Paul Mccallum
1.1K posts
Paul Mccallum
@Paulmcc05
Go Gamecocks!! 🐔
Lexington, SC Katılım Haziran 2017
480 Takip Edilen249 Takipçiler
Incessant AT/AFL post AF ablation( PVI)! TCM( EF: 30%)! Coherent map revealed discrete / narrow isthmus on posterior LA ! Single RF terminated tachy here👇! #Epeeps
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Paul Mccallum retweetledi
HRS Congress 2026 – Dr Christopher Porterfield discusses key findings from the REAL-AF Registry, highlighting real-world safety and effectiveness of variable loop circular catheter PFA across a broad range of patients and procedures.
The registry shows how PFA is performing in routine practice, with effectiveness and safety tracked through to 12 months.
Watch here 🔗radc.life/WxIcuk6q
#HRS2026 #AFib #AtrialFibrillation #PFA #EP #Cardiology #CardioX
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@Paulmcc05 @ftrae Guessing the flutter was MA related to the gap at annulus from the anterior line?
Obviously we don’t know the history but if that mitral line was empiric, that pt may have been arrhythmia free at 1.5 years and the post would read differently
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PFA a year and a half ago, veins, posterior wall and mitral isthmus line. This was the pre-map on the re-do, patient was in atypical flutter.
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PFA may have taken away Fellows' chances to learn detailed PVI catheter skills but, in return, they're getting to map a lot more atypical flutters...
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@Mercantile31095 Exactly and physicians should care more about quality than speed.
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@Paulmcc05 Patients shouldn’t have to differentiate. They didn’t go to school to practice knowing all the answers like us of course
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Paul Mccallum retweetledi
@Paulmcc05 @pjsm83 I literally had the same thing yesterday. My own redo, 18 months ago pentaspline PVI + PWI. Returned with counterclockwise, mitral flutter, left veins and posterior wall reconnected.
Terminated w anterior mitral line and then I resonated the LPVs and PW
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@Mercantile31095 I think the fact that PFA is non inferior to RF but the adoption of it for unproven use blows my mind. I ask myself before every case, if that was my family member on the table or myself, what would I want? Unfortunately most patients don’t have the knowledge to differentiate.
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@Paulmcc05 Sweet profile pic. But do you think this is because PFA simply is not that great?
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@ftrae Also, why did we suddenly stop post ablation testing with adenosine or isuprel, and a waiting period?
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Paul Mccallum retweetledi
We need more robust remapping data for PFA performed outside PVs
Paul Mccallum@Paulmcc05
PFA a year and a half ago, veins, posterior wall and mitral isthmus line. This was the pre-map on the re-do, patient was in atypical flutter.
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@ftrae My thoughts exactly, we have no data beyond PFA for veins. Avant-guard was a selective trial, excluding the most persistent pts.
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Paul Mccallum retweetledi
Japanese physicians are now skeptical or so wary about recommending WATCHMAN to their Afib patients.
BostonSci Cardiology@BSCCardiology
Did you know 70% of AFib-related strokes result in death or permanent disability?¹ This #StrokeAwarenessMonth, learn more about the latest clinical data on how to potentially reduce the risk of stroke in your AFib patients with WATCHMAN. See the data qrco.de/bgnLEp ¹Holmes DR. Atrial fibrillation and stroke management: present and future. Seminars in Neurology. 2010 Nov;30(5):528-536. DOI: 10.1055/s-0030-1268861. PMID: 21207345 WATCHMAN FLX Pro Left Atrial Appendage Closure Device Indications, Safety, and Warnings: qrco.de/bg3esL
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RT @drjohnm: I was told recently by an enthusiastic colleague that how one looks at recent CLOSURE and CHAMPION data on left atrial appenda…
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@gennarofabiano @IacopinoSaverio @GVMCareResearch @MDT_Cardiac Could this have been a GP vagal ablation that custard vagal termination of flutter?
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@Paulmcc05 @IacopinoSaverio @GVMCareResearch @MDT_Cardiac The signals in the target area look promising. The bipolar map speaks for itself — let’s see whether this is a CVE. 🤷
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Atypical atrial flutter terminated with Affera Sphere 9 ⚡️ Rhythm restored on the first application ✅ #AfferaSphere9 #PFA #AtrialFlutter #HeartRhythm #Electrophysiology #affera #CardiacAblation #EPeeps #epees #electrophysiology
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@gennarofabiano @IacopinoSaverio @GVMCareResearch @MDT_Cardiac Any entrainment? High density mapping? Maps are a tool in EP, not the end all and be all. I’ve seen lower loop right atrial flutter terminated by PFA at the left superior vein.
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Republicans in the South Carolina state legislature began the process of extending their session to allow for the redrawing of the state’s congressional map — with one goal in mind: eliminating the state’s only Democratic House district that is occupied by a Democrat.
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@xxGritzNGravyxx @ShooterMcGavin Correct, completely disrespectful of the course, other members and staff.
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@ShooterMcGavin Not if you’re a greenskeeper, get this dude off the course, ban him for life for fucking up the course like that
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@preshtalwalkar The car is not in any box, it’s on all three boxes
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Paul Mccallum retweetledi
Thanks @drjohnm for highlighting my final remarks on the new PFA era on your weekly podcast “This Week in Cardiology”. It is truly an honor.
open.spotify.com/episode/1EFQPd…
ALBERTO ALFIE@ALFIEEP1
After 20 yrs in EP, I’ve never seen hype like PFA. Point-by-point RF—when done properly—delivers excellent results, with no clear superiority of PFA. Are we driven by better outcomes, or by speed, simplicity, and industry momentum? Time to refocus on science over marketing.
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