I agree with @naijaQRS I feel like this just supports what's already happening.... low risk, no/low burden pts are often taken off AC post successful ablation. For me these are and will continue to be an individualized decision - candid discussion with patients, review of available literature and recommendations and ultimately shared decision making #Afib # EPeeps

I believe we had scheduled it with RF... also has documented AFL and SVT (likely avnrt by history) so had planned to take care of all three at same time if we induced SVT

See what your missing out on!! 😂😂

Did you access IJ or Axillary/Subclavian?

Awaiting imaging - nothing "abnormal" was noted on previous Echo - but it was done elsewhere - all I have is a report... hence the surprise in the lab 😂

Usually me: “Ah yes, another persistent left SVC (classic ~0.5%).” Staff: "Again" 🙄 Today: “Wait… interrupted IVC?! (hello 0.2% 👀). Medicine: never boring. Always double-check before you commit @naijaQRS @rainylakedana @AlexTurinMD @svasaiw @DrRoderickTung @narrowQRS @NikhilShahMD @JRWinterfield #Cardiology #Electrophysiology #MedTwitter #EPeeps #MedEd #cardiotwitter

Yessir

It was a redo, atypical AFL, we got catheters up and mapped the RA first, exchanged for the dilator and Versacross wire in SVC - noticed it right before going transeptal. Last dose of OAC was previous evening Received heparin We Aspirated through the sheath Did not go left sided Ablated the CTI (partially reconnected) and bicaval scar We mapped with Octaray and were using the faradrive sheath ????? Small catheter in a larger sheath (this has been reported with the Versacross Kinect for Watchman and pigtail)

🧠 Mid-ablation surprise: clot on a prominent Chiari network in the RA. Rare but real embolic risk. What would you do? ➡️ Proceed with ablation? ➡️ Abort? ➡️ Anticoagulate & re-schedule? ➡️ When do you heparinize? ➡️ How do you manage oral anticoagulation peri-procedure? @naijaQRS @DrRoderickTung @svasaiw @JRWinterfield @Drdevignair @jczerpa @MehakDhande @DanielAlyeshmer @jczerpa @MehakDhande @Nashwa_Salem_ @OliverMonfredi @NikhilShahMD Let’s hear your approach. 👇 #CardioTwitter #EPeeps #ChiariNetwork #Ablation #MedTwitter

AFib? Your heart’s already doing extra—don’t make it fight bad food too. 💚 Eat smart. 🥦 Load up on greens, fish, whole grains. 🚫 Skip the salt, sugar, and junk. Your plate can be your power. How are you starting off your weekend?!?!? #GETFITAFib #HeartHealth #AFib @DrRoderickTung @PrashSanders @naijaQRS @DBelardoMD @jczerpa @drjohnm @MehakDhande @Nashwa_Salem_ @OliverMonfredi @DanielAlyeshmer

CardioNeural ablation is such a promising option for a historically challenging cohort of patients. Future looks bright… #nonarrythmicablation #QSQ

@naijaQRS you and I are on the same page (no surprise there) - sometimes less is more. We need to be mindful of this data - which may change how we select the right technology/procedure for the right patient… and certainly PW for all is not likely the answer!!

The glue that holds HRSTv together!!