Yesterday I did a 5h shift in the triage section of our #Covid_19 area of the ER. Learned many things. Some highlights below
Tom De Potter
562 posts
Tom De Potter
@tomdepotter
Cardiac EP @OLVZaalst @CardioAalst | EHRA Advanced VT course director | EHRA Selection Committee Chair
Ghent, Belgium
Joined April 2009
- This is what single shot ablation is supposed to look like. RF for PVI may have an issue. #PFA #electroporation
00:00 - Last week's #PFA PVI case using the @BiosenseWebster VariPulse catheter. Pulsed field goes fast. For you inquisitive minds out there, it can go 23 minutes skin-to-skin fast. Procedure speed is not the primary goal. But it is an important contributor to safety
- Ultrasound-derived 3D reconstruction with zero manual processing (CARTO v8) 1. Rotate ICE probe 2. Acquire frames 3. Receive annotated, segmented 3D LA model (with LAA cut away already) compliments of deep learning algorithm @MoussaMansour10
00:00 - This week we had the opportunity to restart evaluating #HPSD 90W ablation with the ngen console. 3s ablations on post wall, 4s anterior. Temp monitoring on cath (qdot) and in esophagus. Total RF times at end of movie by @LouisVerdonckt @DhirajGuptaBHRS
00:00 - Full circle for circular PFA! Exactly 1300 days ago we did the first ablation ever with #varipulse and today ⭕️ PFA is back with the world’s first non-study case. Smooth case - quite a bit faster than the regulatory process 😉
00:13This is what single shot ablation is supposed to look like. RF for PVI may have an issue. #PFA #electroporation - Recurrent cardioinhibitory syncope (as in +++/week recurrent). Young pt, not happy with pacemaker she got recommended Anatomical/EGM guided minimalistic approach. The autonomous nervous system is an endless source of fascination. @MDTolgaAksu @jczerpa @drraviele @shivkumarmd
00:00 - Hey #EPeeps meet the @AdagioMedical VT cryoablation catheter #ablateVT @BourierFelix @boersma_lucas @atulverma_md @DrRoderickTung @PaoloDellaBell1 @DrBerruezo
- We are excited to host a live case for the #AFSymposium2022! Want to see @BiosenseWebster’s pulsed field ablation #PFA in action for single shot treatment of #AFib? Join us at 10 am ET / 4 pm CET afsymposium.com @MoussaMansour10
- Ravin (Hemant) Ramchurn was #EPeeps from before it was cool, a colleague and a long-time partner of our arrhythmia unit, and a volunteer in the #COVID unit of his hospital in Mons-which cost him his life at age 62. Fuck 2020 alkhaleejtoday.co/international/… @CMichaelGibson
- We hope you enjoyed #EHRA2022TogetherAgain as much as we enjoyed building it! Thank you Alexia, Anne-Laure, Bambou and everyone involved. And #EPeeps please join me in welcoming @IsabelleVGelder to Twitter! #NeverGiveUp
- Why I love my job-Friday afternoon bailout. 4th proc, refractory VT listed for transplant. Mapped in sustained VT with Impella. Check lower right screen-260 bpm with nice MAP of 66! Thanks @OLVZaalst @EricWyffels for enabling what is needed, cost-constrained environment be damned
What a team! Impella assisted VT ablation. Another friday afternoon in the Cardiovascular Center Aalst @tomdepotter @OLVZaalst - Replying to @tomdepotter4. 3 months ago, I would have considered point-of-care ultrasound for lung disease silly, and POC CT scanning the word that comes after silly. Now, I think we should install a CT at the ER door. It's fast, it doesn't lie and it tells you who is in trouble (unlike SaO2).
- Replying to @tomdepotter6. We need to figure out better why some people have little symptoms despite ugly scans / ABGs, and why even V-V ECMO seems to do little in what should be its ideal use case. Meanwhile, stay inside it is. And wear masks.
