Earliest signal mapped on LCC side of commissure. Interestingly, best pace match from the RCC side #PMA Saket Sanghai MD FACC FHRS Jaylynn Markey

#HDGrid highlighted prepotential in this NCC AT. Immediate termination during first burn with #TactiFlex #PMA

Live screen grab from recent first pass PVI with #TactiCath Total RF time of 730sec #PMA Ashit Patel

Hx 3rd time redo, PVI, previous CTI, and mitral line. Mitral line reconnection evident with CSP map and CW mitral AFL induction. Ultimately had success at the CS. Ashit Patel Jordan Hemmen #PMA

Always wary when EKG shows right anterolateral for WPWs, but even with challenging stability, we were able to successfully ablate this AP with #TactiFlex. Antegrade map on left and V pace map on right in both images. #PMA

Cardioneural response at #EnSite Fractionation Map perivenular target during WACA. Ashit Patel Abbott Cardiovascular #PMA

Use of synchronized single atrial extrastimulus during macroreentrant circuits to assess 3D location participation. Searched literature described use as early as 1992 by Dr. Josephson et al. Repurposing technique as, Reset Extrastimulus Mapping, an "In or Out" applied #EnSite

A live screen grab from a recent, routine PVI. #TactiFlex #PMA

Satisfying termination of CCW typical AFL with #TactiFlex #PMA Reilly Gerding

First pass isolation of pulmonary veins with #TactiCath #FibFriday #PMA Ashit Patel

Great heart scan on ICE, always fun to see a false tendon! Interesting variance in prevalence when researching journals, many undiscovered due to imaging technique, TEE, TTE, versus ICE. Brock Gambill Ashit Patel

Quick RF touch up cleaned up this narrow, PW channel left behind during the Cryo portion of the case. Pre ablation map on left and post Cryo ablation map on right. #PMA

Infra-hisian disease seen during atrial extras during this EPS. This had not been observed prior to the procedure. #PMA

The rapid response of #SensiTherm esophageal temp probe aided in this efficient first pass isolation of the pulmonary veins #PMA Cat Capper EP

Prior to start of the case we predicted critical isthmus to be originating from anterior scar in LA based on morphological similarities w/ NCC AT. ICE nicely shows relationship between flutter term and cusps Brock Gambill #PMA

Patient Hx 3 yrs post Cryo PVI & CTI. 3 months post PFA of posterior wall. Presented in 340 ms tachycardia. #HDGrid showed scarring with slow conduction through left atrial roof and floor. Termination at isthmus, confirmed with entrainment, with #TactiFlex. Lydia Trautmann #PMA

Atrial Flutter with suspected shared neighboring trigger, a nonsustained intra-CTI centrifugally activated AT. P-wave morphology consistent with Tricuspid Annular Focal AT described by peterkistler MBBS PhD FHRS et al JACC Journals sciencedirect.com/science/articl… Emily Shaw #PMA #EnSite

Lateral tricuspid annulus tach easily inducible during EPS. Bracketed and ablated with #TactiCath. Noninducible after first lesion. #PMA Ashit Patel

Increased ectopy during ablation at this AT’s site of earliest activation, demonstrating irritation of the tachycardia’s focus Jaylynn Markey Emily Shaw #PMA

The notorious papillary muscle PVC. Originating from lateral aspect of the pap, these bigeminal PVCs were eliminated during the first RF session with the help of the tried and true PDX method. Link to publication: pmc.ncbi.nlm.nih.gov/articles/PMC81…