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Panagiotis Mililis @ipetemil

Cardiologist | Electrophysiologist, Onassis Hospital

Joined February 2010
  • Tweets 220
  • Following 230
  • Followers 222
18 Photos and videos
Panagiotis Mililis retweeted
HeartRhythm @hrs_journal
Jun 14
Bipolar Radiofrequency- Assisted Lead Extraction Using a Novel Pacemaker Lead-Catheter Electrical Configuration @MalasWaddah @dralansugrue heartrhythmjournal.com/artic…

Bipolar Radiofrequency- Assisted Lead Extraction Using a Novel Pacemaker Lead-Catheter Electrical...

Transvenous lead extraction (TLE) can be complicated by fibrotic encapsulation and tissue adhesions that develop along the lead body at venous or myocardial interfaces. Redundant intracardiac lead...

heartrhythmjournal.com
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🤠 The Cowboy Bridge rides again. 8-yr-old DDD-ICD → CRT-D with LBBAP, through a totally occluded vein — no abandoned leads. 🧵 (1/4)
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New leads delivered antegradely on the SAME side. LBBA lead at the septum on @Abbott UltiPace via CPS Locator 3D. Final paced 12-lead = physiological CSP. (F–H) (3/4)
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Technique by Elkin González Villegas, @AERradcliffeCARDIO 👉 aerjournal.com/articles/pres… Proud to apply it @OnassisHospital. Thnx for support @v_antonakos_crm @athsaplaouras @Kariki_O @koskinastavrina @SteliosDragasis @K_Letsas @MEfraimidis #LeadExtraction #LBBAP #CRT #EPeeps

Preserving Access After Lead Extraction in Venous Stenosis Using Snaring: The Cowboy Bridge...

Maintaining continuous access to the right heart chambers during lead extraction is essential, especially when venous stenosis is present. The Cowboy Bridge technique is a novel and

aerjournal.com
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Panagiotis Mililis retweeted
Konstantinos Letsas @K_Letsas
Jun 4
First combined AF ablation using the Affera™ System and left atrial appendage occlusion using the WATCHMAN FLX™ device at Onassis Hospital. Special thanks to Dr. Matthias Käunicke for proctoring the case! @ipetemil @Kariki_O @athsaplaouras @MEfraimidis #Epeeps
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Panagiotis Mililis retweeted
LEADconnection.org® @LEADconnection1
Jun 1
The 2026 CIED lead management guidelines are here—what should clinicians know? 🎙️In our latest podcast, Dr. Mikhael El Chami shares key updates @melchami99 @tdc0112358 👉 Listen now leadconnection.org/discussio… #Cardiology #EPeeps #Electrophysiology #CIED

2026 Expert Consensus on Lead Management with Dr. Mikhael El Chami - LEADconnection

In this episode of The LEADconnection Podcast, Dr. Tom Callahan sits down with leading electrophysiologist Dr. Mikhael El Chami to unpack the newly released 2026 expert consensus on cardiovascular...

leadconnection.org
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Panagiotis Mililis retweeted
JACC Journals @JACCJournals
May 26
Pulsed field ablation using a variable-loop circular catheter was associated with a high rate of ICLs. More than half of the lesions were in the posterior cerebrovascular territory. jacc.org/doi/10.1016/j.jacep… #JACCCEP #AFib #epAblation
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LVAD recipient. ICD PocketInf. Leads 15 yo. Densely bound SVC coil. IVL applied at the SVC → Compete TLE using #TightRail @ShockwaveIVL #EPeeps #TLE #LeadExtraction #CIED #OnassisHospital @athsaplaouras @Kariki_O @koskinastavrina @SteliosDragasis @K_Letsas @MEfraimidis
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Panagiotis Mililis retweeted
Michail Efremidis @MEfraimidis
Apr 28
DeEP and activation mapping identified the critical isthmus in a patient with ARVC. PFA delivery terminated the VT and rendered it non-inducible. @SteliosDragasis @ipetemil @Kariki_O @athsaplaouras @K_Letsas @koskinastavrina @PetrosSkalidis #Onassis Hospital #Affera
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Panagiotis Mililis retweeted
John Mandrola, MD
 @drjohnm
Apr 26
Here we go #HRS2026 On the highly touted AVANT GAURD RCT of Boston scientific Farapulse PFA vs AAD. nejm.org/doi/full/10.1056/NE… The Topline results are positive. Look at that KM curve But let's look under the hood so as not to be bamboozled A thread coming and it's quite surprising
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Panagiotis Mililis retweeted
Stelios @SteliosDragasis
Apr 21
From chaos to cadence. Persistence met its match. 50 y old male, af terminated to SR during Ripv ablation during PFA with @AfferaEP , #Onassis Hospital
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Total venous occlusion → not a dead end. ICD→CRT-D via venoplasty 🪡 Caravel MC · Pilot50 → ConfianzaPro12 · 4mm OTW ✅ w/ JMalakos @Kariki_O @athsaplaouras @SteliosDragasis @koskinastavrina @K_Letsas @MEfraimidis #CIED #Venoplasty #CRTupgrade #EPeeps #OnassisHospital
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Panagiotis Mililis retweeted
Konstantinos Letsas @K_Letsas
Mar 12
Our latest study on the feasibility of functional substrate mapping with a novel lattice-tip catheter: implications for ventricular tachycardia ablation @SteliosDragasis @Kariki_O @petros_skalidis @athsaplaouras @ipetemil @koskinastavrina @MEfraimidis heartrhythmopen.com/article/…

Feasibility of functional substrate mapping with a novel lattice-tip catheter: Implications for...

Functional mapping refers to a variety of mapping approaches for ventricular tachycardia (VT) ablation that aim to reveal dynamic substrate changes related to conduction discontinuity within the...

heartrhythmopen.com
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🎯 Complete TLE: 13yo dual-coil ICD 🪢 Tandem WireTRUST mod (EBU in 13F steerable/18F sheath) for a secure rail. Safe 13F TightRail advance. #EPeeps #LeadExtraction #OnassisHospital @Kariki_O @athsaplaouras @SteliosDragasis @koskinastavrina @K_Letsas @MEfraimidis
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Panagiotis Mililis retweeted
Michail Efremidis @MEfraimidis
Feb 18
Scar-related VT. Functional mapping with AFFERA system. Mid-diastolic potential. VT termination. @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas ⁦@koskinastavrina⁩ @PetrosSkalidis #Onassis Hospital #Affera
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Panagiotis Mililis retweeted
Michail Efremidis @MEfraimidis
12 Dec 2025
Redo ablation after initial PFA (3 cases): 2 after Farapulse (RSPV leak;reconnection post-box isolation) and 1 after Affera (all PVs isolated, with a roof corridor inducing roof flutter)@ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @PetrosSkalidis #Onasseio
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Panagiotis Mililis retweeted
Jose Luis Merino @joselmerino
18 Nov 2025
Our new paper is out in the European Heart Journal! A practical, updated guide to antiarrhythmic drug use — distilled into 10 key messages for modern clinical practice. Proud to work with James Reiffel & John Camm on this. doi.org/10.1093/eurheartj/eh…
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Panagiotis Mililis retweeted
Michail Efremidis @MEfraimidis
11 Nov 2025
One patient, three atrial tachycardias. All mapped and treated with precision using Affera system @ipetemil @Kariki_O @athsaplaouras @SteliosDragasis @K_Letsas @ Vasilis Michopoulos #Onasseio Hospital
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Panagiotis Mililis retweeted
HeartRhythm @hrs_journal
25 Oct 2025
Novel technique to optimize extravascular ICD implantation with the use of a video-assisted thoracoscopic epicardial access tool @EhdaieMD @EugenioCingolan heartrhythmjournal.com/artic…

Novel technique to optimize extravascular implantable cardioverter-defibrillator implantation with...

Extravascular implantable cardioverter-defibrillator (EV-ICD) systems are viable alternatives to transvenous systems in select cases. Accurate sensing of cardiac signals is challenging with EV-ICD...

heartrhythmjournal.com
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