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This might be the first #fluoroless CTI ablation using #Pulseselect #PFA catheter. Pt developed AFL after PFA PVI. Used #ICE to position the extended array on the CTI leading with the wire in the RV & ensure contact. First pulse terminated AFL. No spasm, no NTG needed #medinbox

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Hany Demo, MD, FACC, FHRS

1,283 subscribers

28,410 просмотров • 2 лет назад •via X (Twitter)

#fluoroless#Pulseselect#PFA#ICE#medinbox
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Комментарии: 9

Фото профиля javad mikaeili
javad mikaeili2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot Fantastic job👏!

Фото профиля Domenico Giovanni Della Rocca, MD
Domenico Giovanni Della Rocca, MD2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot I would suggest premedicating with nitrates anyway. This is what happened to us

Фото профиля Hany Demo, MD, FACC, FHRS
Hany Demo, MD, FACC, FHRS2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot We had NTG on standby, thankfully we didn’t need it. BUT do we always have to give it upstream? The reported cases were done using Farapulse which has a different wave configuration compared to pulse select. Is it imminent to happen with any PFA? A lot to learn!

Фото профиля Scott Chrenka
Scott Chrenka2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot Congratulations Dr Demo

Фото профиля Auras Atreya
Auras Atreya2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot How did you assess if there was coronary spasm? Electrocardiography?

Фото профиля Hany Demo, MD, FACC, FHRS
Hany Demo, MD, FACC, FHRS2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot We did. There was no ST changes on ECG. There was no WMA on ICE.

Фото профиля Tony Navarrete
Tony Navarrete2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot how many pulsed to have bidirectional block?

Фото профиля Hany Demo, MD, FACC, FHRS
Hany Demo, MD, FACC, FHRS2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot Did 2 applications. Pulled the catheter slightly to overlap the lesions.

Фото профиля Álvaro Pérez Azcárraga
Álvaro Pérez Azcárraga2 лет назад

@MRazminia @srissundaram @DanielAlyeshmer @Mdmetzl @JWasserlaufMD @ArritmiasHUSC @hhuang123 @Medtronic @medinbox @EPeeps_Bot @ElArritmiologo

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