We chose focal ablation! RF in the earliest location (inferior RIPV os) eliminated all PACs, and the AT was subsequently non-inducible. ❤️🔥 Did we choose the right method? Poll below. #AblateAT
#EPeeps
PMH: x1 Rf OH
PMAT after term of roof-dep AT at yellow dot.
HP endo LML slowed but failed to terminate, probably due to CSm/VOM.
Quick termination thru CS just across endo line & block after epi lesions.
@elifoykucelik@ziya_er@Emreozrdm @BiosenseWebster #ablateAT
Comparison of earliest AT EGMs at Right HIS vs NCC. NCC timing was slightly later and signal not quite as juicy, but RF still successful without the high risk of AV block (as long as one stays above the valve). #ablateAT#TacticathSE@AbbottCardio
1) Mapping 2) my eyes see a macro-reentrant circuit around left pulmonary veins 2) entrainment manoeuvres confirm what my eyes see 3) selection of best ablation site based on slowest conduction 4) RF on 5) Sinus rhythm.
#EPisBeautiful#AblateAT
Post-MV Repair with AT. Entrained from highly fractionated region near area of linear scar on posterior RA wall with non-global capture. Termination <1 sec with RF at blue dot. @DrJCheungEP@nickkotch@NicholasCostaMD#EPeeps#AblateAT
Predicting cycle length of AT1 conversion to AT2 after critical isthmus ablation using biatrial activation maps as per Jais et al. : accurate within 5 msec in this case. Nice when HD activation maps recapitulate cartoon diagrams. #AblateATheartrhythmjournal.com/artic…