Paige Reisman - EP

Meet Volt™ PFA System, now FDA-approved: The latest-generation tech to treat AFib. Shorter procedures, smoother recovery, and better long-term results — Volt makes it possible. More 👉 abbo.tt/3Le5vf6

Novel Pacing Maneuvers for Mapping the Upstream Insertions of Unidirectional Accessory Pathways heartrhythmjournal.com/article/S1547-…

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:

That feeling of a one-burn ❤️‍🔥 termination during bigeminal LV summit PVC ablation! Although this time it took 11 long seconds for the PVC to suppress with RF just below the LCC. Does that mean the focus was just deep or were we not exactly on the right spot? #EPeeps #GridX

Day 1 at #HRS2025 off to a great start with our annual the EP Fellows program. Always one of my favorite examples of clinical collaboration, featuring hands-on learning btwn our mappers and future EP leaders. Next session at 2pm next to Rhythm Theater 2.

Enjoyed assisting with some workflow and technology improvements in FIH trials of novel Viewflex X ICE catheter from @AbbottCardio -- we performed ablation of PVC from suspected intramural site with RF to septal RVOT and adjacent ASOV. Will be curious to see what @dhakalbish thinks with his @PennEPFellows based ICE approach in trials tomorrow. Contouring of key structures including pap muscles and ASOV shown below: @AMatthews0 @mikelean @Zachkoch13

#ViewFlex with #ViewMate Multi confirming #TactiFlex location and contact during CTI ablation #PMA

RT @masonmaps: The notorious papillary muscle PVC. Originating from the lateral aspect of the AL pap, these bigeminal PVCs were eliminated…

Monday started with First-in-Human Use of “ViewFlex X SE” ICE Catheter with @AbbottCardio I've always loved using the ViewFlex ICE for its exceptional image quality, but now with seamless ICE integration into Ensite X, this is a total game-changer that enhances precision like never before. Some features that stood out to me 🔹 ICE Integration with Grid and FAM Mapping - Real-time visualization that aligns perfectly with 3D GridX and FAM maps. This precision ensures more efficient targeting of critical anatomy, improving procedural accuracy. 🔹 Smooth Transition to the Left Atrium Despite its softer shaft, the ViewFlex X SE provided excellent maneuverability and control, allowing smooth navigation to the left atrium while maintaining consistent imaging quality. 🔹 Maintaining Outstanding Image Quality For those of us who’ve always trusted the ViewFlex ICE platform for its superior imaging, this new catheter doesn’t disappoint—it adds seamless integration without compromising clarity. #3DMapping #PrecisionMedicine #ViewFlexXSE #Innovation #EPWorkflow @StBernards #epeeps #ArrhythmiaResearchGroup

Premature His Bundle Complexes distinguished AVRT and AVNRT with 100% Specificity and Sensitivity irrespective of location. A simple & intuitive maneuver. PHC delivered 42 msec ahead of HIS, perturbed A1-A2 by 15 msec = AVNRT. @PadanilamBenzy @Ashit_EPS @EP_EmilyS @AbbottCardio @CirculationEP #EnSite doi.org/10.1161/CIRCEP…

Prior to start of the case we predicted critical isthmus to be originating from anterior scar in LA based on morphological similarities w/ NCC AT. ICE nicely shows relationship between flutter term and cusps @forkknifecab_EP #PMA

Patient Hx 3 yrs post Cryo PVI & CTI. 3 months post PFA of posterior wall. Presented in 340 ms tachycardia. #HDGrid showed scarring with slow conduction through left atrial roof and floor. Termination at isthmus, confirmed with entrainment, with #TactiFlex. @LydTrautEP #PMA

Atrial Flutter with suspected shared neighboring trigger, a nonsustained intra-CTI centrifugally activated AT. P-wave morphology consistent with Tricuspid Annular Focal AT described by @peterkistler3 et al @JACCJournals sciencedirect.com/science/articl… @EP_EmilyS #PMA #EnSite #AlwaysEntraining

My PVC summer continues! 120 ms QRS PVC suspicious for fascicular origin near PM pap. 2 targeted exits and 2 morphology changes later finally got it-mapped earliest Purkinje 30 ms pre at the septal insertion of a LV false tendon. Great mapping @forkknifecab_EP #EPeeps

CL 328ms and VA 217ms….the CL 273 ms and VA 132ms…..notice difference in QRS. Which law are we observing? #PMA

Prior cryo and CTI line for this patient, returned in atypical flutter. Fractionation and slowing on both the roof and mitral annulus, collision on CTI. Where to burn first? #PMA

PAC perturbs HIS but does not affect A-A proving AT #PMA @EPS_PDX @LydTrautEP

Remote mitral valve repair. Presented with alternating mitral and roof flutters confirmed by entrainment. Anterior wall scarred so opted for anterior mitral line. Nice termination shot of the mitral flutter. Excellent mapping @LydTrautEP @georgecrowell #EPeeps

A Nodal response to Parahisian Pacing was surprisingly discordant to a timely PHC delivered <20 msec to measured HIS bundle potential during tachycardia, perturbing subsequent A. Earliest A mapped to Superior Lateral Tricuspid Annulus, participation confirmed with reset. Always neat to see, when unexpected. #EPeeps #PMA @PadanilamBenzy @Ashit_EPS @madiwcEPdrop ahajournals.org/doi/pdf/10.116… x.com/forkknifecab_e…

Here is a video clip of Papillary muscle PVC ablation showing how #ICE provides real-time visualization of cardiac structures and continuous monitoring of catheter location. Please turn the sound on.