Chris Lang
104 posts
Great look at the speed and simplicity possible with #VoltPFA and #HDGridX in this PVI case.
Thanks, @EP_TylerHunt, for sharing how these tools can help support accurate and efficient #PFA workflows.
Safety Info:
bit.ly/4eE22mD
bit.ly/4mZAgD0
#AbbottProud
Tyler Hunt@EP_TylerHunt
Speed is impressive… but simplicity might be the bigger win. HD Grid X pre → Volt PVI → HD Grid X post Volt PVI below ↓ #EPeeps #PFA #EnsiteX @AbbottCardio
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@Paulmcc05 I’m sure the company will tell you their algorithms for pulses have now been optimised to ensure more durable results!
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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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@cclang As in not using a 3D mapping system at all and just using fluoroscopy and electrograms?
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Always rewarding to see loss of retrograde conduction within a second of energy delivery!
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@SteliosDragasis @AfferaEP @MEfraimidis @koskinastavrina @athsaplaouras @ipetemil @petros_skalidis @K_Letsas @Kariki_O In what percentage of cases do you see this?
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Controversies in EP.
Who should not get an ICD after VT ablation?
Do you agree with these criteria?
@Phiso_de @chris_sohns @EPDeneke
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@javadm20 I don’t really like ablating in tachy for several reasons so when there is nodal/pathway fusion during V pacing I do an extra trans-septal puncture and place a steerable decapolar in the lateral LV. Makes it very easy to map and ablate
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Case 1: concealed left sided AP with known behavior! CS branch or LV pacing will help! Otherwise you’ve to map during tachy! #Epeeps
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@LisaForteUK As a Dr I can tell you that often when patients get the report of a test BEFORE seeing their doctor to explain it to them, whether that be blood results, biopsies or MRI scans, the information in the report OFTEN causes unnecessary anxiety and a panicked call to my office.
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It’s not like I’m going to get the report, read it, somehow understand the terminology and then decide on an impulse to follow along to a you tube tutorial on hip surgery 🤣 I just want to be able to take it to a dr 🤣
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So apparently the MRI scan I paid for I’m not allowed to be sent the report!?! They will send it to a Dr but not me. I know some will say it’s for xyz reasons, heard them all, understand them but don’t agree. I paid for it, I want to be able to take it to a dr I pick
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We just finished a 10-hour operation.
We managed to save the patient from the brink of death.
If you respect our work, leave a kind word. ❤️
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@Hragy I was a fellow in the femoral and subsequently radial era and we were all used to pulling femoral sheaths safely and effectively but nowadays they don’t have the experience and I agree best left to ‘old hands’. Hard to write for a while after tho 😂
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I am so #RadialFirst to the extent that if I perform #SafeFemoral I like to pull the sheath out and manually press myself, I do not like to leave it to fellows and nurses when I can, am a little paranoid!
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@TrackYourHeart @ManualOMedicine Haemo-pneumo
thorax. Got drunk. Fell over. Broke ribs.
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A 47-year-old man with alcohol-related cirrhosis presents with 2 days of worsening shortness of breath.
What is the most likely diagnosis?
@ManualOMedicine
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@Rainmaker1973 Cost to hospital of the latest drug eluting stents in UK ABOUT $200. Patients don’t pay anything to have them put in. We are so lucky
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@alex1708ander Im sorry but I don’t understand the point you are trying to make
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@cclang Sure you inflate them but under visual control. Thank you for your insight 🙏
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When blindly introducing a Swan Ganz PA-catheter from the left neck side, another dangerous surprise could be the unexpected presence of LSVC (left superior vena cava) #echofirst
⚠️ Inflating the balloon of the catheter can cause a fatal rupture of the coronary sinus ⚠️
Nikolay Dranishnikov, MD@NDranish
Unexpected finding in #echofirst TOE pre Heart-TX. I had a strange feeling and didn’t introduce the Swan-Ganz blindly in the induction room, probably avoiding fatal PE. Do you always check for intracardiac thrombi before putting the Swan-Ganz in?
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The AQUATIC trial may be the most definitive trial of #ESCCOngress
The common combo of ASA and OAC for pts with CAD/stent and AF is clearly been harming people. Lots.
MACE worse, Death worse, Bleeding way worse.
STOP THE ASA when on OAC
nejm.org/doi/full/10.10…
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@True_EP @Hapa_EP @danielcamposll Wonder what happens when the ablation catheter is in contact with a lasso or octaray!
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We’ve seen this phenomenon with all PFA catheters delivering energy on or very near to exposed metal. Stay tuned for a more thorough evaluation to be published in the near future.
@danielcamposll
HeartRhythm@hrs_journal
Visible Arcing Observed with Pulsed Field Ablation Applications Delivered Near a Left Atrial Appendage Occlusion Device @True_EP heartrhythmjournal.com/article/S1547-…
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@SportsandGT Why not go on a circular route near home and do a hundred miles as a test run. if it goes well go 4 it and if you break down you’re not far from home. Cars were made for driving pleasure. I’ve got an Eclat in my garage with a broken chassis but I’d be daily driving if not
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I’ve been invited to display my Esprit at a special anniversary event at a place I’ve always wanted to go to.
BUT… it’s 150 miles away. Do I accept or chicken out for fear of a breakdown on the way?
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