Fabrizio Raimundi

Register to attend our next EGM Masters Club with Drs. Roderick Tung, Rachel Kaplan, and Priyanka Bhattacharya. #Epeeps #MedEd #Medtronic Register today: bit.ly/4oTDCaj

In fellowship, I was taught that Fluoroscopy is my friend… but the more I grew in EP, the more I realized ICE is actually my best friend — and I honestly don’t want to stay “friends” with fluoro anymore. For many reasons. Crystal ICE from @JNJNews has completely changed how I approach transseptal work. Amazing technology — and I can’t wait to see what NuVision Nav adds on top of this. Here’s the exact workflow I use for fluoroless transseptal with Crystal ICE: 1️⃣ Baseline BiV view (ICE in the RV) I always start by dropping the ICE into the RV and getting a clean BiV view with a slight clockwise rotation. Simple orientation before anything else. 2️⃣ The SVC view — the real workhorse This is the view that makes zero-fluoro possible. Withdraw to the RA, small clock/counter-clock movements, and open the SVC fully. You should clearly see: Wire in the SVC Sheath (Vizigo in my case). if this view isn’t perfect, I don’t move on. This is the anchor for fluoroless TSP. 3️⃣ Superior limbus + IAS alignment From the SVC view, I tilt right and posterior (first knob away, second knob toward me). As I slide the sheath down, the view comes and goes — totally normal. Tiny rotations bring it back. The important moment is seeing the sheath fall off the superior limbus. If you miss that, you drift into the IVC and lose your orientation. 4️⃣ Home IAS view + tenting Once I’m on the fossa, I fine-tune anterior/posterior rotation until the tenting is clean and stable. If tenting isn’t obvious, don’t puncture. When everything lines up, cross under ICE alone — zero fluoroscopy. #EP #ICE #TSP #Fluoroless @BayCare

First Watchman implant post-fellowship ✅ Workflow: VersaCross Connect → Watchman FLX Pro (zero sheath exchange) → NuVision 4D ICE crossed in LA. Gorgeous biplane + 4D images. Big thanks to our EP team for comprehensive planning, Watchman team & to the NuVision ICE crew for the crisp imaging and support. I co-authored an analysis comparing TEE vs ICE for LAAC that found higher adverse events with ICE in earlier data pubmed.ncbi.nlm.nih.gov/35066997/. With modern ICE tech/workflows, it’s time for a fresh look. #LAAC #Watchman #WatchmanFLXPro #EP #AFib #ICE #TEE #StructuralHeart @BayCare @JNJNews

Bohemian Rhapsody like you never heard before

VT Camp 2025!! Registration for English Part: jnjmeetings.zoom.us/webinar/regist… Registration for Both English and Japanese Parts: jnjmeetings.zoom.us/webinar/regist…

The first PFA ablation for atrial fibrillation performed at @BayCare (Winter Haven Hospital). The case went smoothly using Crystal ICE for crystal-clear imaging and direct visualization of contact, combined with Vizigo sheath tracking and Varipulse for solid, efficient lesions while sparing the posterior wall. Grateful for our amazing EP team and thankful for @JNJNews CARTO, Crystal ICE, and Varipulse — that made this possible. A great step forward for our EP program @BayCare !

🎨 Anatomy meets art: Stunning Amara Yad image reveals the intricate architecture of the right ventricle. A must-see for every cardiologist jacc.org/doi/10.1016/j.… #JACC @shivkumarmd

Happening in one month 📢 Don’t miss the 20th Annual VT Symposium, Oct 10–11! Learn the latest in #ventriculararrhythmia pathophysiology, treatment, & #ablation techniques with live cases & expert panels. Register today 👉 spr.ly/6014fAu4n #CardiologyCME

Inside the Future of EP: 4D ICE and the Evolution of Concomitant Atrial Fibrillation and Left Atrial Appendage Occlusion Procedures Dr Apoor Patel discusses AF and LAAO concomitant procedures using the 4D ICE NUVISION Ultrasound Catheter: hubs.ly/Q03HjP490

First procedure with Varipulse in southern Brazil: introducing another PFA plataform in our region @santacasapoa @carloskalil @mateuschrist @JNJMedTech

Dual Energy in Action!! 🚨🚨🚨 Watch our video of PVI with #STSF_dual_energy hybrid approach at @asklepiosgruppe Altona ✅Straight forward PVI ✅Eady workflow implementation ✅Common established workflow + PFA ✅Toggeling between RF and PFA ✅Procedure time ~1 hour

BBRVT beyond de EP lab....

Importance of Four-Chamber Assessment Using Open-Window Mapping in Posterior-Septal Accessory Pathways: A Case Report @MasatoOkada1105 heartrhythmcasereports.com/article/S2214-…

So thrilled! Our paper is out in @NatureCVR! We developed #multimodal #AI to predict #cardiacarrest in hyperthrophic #cardiomyopathy. Significantly outperformed @AHA @ACC and @ESC guidelines! #EPeeps @HopkinsEngineer @JHUBME @HokpinsDSAI @trayanovalab rdcu.be/euv0q

“A MBE é, antes de tudo, uma construção humana. E, como toda obra humana, ela carrega consigo as virtudes e os vícios de quem a pratica.” A segunda edição do maior best seller do Brasil sobre MBE chegou. E está muito melhor. manole.com.br/manual-de-medi…

Ablation lesion with 90W/4s mode.

@victorfontana Preciso e nostálgico.

Esse é o verdadeiro bebê Reborn. É uma pena que pouquíssimas pessoas estejam preparadas para essa verdade.

This paper shows what we always suspected: any cut offs values for endocardial voltages for diagnosing scar correlate poorly with histology, at least in non ischemic CMP. The same is likely true for atrium too?

A SOBRAC trabalhando em favor dos pacientes com arritmias cardíacas!

In VT substrate mapping, wavefront direction is critical! Here is sinus, RV pacing, and LV pacing all at the same location on the inferior scar. The interaction of the wavefront direction with fixed lines of block create the split and late potentials. #ablateVT @BIDMC_VT