Ryan Coleman
@ryancolemapsAbbott Mapper, Penn State Alum, Sixers Fan
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#WPW from today Nothing beats a perfect EGM for WPW ablation. Bipolar and unipolar EGM can make you the best sniper. The best map starts with 12-lead ECG and ends with a perfect EGM
It's been a while since I last used "open window" 🪟 technique for mapping an accessory pathway. This time combined with OT activation vectors 💘. Still a powerful tool to keep in your back pocket! 🛠️ Case performed by @MBarakatMD #EPeeps
De Novo AFib ➡️ AAFL. Check out just how well Ensite X’s OT Near Field algorithm automatically annotates some beautiful 🤩 low voltage fractionated signals. #HDGrid #EnsiteX #EPeeps @AbbottCardio @JohnSummers_MD
Thank you for sharing this case with us. It reinforces the importance of image integration in personalizing VT procedures. From CT images, #ADAS3D allows you to extract valuable data such as wall thickness maps, isodistances, and detailed cardiac anatomy. #Epeeps
CT-aided VT ablation using @ADAS3D Nice correlation between thicker corridor and VT isthmus
Patient with previous PVI, at the time of the procedure with incessant flutter, we made a complete map (Right and left atrium) we found an atypical left flutter, thanks to the HD grid and Omnipolar Technology and OT near field we quickly created a high-density
Looking forward to the 19th annual @VTSymposium in 48 hours. #ablateVT ✅ILAM 2.0: Finding the Line of Block (LOB) for VT. ☑️Excited to officially Introduce FACiLE-VT! #QSQ What does this VT circuit look like during sinus rhythm?
#epeeps Just 1 week until the @VTSymposium! There's still time to register for the premier conference for state-of-the-art education on the pathophysiology & treatment of ventricular arrhythmias. Attend in person or virtually through the livestream. vtsymposium.com
Exciting news: continued progress in advancing the development of 2nd Generation PFA tools. Thank you to those that have been working diligently to ensure we continue to advance technology that meets the growing needs of the EP community. #AbbottProud abbott.mediaroom.com/2024-10-10-Abb…
Excellent lecture by @DrFerminGarcia on the tri-dimensional anatomy of the atria and its impact on unmappable atrial flutters. @Mel_Gunawardene @EPeeps
High Power Short Duration (HPSD) using a TactiFlex Catheter with Ensite VoXel Mode. Rapid and safe First Pass Isolation. Zero Fluoro Thanks, Dr. Sanoj Chacko, @JacobPardy , David Bakker and Prince Joseph, for your help and support.
Excited to partner with @AbbottCardio for the global launch of the Advisor #HDGridX catheter! De novo MA AFL. The new sensors & software enabled faster mapping & identification of lateral conduction block creating a critical isthmus. Maps by @AndreaEP65 #EPeeps @pennmedicine
Looking forward to learning from @Davilandre @TimothyMaherMD1 and Dr. Andy Locke on how they’re utilizing OT Nearfield and peak frequency in complex cases. Thursday, September 5th @ 7PM EST Registration still open: bit.ly/4cla52P
Hypnotizing local reentry in a stable post-maze tachycardia, with full CL seen on HD Grid. What is the cause/substrate for this type of AT after a maze procedure? @AbbottCardio #EPeeps Case with Dr. Smriti Banthia in Sarasota, FL.
PVC ECG morphology looked more like LCC, but earliest location was just below the R-L commissure at the base of the R-L interleaflet triangle. 📐 #EPeeps
Thrilled to be chairing an Atrial Mapping Conference in SF Nov 15-16. Registration Info below. Space still available. All Star faculty #EPeeps @Drdevignair @Siddmann @AdventHealth @nmarrouche @natale_md @BadhwarNitish @DanielAlyeshmer @AbbottCardio
Great first case with @adegbala at North Alabama Medical Center. Patient presented with PVC originating from the GCV. Mapping in the CS showed the earliest site to be -44ms with a 98% pacemap. HNS through #tactiflex was used to effectively treat the SOO. @AbbottCardio #epeeps
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
#WPW Left lateral AP Hello Kent…goodbye Kent EGMs is the ultimate sophistication above any mapping system. @hospitalposadas @GusCostaEP57 @KamilaOlivera13
Great educational thread and beautiful maps. Thanks for sharing @officialdrk12 !!
What would you do if the VT is too unstable to map or entrain? Let’s look at how understanding VT substrate is paramount in this case.
Better yet, sinus ILAM using near-field signal helps delineate dead-end channels noted as latest-late signal versus slow conduction channel along zig-zag lines of block. Prop map:
Biophysics of Radiofrequency Ablation
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