#EPeeps had a very fine day with #EnSiteX #HDGrid and #OT mapping slow pathway prior to #AVNRT ablation this week. Observed nice slow junctionals with RFA at site of collision. Non-inducible post-ablation. Maps by Megan Malladi Figures by John Butler

Happy and proud to announce that our article on „Low-Voltage Myocardium-Guided Ablation Trial of Persistent Atrial Fibrillation“ was published in NEJM Evidence today. The first trial ever demonstrating benefit in an individualized PVI+ strategy!

Roof-dependent atrial flutter with epicardial connections (previous PVI+PWI+AML 1y ago) with Stelios Tzeis an Vassilis Michopoulos EPLab Mitera #epees

The value of functional substrate mapping in ventricular tachycardia ablation heartrhythmopen.com/article/S2666-…

Here the link to our study examining the effect of first-line ablation vs AAD on AF progression. Thanks to AHA Science for welcoming me back to present the results, and to NEJM for the simultaneous publication. @CCI_CIC @UBCDoM Canadian Heart Rhythm Society CCS nejm.org/doi/full/10.10…

Results of CRAFT, our multicenter RCT in patients with flutter, comparing CTI ablation to Cryo PVI, published in Heart_BMJ heart.bmj.com/content/early/… PVI as effective as CTI abl in reducing flutter, and better at preventing new onset AF #EPeeps LHCH

First-time ablation of persistent AF in a patient with HCM using PFA guided by ICE. Strategy: PVI + posterior wall ablation. The question remains about PW ablation: "Just because we can, does it mean we should ?". Dimitris Asvestas Atul Verma Edward Gerstenfeld Jonathan Kalman Eduardo Saad

Periaortic #VT in a patient with non-ischemic CMP. Late potentials evident by RV pacing and ILAM is correlated to critical isthmus of tachycardia. Activation gaps in the diastolic period highlighting 3-D nature of VT-isthmus. #AblateVT,#Epeeps

Importance of rapid pacing to achieve 2:1 block during retro mapping of concealed PS AP. Looking at last 2 beats difficult to be sure where retro A starts, but with isolated V clear that it starts at red line (early) not blue (late c/w CS 7,8). Not new but worth reminder IMHO.

PV firing from RSPV after PVI Mitera Stelios Tzeis Vassilis Michopoulos #EPeeps

AF during EPS in a patient with documented SVT. Successful cardioversion to AVNRT!🙃 #EPeeps Mitera Stelios Tzeis Vassilis Michopoulos

The 2024 EHRA/HRS/APHRS/LAHRS Expert Consensus on Catheter and Surgical AF Ablation has just been presented and released! academic.oup.com/europace/artic… Kudos to all 44 members that made it happen Edward Gerstenfeld Jonathan Kalman Eduardo Saad

50yofemale with presyncope during exercise. Stress testing induced PVCs and WCT Normal ECG, echo, MRI. CA: sevLAD stenosis - PCI performed EPS/CA: VT induced by isoprenaline. SOO ablated from both RVOT and RCC. More workup? with Stelios Tzeis and Vassilis Michopoulos #Epeeps

Epicardial VT ablation in a patient with incessant slow VT, IHD, HFrEF, CRT-D and failed endocardial ablation 2 days earlier. Epicardial "figure of eight" circuit - critical isthmus at a corridor of viable tissue within the anterior scar. Together with Dimitris Asvestas Konstantinos Letsas

Persistent AF termination to sinus rhythm before completion of WACA of RPVs using #AFFERA PFA system. With Stelios Tzeis and support by Petros Skalidis EP Lab Mitera Hospital #epeeps

Another case highlighting the utility of ICE during PVC ablation originating from PMs. PVCs ablated between the ALPM heads Great tissue contact, stability and real-time monitoring of lesion formation!! (pericardial effusion was pre-existing). #Epeeps with Stelios Tzeis

Back in business after a successful #EHRA congress in the stunning Vienna city with a #Ghibli PVI map Dimitris Asvestas Petros Skalidis #epeeps EHRAPresident Atul Verma