Pinned Tweet
Clean and anatomically accurate geometry offered a precise view of each lesion during this AF ablation. #PMA #PDXmapping @Arek_EP
Jamison Nutting - EP retweeted
Substrate/decel zone based VT ablation in LVOT/ anterior septum in mixed CM correlating with exit of clinical VT Pt with preéxisting CHB so His/LB not an issue. Transeptal access due to comorbid PAD. Non indicible Excellent mapping @georgecrowell #EPeeps
Jamison Nutting - EP retweeted
Another iatrogenic flutter- this case in the right atrium on a patient with prior ablation of typical flutter + RA focal AT. Not typical CTI flutter this time, but still CTI-dependent! 🎡 Where would you ablate? ⚡ #EPeeps
Jamison Nutting - EP retweeted
Emphasized peak frequency in this redo AF ablation to aid in isolation of the posterior wall @JeffHsingMD @Arek_EP @forkknifecab_EP #PMA
Jamison Nutting - EP retweeted
Abrupt V3 transition with V2 pattern break, and this time got it from R-L interleaflet triangle (ILT) within seconds. 27 ms pre-QRS. V2 pattern break so likely too close to pLAD from GCV/AIV, so didn’t waste time there. Great mapping @georgecrowell #EPeeps
Jamison Nutting - EP retweeted
Projection Overlap Map (POM) to show locations with multiple therapy applications in PFA cases.
Here are the map settings we landed on using the “Point Count” map type. Looking forward to seeing what clinical utility this has, and also how the @AbbottCardio teams continue to expand & refine this strategy.
Great fluoroless PFA case completed with @GXMoralesMD of Grandview Medical Center in Birmingham, AL . This time using the new Projection Overlap Mapping (POM) which identifies areas of PF application overlap. Mapping and video courtesy of @DavidSmithAbtEP @mike_lean @AbbottCardio
Jamison Nutting - EP retweeted
CS pacing reveals an increase in transisthmus conduction time across the CTI during ablation with #TactiCath. 3D block confirmed after completing the line #PMA
Jamison Nutting - EP retweeted
Prior PVI, PWI, CFE, and anterior septal line.
Biatrial flutter circuit mapped with #HDGrid, using epicardial connection to jump across to RA. Entrainment confirmed circuit, ablation of mid anterior line broke rhythm and never reinduced. #PMA
@JeffHsingMD
@forkknifecab_EP
Jamison Nutting - EP retweeted
Prior cryo and CTI line for this patient, returned in atypical flutter. Fractionation and slowing on both the roof and mitral annulus, collision on CTI. Where to burn first? #PMA
Jamison Nutting - EP retweeted
Happy Fib Friday! Live images during recent AF procedures. Accurate anatomy makes for a seamless ablation with #TactiFlex #PMA
Jamison Nutting - EP retweeted
Right lateral accessory pathway, although difficult to get contact and stability, successful ablation within 3 seconds @LydTrautEP #PMA
Jamison Nutting - EP retweeted
Cryo & RF for PVI + PW + CTI in 2021.
AF cardioverted, SR mapped, Voltage with Fractionation map highlighting RPV antrum ablated.
Veins and Posterior Wall remain isolated, CTI assessed conduction leak at annulus.
@EPS_PDX
#PMA #TactiFlex
Jamison Nutting - EP retweeted
ECG morphology similar to sinus. Crista AT mapped and ablated. Irritability seen upon initial RF application. #PMA @DrSSahaCardio
Jamison Nutting - EP retweeted
Persistent AF.
A realtime snapshot of #PVI + PW.
HPSD, FPI with #TactiFlex
Credit @DrEPCheng
@AbbottCardio
Jamison Nutting - EP retweeted
Patient presented with stable 260 msec incessant tachycardia.
Unusual P-Wave to be localized to LA side of Bachmann's Bundle insertion for this seemingly centrifugal / microreentrant AT.
Prior CTI only.
@JeffHsingMD
@JNctionals
@AbbottCardio
#SVT #PMA #TactiFlex
Jamison Nutting - EP retweeted
S/P PVI and PWI ablation, a 445ms flutter found its way through a recovered voltage channel. First burn with #TactiCathSE lead to successful termination #PMA @CatCapperEP
Jamison Nutting - EP retweeted
Entire cycle length of 2:1 tach seen in Right Superior Pulmonary Vein. PVI restored patient to NSR #PMA @CatCapperEP
