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Piotr Futyma, MD
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Piotr Futyma, MD
@ftrae
Bipolar ablation, https://t.co/cKxFF3SiCM co-founder. Professor UR & St Joseph's HRC. EHRA Scientific Initiatives Committee. Section editor @JICE_EP
Rzeszow, PL Katılım Temmuz 2009
624 Takip Edilen4K Takipçiler
Piotr Futyma, MD retweetledi
Shocked I am about the explosion of detailed critical appraisal that emerges when trial results upend a common practice.
Grin. Double grin.
English
Dr. Murgatroyd may be on the right track 🎯
Francis Murgatroyd🇪🇺🇬🇧🇪🇺🇬🇧@NoStaticAtAll
@EJSMD @drjohnm @SergioPinski @ftrae Apart from a minority of pathways, nope. I don’t consider myself particularly talented, just lucky enough to have learned before the era when fellows were brainwashed by industry 😂. Massive increase in % mapping and cost for SVTs hasn’t been supported by improved success.
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Piotr Futyma, MD retweetledi
Another sobering result showing that the burden of proof for an invasive preventive strategy should be high.
Kudos to @drjohnm, who has been saying this for years.
NEJM@NEJM
Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.10… Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.10…
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Piotr Futyma, MD retweetledi
@drjohnm @bogdienache Dear @NEJM did the original manuscript use the term "not non-inferior" rather than inferior? If not, was the change required by a reviewer/ editor and, if so, did they declare any financial conflicts or have they authored industry-sponsored "positive" LAAO studies in the past?
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Piotr Futyma, MD retweetledi
> 600,000 left atrial appendage devices have been placed
NOT NONINFERIOR 👇🏻
Trial is large, nonindustry funded and done in experienced centers in Germany
Endpoint had both efficacy and safety components and still did not make non-inferiority
I tried to tell you all
NEJM@NEJM
Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.10… Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.10…
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Piotr Futyma, MD retweetledi
Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.10…
Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.10…
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Piotr Futyma, MD retweetledi
Delayed coronary vasospasm after pulsed field ablation for pulmonary vein isolation despite avoidance of coronary-adjacent ablation sites
heartrhythmcasereports.com/article/S2214-…
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Piotr Futyma, MD retweetledi
Good. Good.
Just so remarkable that our field depends on countries w public health systems to answer these sorts of questions.
Too much of US research is industry based which only gets done when there are confluences of interests b/w profit and pt care
Andrew Flett@drflett
@BSCMR @BSHeartFailure @BHRSociety @BritishCardioSo endorsement of the BRITISH RCT. 1252 patients with NICM scar and ef<35%. ICD Vs no ICD. All cause mortality. Over 550 patients recruited. Australian sites opening in March. @TheBHF @SouthamptonCTU @ncurzen @josephselvanay2
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One may need to acknowledge some important differences between reimbursement systems to fully understand widespread use of ICE and 3D mapping in some areas. EHRA SIC is about to investigate this soon @jongichun @MartinRauber3
John Mandrola, MD@drjohnm
@EJSMD @SergioPinski ICE for CTI ablation is as much of a parlor trick as zero-fluoro ablation. Totally unnecessary and costly. Never once have I used ICE for CTI. 3D mapping is nice b/c you can reduce fluoro but not necessary. Ask @ftrae
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Piotr Futyma, MD retweetledi
@SergioPinski @drjohnm ICE makes more sense to me than 3D map. Suspect one main issue is lab dependence on mappers to do any ablation. Before I gave it up, I watched ablation costs skyrocket due to unnecessary mapping and regulatory barriers to catheter reuse. All this from industry influence.
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Piotr Futyma, MD retweetledi
@drjohnm Do you think 3d mapping is cost effective for CTI? Pacing across CTI with duodeca in RA during ablation shows real time block. It’s been a long time since I ablated, but that’s one that I never thought needed 3d. What do you think @SergioPinski ?
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Piotr Futyma, MD retweetledi
BI is correct 👇🏻
A test is a test. The misuse of CAC is on doctors who refuse to accept that the clogged pipe frame of CAD is wrong headed
My criticism is with the CAC/anatomy experts for not shutting down the misthink
Brian Ingold, DO@DrIngold
Dr. Mandrola, correct me if I’m wrong here but isn’t that case just a massive error by the interventional cards doc for putting stents in an asymptomatic patient? In the CAC—>Angio—>stents chain of events for an asymptomatic patient, the last thing to blame here is the CAC test. Wouldn’t the correct application here have been PREVENT+CAC, and with CAC 710 w/o sx treat to secondary prevention target levels? I guess they could have also done SPECT and only revascularized if 10+% of LV ischemic maybe? The trigger to angio and stent that patient isn’t the CAC test itself, it’s the fault of the Cardiologists for not doing their due diligence and taking into account the patient in front of them was asymptomatic.
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Piotr Futyma, MD retweetledi
Temperature rise to 55 after single PFA application using Sphere catheter anterior to LSPV in a patient with Watchman. Is this is a true temperature measurement ? Anyone else has seen this? @True_EP
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Piotr Futyma, MD retweetledi
🚨Latest #FreeRead Article in
@JICE_EP
Repeat Procedures after Pulsed Field Ablation for Atrial Fibrillation: Tertiary Centre Experience & Meta-Analysis of Observational Studies
🧐📖rdcu.be/e7UWN
by Francis J. Ha, Sarah Paitry, Duron Prinsloo, Hui-Chen Han, Adam J Brown, Nitesh Nerlekar & Emily Kotschet
#EPeeps
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Dziś skończyłem rezydenturę z onkologii klinicznej
Dodatkowo też dziś zdałem ustny Państwowy Egzamin Specjalizacyjny
Kosik wolny skrzat <3 a jak tylko przyjdzie dyplom - niebawem onkolog
GIF
Polski
Piotr Futyma, MD retweetledi
Martha .. when you invited me to speak at the U of Az on LAAC, I gave a @VPrasadMDMPH like lecture. That is, it was critical appraisal of dubious data. VP and I do the same thing. I don’t understand your take. Don’t you want effective drugs, especially ones that cost society $3 million per pt? For if they are not effective, does this not widen disparities?
Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦@DrMarthaGulati
Good news for America and the health of its people. Divisive F.D.A. Vaccine Regulator Is Resigning nytimes.com/2026/03/06/hea… via @NYTimes
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Piotr Futyma, MD retweetledi
Important paper to review to provide long term clinical outcomes for RF PVI. @pooneh_nabavi @nsaghirMD
American College of Cardiology@ACCinTouch
2️⃣0️⃣ years after PVI during catheter ablation, stable sinus rhythm was maintained in a quarter of pts w/ symptomatic drug-refractory paroxysmal #AFib, including those taking antiarrhythmic drugs & those who had multiple ablation procedures. 🔗 bit.ly/3MzYuGp #JACCCEP
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Piotr Futyma, MD retweetledi
After OCEAN (trial stopped early4 cont OAC didn’t ⬇️ composite SSE w ⬆️ bleeding) & ALONE-AF are you routinely stopping #DOAC after #AFib #ablation in patients with CHADS-VASC ≤2-3?
#WAFib2026
@westernAFib @nmarrouche
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Piotr Futyma, MD retweetledi
