Peter Jessel

TALES Lead Extraction Symposium March 21st 9 am FREE and VIRTUAL Register now talesymposium.com #EPeeps

@ba_steinberg @OHSUNews @OHSUCardio Surprisingly few references to Macgyvering in the medical literature. Seems a good fit for extraction… things sometimes do not go as planned. Great work by Okada and colleagues! doi.org/10.1016/j.hrth…

And the award for Best Pop Culture Reference in a Heart Rhythm editorial goes to...👍👏👇 @PeterJesselEP #ChuckHenrikson @OHSUNews @OHSUCardio "Facilitating complete extraction in separated leads—MacGyvering lead integrity with a multipurpose catheter" heartrhythmjournal.com/article/S1547-…

@LaithAlkukhun @sanghaimd @dshim99 @KDalouk @B_Naz_MD @seshadribalaji6 Great work Laith. We’ll miss you in Portland!

Finally a cardiac electrophysiologist!!! Thank you @PeterJesselEP @sanghaimd @dshim99 @KDalouk @B_Naz_MD @seshadribalaji6 Eric Stecker, Charles Henrikson, Ignatius Zarraga

heartrhythmcasereports.com/article/S2214-… a fun write up of our early experiences with this great group. @PeterJesselEP @OHSUCardFellows @CBhamidipatiDO @PDXHeartValveMD

Great work by two outstanding trainees! My lesson; just place a temp line rather than trying to avoid one when needing a second Micra in a dependent patient. There may only be one good location that’s already occupied.

@MelbourneEPdoc @MarceloHelguera Asterisk at the bottom of the figure, so 1 in control, 19 in dual. All max output (200J), 2 different vectors.

@PeterJesselEP @MarceloHelguera How many in your control group failed with 360J @PeterJesselEP ?

Double defibrillator to terminate AF when large patient/ high impedance.

@ecgrhythms @CardioAPFerrol Our patient’s system was still functioning at time of publication! doi.org/10.1161/CIRCUL…

@CardioAPFerrol No I'm sure there is a lot to know & be surprised...I just remembered reading a long 🧵 something like 👆which many said a thing of the past.

El #CasosECG de hoy nos parece tan insólito, que regalaremos una taza de #CardioTopo ❤️🕵️‍♂️al primero en acertar el diagnóstico (solo envíos a 🇪🇸) Os voy a dejar hasta domingo para responder, si es que no acierta nadie antes #Cardiology #CardioTwitter

@AveragingBogey @EPeeps_Bot @zhalemd doi.org/10.1093/europa…

#EPeeps strange LBAP case last week by @zhalemd w me watching in the peanut gallery. At initial position, LVAT 84ms w output dependent alternation in QRS typical of NSLB->sel-LB, but just for one beat which is a little odd. See EGM on pacing lead—c/w this

@AveragingBogey @EPeeps_Bot @zhalemd Thanks for sharing this case. To my eye it looks like there may be more latency before onset of QRS at your 1st site(although noisy), but at 2nd site there is little. Can you measure V6-V1 interpeak interval at each site that @Marek_Jastrz_EP describes?

@sanghaimd @OHSUCardFellow @OHSUCardio @B_Naz_MD @seshadribalaji6 @UMassCardio @TuftsMedicalCtr Congratulations! 🎉

Last weekend call as a trainee.Grateful to family, patients, mentors, colleagues. Proud of self for surviving.Nostalgic about great memories along the way.Excited about the future @OHSUCardFellow @OHSUCardio @B_Naz_MD @seshadribalaji6 @PeterJesselEP @UMassCardio @TuftsMedicalCtr

@AveragingBogey Nice technique! Curious which size/manufacturer balloon anchor was used?

#EPeeps. Yowza vein tortuous. Enter balloon anchor to save the day

@jeffrey_vinocur We use 0 silk figure of 8/Z-stitch for AF same day discharge, then take out next morning when they come back to clinic. Doubt there is much additional benefit after overnight to keep in longer.

#EPeeps Didn’t someone report using absorbable suture for modified figure-of-eight / pursestring and sending patients home with it intact? I am intrigued by this idea.

@KevinDr_ver @EJSMD @ChristHospital That sounds reasonable and we make sure the Tyrx top of the sandwich is still directly under the incision including the superior lip. I doubt it moves once the incision is sewn given how much resistance there is.

@PeterJesselEP @EJSMD @ChristHospital My suspicion is the TYRX really needs to abut the incision directly

Life hack for device docs — Try turning your TYRX pouches inside out. H/t Kim from @ChristHospital EP lab. #EPeeps

@DrRoderickTung @pabsala @DrGregMichaud @HughCalkinsMD Nice one! Here’s our recent SLP potential, fun to try and dissociate from the A and V.

First legit slow pathway potential that I have appreciated in atypical AVNRT @pabsala (D1D2,anterior to CS os). Grid smashed into a Triangle of Koch. @DrGregMichaud @HughCalkinsMD

CONTINUOUS pacing while screwing LBB lead - fantastic method for depth assessment just published mp.pl/kardiologiapol… #dontdisthehis

@drdavidsingh @bbnmd74 Our experience showed even late perforations occurring months after implant usually come out ok. Good to be prepared. doi.org/10.1111/jce.14…

@bbnmd74 Pulling it out in OR with our surgeon Tommorow. Hopefully without having to convert to open.

Any guesses about the problem here?

Register now! Panelists include Pugazhendhi Vijayaraman, Valentina Kutyifa, Santosh Padala; co-moderated by Parik Sharma & Jordana Kron #AHAJournals #Epeeps @Hisdoc1 @santosh_padala @VKutyifa @jordanakron1 @psharmadoc @Wanginnovate @DanielPMorin ow.ly/WluT50DVAgl

Now with working link... doi.org/10.1111/jce.13…

We called it dual cardioversion and have found it very helpful for our well fed Americans here. doi: 10.1111/jce.13994