Usually me: “Ah yes, another persistent left SVC (classic ~0.5%).”
Staff: "Again" 🙄
Today: “Wait… interrupted IVC?! (hello 0.2% 👀).
Medicine: never boring. Always double-check before you commit
@naijaQRS @rainylakedana @AlexTurinMD @svasaiw @DrRoderickTung @narrowQRS @NikhilShahMD @JRWinterfield
#Cardiology #Electrophysiology #MedTwitter #EPeeps #MedEd #cardiotwitter
It was a redo, atypical AFL, we got catheters up and mapped the RA first, exchanged for the dilator and Versacross wire in SVC - noticed it right before going transeptal.
Last dose of OAC was previous evening
Received heparin
We Aspirated through the sheath
Did not go left sided
Ablated the CTI (partially reconnected) and bicaval scar
We mapped with Octaray and were using the faradrive sheath ????? Small catheter in a larger sheath (this has been reported with the Versacross Kinect for Watchman and pigtail)
🧠 Mid-ablation surprise: clot on a prominent Chiari network in the RA.
Rare but real embolic risk.
What would you do?
➡️ Proceed with ablation?
➡️ Abort?
➡️ Anticoagulate & re-schedule?
➡️ When do you heparinize?
➡️ How do you manage oral anticoagulation peri-procedure?
@naijaQRS @DrRoderickTung @svasaiw @JRWinterfield @Drdevignair @jczerpa @MehakDhande @DanielAlyeshmer @jczerpa @MehakDhande @Nashwa_Salem_ @OliverMonfredi @NikhilShahMD
Let’s hear your approach. 👇
#CardioTwitter #EPeeps #ChiariNetwork #Ablation #MedTwitter
AFib?
Your heart’s already doing extra—don’t make it fight bad food too.
💚 Eat smart.
🥦 Load up on greens, fish, whole grains.
🚫 Skip the salt, sugar, and junk.
Your plate can be your power.
How are you starting off your weekend?!?!?
#GETFITAFib #HeartHealth #AFib
@DrRoderickTung @PrashSanders @naijaQRS @DBelardoMD @jczerpa @drjohnm @MehakDhande @Nashwa_Salem_ @OliverMonfredi @DanielAlyeshmer
Day 2 of #HRS2025 in San Diego, and HRSTv is bringing the heat — both in coverage and in wardrobe.
Our anchors are navigating the latest in electrophysiology with the grace of a jazz flute solo, and yes, they look fantastic doing it. Think: brains, style, and just the right amount of hairspray (present party excluded).
From exclusive interviews to live updates, HRSTv is the place to be. Stay tuned, stay informed… and as always, stay classy.
@HeartRhythmTV
@HRSonline
#HeartRhythm2025 #HRSTv #MedicalMedia #EP2025 #SanDiegoStyle #StayClassy
Nice surprise atypical flutter.
PAF by history/burden (not by LA size) - first time ablation/Denovo scar.
Great work by @MapperMack!
Welcome to X @kickinmaps!
@DrRoderickTung @svasaiw @AlexTurinMD @rainylakedana @naijaQRS
Diastolic heart failure (HFpEF) poses significant challenges and despite medical advancements, managing HFpEF remains tough.
But, #Hopeishere with the AIMHIGHER Clinical Trial, the largest Heart Failure Device trial ever designed. This trial is a game-changer with the potential to help millions suffering in the United States.
Delivering CCM (cardiac contractility modulation) through the Optimizer device from @ModulateHF has shown promise in patients suffering from HF with reduced and minimally reduced ejection fraction and now is being studied in patients with EF 40-60%.
Learn more: impulse-dynamics.com/aim-hig…
#Cardiology #HeartHealth #heartfailure
#EPeeps
Redo case the other day and as soon as we got ICE up we saw this….
This may be the LARGEST iatrogenic PFO I have ever seen… had ablation 10 years ago…
@AlexTurinMD @rainylakedana @naijaQRS
So this really is getting out of hand… back to back cases - number 15 and 16 in the last 16 months….
@naijaQRS @rainylakedana @AlexTurinMD @DrRoderickTung @svasaiw @narrowQRS @nickkotch