Cardiologist | Electrophysiologist, Onassis Hospital
Greece
Joined February 2010
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⚡ Shockwave-assisted lead extraction at @OnassisHospital.
A 10-year-old dual-chamber ICD system with a dual-coil RV lead, presenting with pocket infection.
▪️ Axillary venous approach Shockwave intravascular lithotripsy balloon applied at the SVC coil
▪️ Mechanical extraction with a 13F TightRail sheath
✅ Complete lead extraction.
Combining adjunctive lithotripsy with mechanical extraction . @ShockwaveIVL
@athsaplaouras @Kariki_O @SteliosDragasis @koskinastavrina @K_Letsas @MEfraimidis
#LeadExtraction #TLE #CIEDInfection #Electrophysiology #Shockwave #TightRail #OnassisHospital #EPeeps
Panagiotis Mililis retweeted
Percutaneous Atrial Delivery of TBX18 Creates a Stable Supraventricular Biological Pacemaker in Porcine Sick Sinus Syndrome | JACC: Clinical Electrophysiology jacc.org/doi/10.1016/j.jacep…
@JACCJournals #JACCEP #Biopacer
#Biopace #CRM #RhythmsAndMore
Panagiotis Mililis retweeted
Hydraulic Exchange Technique:
super useful in complex PCI/CTO work.
Quick way to get a microcatheter off a short wire without a 300cm wire, trapper, or trapping balloon.
Connect an indeflator to the microcatheter, pressurize to 20 atm (it drops constantly, so keep bumping it back up), and just open the Touhy and microcatheter will come out right away. The hydraulic force pushes the catheter back on its own while keeping the wire in position.
I don’t do it over a hydrophilic wire as it can jump forward and cause a tip perforation. I use a workhorse wire.
Video below
Credit to @JAG24851 for teaching me such valuable skills!
@TCT_ME_ @6ayyeboon @AlkashkariWail @mirvatalasnag @amrmohsen213 @BinAbdulHak_A @MarwanSaadMD @aelsab @MusaSharkawi @djc795 @MohammedQintar @mhammadah @AlhijjiM @JDDCFratti @acamajmd @crfheart @djc795 @mmamas1973 @crfheart @BakhshiHooman @Almanfi_Cardio @Dr_ibrahimHarbi @scottiejj12 @MohammedAlo
Panagiotis Mililis retweeted
New LC podcast: Dr. Rob Schaller reviews lead extraction techniques for managing patients with venous occlusion.
Takeaways for new & experienced EPs👇
🎧 Login and listen: leadconnection.org/discussio…
#EPeeps #Cardiology #Electrophysiology
Panagiotis Mililis retweeted
Ivabradine: Evolving role as an antiarrhythmic agent
heartrhythmjournal.com/artic…
Panagiotis Mililis retweeted
Leadless atrial pacemakers at Bachmann’s bundle region: Early experience and procedural challenges
heartrhythmcasereports.com/a…
Panagiotis Mililis retweeted
The rightward extension of Bachmann’s bundle
In this new #DaVinciAnatomyCorner @JACCJournals chapter, we explore its anatomy and clinical implications for physiological atrial pacing (BB pacing) @cardiac_anatomy
We hope you find it useful .
eur02.safelinks.protection.o…
Panagiotis Mililis retweeted
Bipolar Radiofrequency- Assisted Lead Extraction Using a Novel Pacemaker Lead-Catheter Electrical Configuration
@MalasWaddah @dralansugrue
heartrhythmjournal.com/artic…
🤠 The Cowboy Bridge rides again. 8-yr-old DDD-ICD → CRT-D with LBBAP, through a totally occluded vein — no abandoned leads. 🧵 (1/4)
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)
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
Panagiotis Mililis retweeted
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
Panagiotis Mililis retweeted
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
Panagiotis Mililis retweeted
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
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
🤖 Made with AI
Panagiotis Mililis retweeted
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
Panagiotis Mililis retweeted
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
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
