Where to burn for this AAFL #EPeeps? Prior RF... PVI and PW isolation.show more

Atypical flutter on patient with prior PVI, anterior mitral... line, and roof line. Where should we ablate? #EPeepsshow more

In a denovo PVI case, how often do you... see an atypical flutter like this one? 🎡 Where would you burn? ⚡ #EPeepsshow more

Last case of the year and redo AAFL. Patient... had prior Maze, PVI + CTI line, and most recently a plethora of LA flutters. Went straight transseptal this time, thinking it had to be a recurrent LA circuit, but after extensive mapping, we found we were in the wrong chamber. #EPeepsshow more

Crazy RA atypical flutter on patient with prior CTI... line. Where would you burn? #EPeepsshow more

Prior anterior mitral line, PWI, and PVI, but patient... came back with recurrent flutter. Posterior wall voltage was < 0.1 mV, and there were double potentials all along the old floor line. Can roof-dependent flutter still get through epicardially via septopulmonary bundle? #EPeepsshow more

Pinwheel 🎡 flutter in the RSPV before starting PFA... PVI. Patient presented in this rhythm and ECGs going way back show only this AFL, sometimes 2:1 and sometimes Wenckebach. Do you isolate the RSPV and call it good, isolate both RPVs, or perform the full PVI as planned? #EPeepsshow more

Interesting RA AFL, this one slower with 1:1 AV... conduction, mimicking focal AT. Prior CTI line. TCL started out at 350 ms, but initial burns at anterior CTI slowed it further to 380 ms. This is the remap. Where to burn now? Case performed by Mike Eskander. #EPeeps #EnsiteX #fluttershow more

Due to the flutter wave being positive in V1... and the inferior leads, along w/ the patient's Hx of prior PVI + CTI line, we went transseptal w/out mapping the RA first. We were surprised to find only 3 of 8 color isochrones in the LA, all systolic in timing. #EPeeps #blackandwhiteshow more

New OT upgrade. More definition of near field EGMs.... Ablation of Atypical AFL. Prior AML. Interesting. Where should I 🔥? #ablateAF #EPeeps Abbott Cardiovascular Map Credits to @JNavar92show more

#EPeeps Extensive ischemic scar. Impossible to modify large substrate.... Where would you burn? Easy induction slow TV. Again ILAM map delimited area of ​​interest. Roderick Tung @BiosenseWebster #WomenInEP LAHRS SOBRAC #cardiotwitter #CartoPrimeV7show more

Sometimes everywhere seems passive until you map every last... millimeter of the chamber. First time using #HDGrid Omnipolar configuration combined with Near Field (peak frequency) roving detection on this interesting and less common atypical flutter. Where would you burn #EPeeps?show more

Strange biatrial figure-of-8 flutter going through a leak in... the old right WACA and jumping epicardially from RSPV to posterior RA via an intercaval bundle connection. Where would you burn first ❤️‍🔥? #EPeeps Dr. José Ángel Cabrera Fermin Carlos Garcia Luis C. Saenz, MD Roderick Tung Gökhan Aksanshow more

#EPeeps Modified TSP without Baylis RF wire. Just use... an ordinary 0.032 guide wire under iCE view, put some pressure in septum and use cut 25 W (electric scalpel) The wire and dilator will cross the septum gently and safely. Does anyone have experience with this? #WomenInEPshow more

cheers to pw for another year 🥂🎂

Pesky focal AT originating from Bachmann's bundle. Mapped with... #HDGrid and OT on Voxel mode. Even though it was earlier by 10 ms on the left, tachycardia did not terminate until RF was delivered on the RA side. How many #Epeeps have seen this before? Case performed by Mike Eskandershow more

PW: like on the pilot day… PW: p’gawin brought... guitar to the set G: yessss 🤣☺️ PW: we’ll have fun things to do later during filming G: wait for you to bring piano too then PW: hoo phi help me to carry too na G: maybe hard na krub 🤣 JOSSGAWIN MAGIC VIBES #GMMTV2026 #JossGawinshow more

pw: "next week i'll comeback n i'll talk with... u abt the somtum stuff" tay: "i'll wait for u" pw: "yea i'll see u next week" tay: "yea thx. bye" pw: "do i return this?" tay: "yes thx" pw: "bye" my beloveds interacting in english 😍❤️ #GMMTVLIVEHOUSE #phuwintang #Tawan_Vshow more

Would you believe me if I told you this... was RF? With Reflex RF, you can convert composite video to RF with nearly no loss in quality. My MiSTer IO Direct board to Reflex RF featuring Starfox EX by kando🚀#SNESRUMBLE, #SMKDX, #STARFOXEX, #FAMIDASH and co. on Sergiy Dvodnenko MiSTer SNES core.show more

Construction of the art gallery we are opening are... starting!! Excited to talk more about this! You’ll be able to burn NFTs to rent the space and we will be adding burn mechanism for events, art and drinks!show more