Ankara University, Cardiology Dept, EP
ankara
Joined September 2012
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#EPeeps
“Double transition” preexcitation.
Not so common to see everyday!
@Drersoy84
#EPeeps
STAMP of hemodynamically intolerable NICM VT (270bpm!) just below RCC despite NA preload.
C-shaped big periaortic scar and SR ILAM in the next 🧵s
#VTin3D #ablateVT
@Drersoy84 @ziya_er @elifoykucelik @seeenaaay @BiosenseWebster @SeyhmusAtan
#EPeeps
A localized reentry way really-up-high in the SVC, driving and triggering AF.
@Drersoy84
@ziya_er @elifoykucelik @BiosenseWebster @seeenaaay @SeyhmusAtan
#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
#EPeeps
A denovo-left sided-roof dependent AT in a pt w extensive anterior, roof and posterior wall scar probably using #Bachmann Bundle.
Slowed down and terminated after a long HP Rf application at blue dot.@elifoykucelik @ziya_er @Drersoy84 @Emreozrdm @OzlemTurkguzeli
1/2
Şimdiye kadar okuduğum en güzel kitaplardan birinde, en güzel önsözlerden biri.
Sonsuz teşekkürler Selim Bey, emeklerinize minnettarız🇹🇷 @DrSelimErdogan
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#EPeeps
(1/2)
A denovo parahisian MRAT located in a heterogenous low voltage area just below His (yellow tags).
Quickly terminated just below the blue dot in a few sec.
@ziya_er @elifoykucelik @Emreozrdm @BiosenseWebster @OzlemTurkguzeli @harry_crijns
#EPeeps
2 oppositely directed-identical TCL-VTs utilizing same substrate as critical isthmus in a pt waiting for LVAD.
Note complete reversal of activation on pentaray.
Term <2sec on blue dot.
@BiosenseWebster @elifoykucelik @ziya_er @seeenaaay @OzlemTurkguzeli @Emreozrdm #VT
1/3
#EPeeps
#Bipolar and consecutive #ethanol ablation of 22 mm IVS in a HCM pt for intractable #VT & #VF.
Temporary CAVB for 1 hr.
Thanks @vlknkzl @seeenaaay and @GokgozBerkay and @elifoykucelik from @BiosenseWebster for great expertise and help.
@MiguelVldrbno @harry_crijns
#EPeeps
2 denovo whirlwinds both driving a very rapid 200ms TCL AT terminated by our fellow @busrakuru_17 while completing anterior right PVI.
Ablation of post one initially changed chevron CS activation to concentric type. (1/3)
@BiosenseWebster @harry_crijns #carto
#EPeeps
LV Summit PVC abl thru #Perceval aortic bioprosthesis.
Earliest endo site almost isochronal but 50W Rf immediately terminated it.
No recurrence later.
Thanks to our great fellow @busrakuru_17 and @ziya_er & @elifoykucelik from @BiosenseWebster for great mapping.
#Epeeps
Consecutive #Polaryx AFib cryo and #watchman 2.5 implantation in a chicken-wing LAA.
@BSCCardiology @busrakuru_17 @AFib_Disease #laao @seeenaaay @EvrenHocaoglu
(1/3)
Intractable intramural VT in a DCM pt still inducible after extensive HP endo Rf despite complete elimination of juicy! EGMs. (Epi coherent map next)
Noninducible after HPLD epi_Rf.
20% of mid diastole missing in endo. @harry_crijns @BiosenseWebster #vt #carto #ablation
Challenging big windsock #LAAO with early branching posterior lobule. Annulus 27mm.
Initial 33 @BSCCardiology #Watchman 2.5 couldnt be deployed properly aiming proximal part,big leak was present while the distal part of the device didnt open enough due to short neck. @MKilickap
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#EPeeps
De novo double loop AT in a 51M.
TCL increased 5ms while drawing a line from whirlpool in anterior scar to newly-formed right PVI.
The remaining PMAT gone at initial 5-6 sec while extending it to MA.
@ziya_er @baskovski @seeenaaay @BiosenseWebster
#epeeps
13 VTs and x2 VFs in a 59M with HCM.
Subaortic IVSd: 18 mm
7 were short lived/hemod-intolerable/shocked.
6 mapped using STAMP and +inotrope (dopa+NE) support.
@seeenaaay @ziya_er @elifoykucelik @raprapram @BiosenseWebster @DrRoderickTung #VT #ablation #HCM
#Epeeps
MRAT in a 56F with AVR+MVR+TRA. Targetted narrow neck anterior to post atriotomy scar.
Gone in 3 sec.
@baskovski @ziya_er @elifoykucelik
@BiosenseWebster
#EPeeps #EPfellows
This asymptomatic guy referred for Afib abl.
Was very happy on his way home 5 min later:)
@EPeeps Epicardial bridging using SPB in LSPAF, previous PVI+PWI+LML+LML.
Slowed and terminated w 45W/15sec long lasting lesion.