Celebrating 1yr since the publication of our Atlas of ConductSystemPacing #LBBAP #HBP! Thanks @ilpensiero for their support & to the readers for their trust! I hope it has been (& will be) useful to become confident in recognizing #CSP in your procedures! tinyurl.com/CSPAtlas

🫀#AblateVT in a 62M with large apical aneurysm and ischemic VTs: #Epeeps, look at the gorgeous diastolic signals and beauties of substrate mapping using the S3 Protocol by @ivroca to identify areas of isochronal crowding. 🔥Three VTs terminated and non-inducibility at the end!

🍹 #Epeeps, here an intriguing picture to serve as an appetizer of our fresh paper, just published today online in PACE Journal! 🩺 Link to the full-text, read-only version of the article 👉 onlinelibrary.wiley.com/shar…

🩺38F w/incessant AT refractory to drugs and previous ablation in RA. #Epeeps look at the HD activation map revealing the posterior RSPV as the source of the arrhythmia. A wide antral RF #ablation🔥isolated the PV, getting rid of the AT! Overall fluoroscopy: 26 s! #UltraLowFluoro

#Epeeps, in patients with PM pocket #infection who are eligible for leadless pacing, especially if PM-dependent, we perform implantation of the #leadless device just before lead #extraction, concomitantly. What about you? Here, for the 1st time, I tried the int. jugular approach!

#Epeeps, here a case of premature battery depletion of a #leadless PM (2024), despite optimal parameters and programming: we performed implantation of a new LP and #extraction of the malfunctioning one. My 1st case of LP extraction and the retrieval system worked pretty well!

#Epeeps, here our first experience with an atrial leadless pacemaker implantation, in an 81M with symptomatic sinus node dysfunction and recent transvenous removal of a dual chamber PM for pocket infection. An EP study at the time of re-implantation confirmed normal AV conduction

linkedin.com/posts/giacomo-t… #EPeeps, please welcome our resident G. Tarantino, here in his very first #CSP procedure. A challenging case with an amazing result!👇🏻Congratulations, Giacomo, it's a real pleasure for me to share knowledge and experience with talented colleagues like you!

In medicine one of the greatest impacts on professional growth comes from ​shadowing a master. Ezio Soldati, MD (​*1957 +​April 9th 2024) was a renown​ed electrophysiologist I had the honour to be a mentee during my ten years ​at Pisa University Hospital, IT. Thank you, Ezio!🙏🖤

54F with presyncope and shortness of breath. #ECG revealed complete AV block, in the absence of reversible causes. Echocardiogram and cardiac MRI were normal. #LBBP allowed complete restoration of physiology! #Epeeps, enjoy some nice tracings here!👇

60M, DCM, EF 30%, sustained monomorphic #VT episodes w/several appropriate ICD therapies. #LowFluoro mapping of the LVOT revealed gorgeous signals just below the Ao valve: RF there and VT gone in seconds #ablateVT #EPeeps Proud of starting my experience @ V. Fazzi Hospital Lecce!

69M with pers typical CCW atrial #flutter and inferior vena cava occlusion. 1st time for me to perform CTI #ablation with a superior approach (I used it for AVJ and APs abl) from the right subclavian vein. No need for fluoroscopy! #Epeeps which access do you prefer in such cases?

“A thing of beauty is a joy forever” (J. Keats). So, I am pleased to share these 👇 pearls, observed during a #LBBAP procedure in a 78F with syncope and documented episodes of complete AV block. Beautiful (electro)physiology in action! 😍 #ConductionSystemPacing #EPeeps

77M with hypertension, HFpEF and pers AFl. HD mapping of the LA revealed wide low-voltage areas on the posterior wall, with critical isthmus in between. The first RF application interrupted the #arrhythmia within seconds; a short #ablation line was done to connect scars. #EPeeps

#Epeeps, here our latest contribution in the field of Conduction System Pacing, just published in HR @hrs_journal 👉 tinyurl.com/PICMCSPCRT Comparative data suggesting a superiority of #CSP vs #BVP in patients with #HF and pacing-induced cardiomyopathy. #LBBAP #DontDisTheHis

Back from Bologna, Pisa, Rome, Naples, where I had the honor to speak in national meetings on arrhythmias and cardiac #EPeeps. Thanks to all the Organizers for having invited me, it was really exciting to meet (and learn from) friends and masters! Topics: #CSP #ECG #DontDisTheHis

59F with drug-refractory 2:1 paroxysmal AT; myopericarditis 5y ago. HD mapping revealed huge scars in the RA with reentry in between. #Epeeps, enjoy the pretty signals (& DiastolicBuffet©️) in the isthmus and all around! RF #ablation in the sweet spot restored SR. ..and #NoFluoro

LV summit PVC #ablateVT in a 64M with high burden, refractory monomorphic PVCs complicated by LV dysfunction (EF 40%, no LGE on MRI). Best precocity with juicy signals only in the great cardiac vein. RF 🔥on the endocardial aspect of LV summit suppressed PVC in seconds. #NoFluoro

#Epeeps, here my first PM implant using a persistent left sup. vena cava. In my few previous cases with this anomaly, indication was #CSP, CRT or ICD and I chose the right side. Not this time. Be creative with your stylets and consider longer leads for RV! linkedin.com/posts/cesario-s…

Thought-provoking #LBBAP case today: how many #Epeeps would have stopped lead advancement at spot a) or b) instead of looking for QRS transition on UNI capture threshold test (only seen -and multiple- at spot c)? Would you have considered #ConductionSystem captured in spots a/b?