📢REAF-AF Registry Data in @hrs_journal Sep 2026 *⃣ Variable loop circular catheter pulsed field ablation in real-world practice: Low complication rates across patient and procedural characteristics in the REAL AF registry @krishmd @paulzei ➡️Porterfield et al. report real-world experience with Varipulse PFA across 33 hospitals, 69 operators, and 1,014 index AF ablations (PAF 70%). ➡️Procedure-attributed complications: 0.6%; none were attributed specifically to the VLCC catheter. No stroke, atrioesophageal fistula, PV stenosis, coronary spasm, phrenic nerve injury, MI, AKI, or death. ➡️27.1% underwent posterior wall isolation, and ~19% received adjunctive RF. Half of the procedure-related events occurred in cases involving RF. ➡️Workflow Efficiency: median procedure time 71 min, LA dwell time 36 min, median fluoroscopy 0 min, with 64.7% zero-fluoroscopy procedures, same-day discharge 86.5%. ➡️96.2% used the contemporary 30 mL/min irrigation protocol. 🎯 Contemporary VLCC PFA workflows demonstrated a reassuring early safety profile in real-world practice. ⚠️ Limitations: Observational registry without a randomized comparator; only 6 procedure-related events, limiting meaningful subgroup comparisons and detection of rare complications; investigator-assessed rather than independent event adjudication; industry funded. heartrhythmjournal.com/artic…

📢LBCT #HRS2026 — REAL AF Registry (VLCC PFA) (Simultaneous pub @hrs_journal ) #SciComms @krishmd @paulzei *⃣Real-world variable loop circular catheter (VLCC) PFA safety—beyond the trials: ➡️Real AF Registry data of 1,014 AF ablations w Varipulse PFA • Complications: 0.6% • No device-related events • No stroke, death, or esophageal injury ➡️Most events linked to adjunctive RF—not PFA itself ➡️Efficiency: • 99.6% acute PVI • 86.5% same-day discharge • ~65% zero fluoroscopy 🙂 🎯Takeaway: VLCC PFA is shifting AF ablation toward a safer, faster, outpatient-first paradigm ⚠️ Caveat: Observational registry data with rare events, no randomized comparator, and operator-dependent workflows—interpret cautiously heartrhythmjournal.com/artic…

All #EPeeps Time for the 2025 #HRSTweetup #2025PaceSetter #HRS2025 Thursday 04/24/25 at 6 PM PST at The Marina Kitchen Bar at Marriott Marquis San Diego Marina marriott.com/hotels/maps/tra… Roll in & out or stay. Enjoy, meet your peers, imbibe. 🎉🎉🍾🍾 Meet IRL folks you know only from profile pics & X aliases ⭐️⭐️Fellows/ Trainees - Don't worry about💲(Be reasonable 😎) @KTamirisaMD @MGKatz036 @Nishaki1 @True_EP @jeffrey_vinocur @JRWinterfield @sgreenbergmd @ftrae @drjohnm @DrDave01 @omarjavedbaqal @np_varghese @DJ_Lakkireddy @drrakeshg1 @drsuneet @doctorwes

👉Interested in contributing to the 'Art Rhythm' section @hrs_journal ? 🤔What's that, you ask? ❤️ You must have noticed the bold heart motif cover pages 🔎 Look in TOC for artist reference 💪We are recruiting submissions. ✍️DM me if interested 🙏 #EPeeps #CardioTwitter