ablation Free to all! heartrhythmjournal.com/article/S1547-…

@doctorwes @InfoNbpas @ACCinTouch @HRSonline @narrowQRS

@X21173200 I don’t know where video may exist, but here is the text.

Looks like I have upset @CardiologyCoder on my comments on his comment on modifier G2211. Didn’t mean to offend. Code makes sense for some situations but take caution using it right now. It’s still very new. x.com/charleste/stat… #Epeeps

@CardiologyCoder As Medicare has to stay budget neutral, they decreased reimbursement for other codes to allow for this one.  Medicare has stated that they are still considering it and if they decide to pull back, they will come back and recoup any payment they had made

@CardiologyCoder this is what they mean when they say it can’t be used with a 25 modifier on the office visit. Right now in our region the reimbursement for this code is $15.42 per the Medicare fee schedule.

Cardiologists should be reporting G2211 for the vast majority of office visits. This is a big financial opportunity. Passive income.