Tri N.

Exciting new publication! Congratulations to the team! Very fortunate to work with such excellent EPs and innovators! @alanhanley2 @GCFernandesMD @BenjaminHack1 , & Bill Hucker! Looking forward to the follow-up studies!

Safety and Effectiveness of the TactiFlex Duo System: 6-Month Results of the FOCALFLEX Study - Dr. Isabel Deisenhofer #AFSymposium2026

Cardioneuroablation for coronary artery vasospasm: a case report ow.ly/pIKG50Y809n #EHJCaseReports @Phiso_de @TJ_Yeo @aayshacader @BoldiKovacsMD @SukritiBanthiya @ANazmiCalik @O_Azizy_MD @saramoscatelli7 @EHJCREiC #CardioX #EPeeps

Impressive images from Day 1 of #AFSymposium in Boston! @DrFalasconi showcased Cardioneuroablation planning with ADAS 3D—featuring advanced automatic detection of GP position visualized on top of the left atrial wall thickness maps. #Epeeps

We, @jskoruth report the first case of Esophageal injury after PVI using PFA (heartrhythmjournal.com/article/S1547-…)

Rare EP cases for fellows...Left-sided Mahaim tachycardia. #Epeeps

Exciting start to the year with Dr. @DJ_Lakkireddy, @Drdevignair & Dr. @srissundaram completing the first U.S. cases with #VoltPFA. Thank you for your partnership, and to team #AbbottEP for your support of this milestone. Learn more: voltpfa.com #AbbottProud

Proud to share that we completed our first and some of the first cases in the nation post fda approval of the Abbott VOLT Pulsed Field Ablation (PFA) system at St. Bernards Medical Center in Jonesboro, Arkansas as part of the #VOLT LMR, following VOLT’s FDA approval in late December. What stood out in our early experience: - Zero fluoroscopy workflow in these cases
- PVI, with additional workflow as clinically needed
- Very low microbubble visualization on ICE, and no clinical hemolysis observed in any of our cases We also appreciate the platform design elements that support efficiency and precision:
- Balloon-in-basket design (8 splines) that conforms to anatomy and supports targeted lesion sets 
- Real-time contact visualization (impedance-based) for lesion tracking 
- Single-catheter , zero exchange workflow enabling mapping, pacing, and ablation while minimizing catheter exchanges 
- The ability to customize energy delivery by selectively delivering from electrodes in good contact Our cases were performed under general anesthesia, and it’s encouraging that PFA workflow characteristics may support future pathways that reduce reliance on GA in selected patients. Huge thanks to our incredible St. Bernards EP Lab team and the outstanding clinical support team from @AbbottCardio. Teamwork made this LMR launch a success.

VT storm in NICM with prior failed endocardial ablations. Only early and late activation sites were mapped during VT, with the majority of the circuit traversing the mid-septum (IVD 1.6 cm). Note, a re-entrant PVC initiated the circuit, with earliest activation slightly more basal and unresponsive to endocardial RF despite clear local signals. Bipolar RF at the mid-septum successfully terminated both the PVC and the VT. #AblateVT #EPeeps #WomenInEP Grateful for the mentors who’ve shaped how I approach these cases — @Dr_Santangeli @Davilandre @SergioPinski @JRWinterfield Complex mapping and imaging by @Mapbastian @AbbottCardio @inheartmedical @davidgareau

Unique case by @ChauVoMD at @MUSC_EP where two separate depth boundaries were identified by #HDGridX in a complex VT circuit with a one burn term at the site of mid diastolic signals. #Epeeps Have you seen multiple epi jumps mapped this clearly? #AblateVT

Great case of redo VT with investigational Tactiflex dual energy catheter on a patient with intramural substrate and previously failed 3 ablations including alcohol ablation. Patient was in incessant slow VT, entrained and terminated at the isthmus site with second PFA.

🧑‍🎓Cardioneuroablation (CNA): where are we now? *⃣CNA has emerged as an option for cardioinhibitory VVS & functional AV block *⃣ Heterogeneity in nomenclature, targets, endpoints, & outcomes limits progress. *⃣This new @hrs_journal review calls for unified standards to optimize safety & efficacy #fig1" target="_blank" rel="nofollow noopener">heartrhythmjournal.com/article/S1547-…

Epicardial Incessant Left Atrial Tachycardia in a 17 yof with two prior failed ablations. Interruption and signals are shown in the comments. There is also a nice image of LAA in RAO with the tacticath in its posterior aspect (between LSPV and LAA) in the epi. @EPeeps_Bot

A frequent PVC, ablated at interleaflet triangle, an anatomic gift. 12 lead ECG morphology consistent with successful site. ILT catheter navigation & contact enhanced with Intracardiac Echo. @georgecrowell @AbbottCardio #TactiFlex #ViewFlex

@True_EP Does PFA design and waveform matter? Curious if this means you have to use RF on the ridge if using dual energy medium focal catheters.

Here is the video of PFA delivered near a LAA occlusion device

@epdocwidguitar Looks like a piece of the tissue. But I'm not an expert, just blabbing. 😂

PFA for per AF. Pvi and posterior wall isolation and saw this echodensity with post wall isolation, not present before. Pulled the farawave sheath and 13 Fr agilis to the right. No neurodeficits. ACT>350, no missed DOAC. sheaths flushed well. Weird location for clot. #epeeps

Specific locations of myocardial inflammation and fibrosis are associated with higher risk of events in cardiac sarcoidosis @anadevesa5 @mgtrivieri heartrhythmjournal.com/article/S1547-…

🚨 New in @JACCJournals #JACCCaseReports 📍RAA isolation using PFA for AF: first-in-human report! In 2 patients with AF triggers from the RAA, PFA achieved successful isolation with no sinus node or phrenic nerve injury and no recurrence at 9–10 months. A new frontier in non-PV AF ablation. 🔗 doi.org/10.1016/j.jacc… #AFib #EPeeps @DrGregMichaud @svTri24 @WLimpitikul @MGHHeartHealth

🚨New #FreeRead in @JICE_EP Computed Tomography-Based Ganglionated Plexi Identification and Bilateral Extra-Cardiac Vagal Stimulation for Streamline Cardioneuroablation Procedures 🧐📖 rdcu.be/emHFr by Emanuele Curti, @DrFalasconi, @Davidsotoiglesi, Paula Franco-Ocaña, @FedericoLandra1, Aldo Francisco Bellido, @dariorici, @daniviverosf, @JAldereteM, Fatima Zaraket, Bruno Tonello, @AlmorJulio, @diegopenela1 & @DrBerruezo #EPeeps

‼️Unusal Case of LA standstill: ❓Have you seen similar cases? 📍 RA intact on Halo catheter 📍 Complete electrical silence in the LA, confirmed via CS catheter and ablation 📍 No prior LA ablation 📍 Flutter rhythm appears RA-driven #EPeeps #CardioTwitter

Persistent Phrenic Nerve Injury by Pulsed Field Ablation: Lessons from Anatomical Reconstruction and Electrode Positioning. HRCR. Oda, et al. heartrhythmcasereports.com/article/S2214-…