Nuno Cortez-Dias, MD PhD @cortezdias
Electrophysiology Consultant - Santa Maria University Hospital Lisbon - Portugal Joined July 2009-
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linkedin.com/feed/update/ur… Thank you Dr. @cortezdias, for this outstanding case of cardioneuroablation for recurrent vasovagal syncope at Hospital de Santa Maria, Lisbon — with #Adas3D CT fat pad reconstruction enabling precise anatomical targeting, tailored with extracardiac vagal…
ATLAS registration is live. Insights on workflow of complex atrial arrhythmias, PFA/concomitant strategies, live cases, etc. abbottepinsights.jotform.com/251057237553961 @cortezdias Sunil Kapur @DJ_Lakkireddy @Drdevignair @MRazminia @DrRoderickTung @RajeshVenkatar5 @JRWinterfield
Here we go 👇
Pulse Field Ablation - Farapulse Mapping. Yes or No? Dr. Diogo Cavaco and Dr. Nuno Cortez Dias discuss workflows and different strategies with or without the new mapping features #arritmias2025
Step 5⃣ A map with a broad area of good LAT for mechanical PVCs with ≥ 95% concordance is generated. At this stage, those points with ≤ 96%, then ≤ 97%, and ≤ 98% concordance can be discarded, making the generated LAT map more precise
A movie (speed x2) to see a MECIE-map being generated. No PVCs before entering the RVOT, just mechanical beats generated and recorded if > 95% concordance
So, it is a LAT map from the ectopic beats generated by the multielectrode catheter! Since a given spline is generating the ectopic beat, it will display an early EGM starting way before QRS onset. All the EGMs adjacent spline are also analyzed and displayed in the LAT map
Step 4⃣All the ectopic beats with < 95% of concordance with the clinical PVC are discarded, while those ectopic beats with ≥ 95% of concordance with the clinical PVC are automatically selected by the mapping software, analyzed in terms of LAT and displayed in an activation map
Step 2⃣ Setting a PVC activation map with a 95% matching concordance in the 3D mapping system, to selectively acquire the beats with >95% similarity to the template initially acquired
We describe a novel mapping strategy for patients with infrequent PVCs, called “multielectrode catheter-induced ectopy mapping” (MECIE-mapping), aiming at performing a hybrid activation/template matching map by taking advantage of multielectrode catheter-induced arrhythmogenicity
For patients with infrequent PVCs, activation mapping is useless, and the only remaining technique to determine the SOO is pace-mapping, which has limited spatial resolution
Free access article link pubmed.ncbi.nlm.nih.gov/39455034/
🔥So in conclusion, stop seeing mechanical induced ectopic as an annoying phenomenon, and use it wisely to accurately spot the exact SOO of infrequent PVCs 😵Spoiler: it also works for PVC with higher burdens
🤩A new way to map PVCs⤵️ Meet the💥MECIE-mapping technique💥 Publication in @hrs_journal “Multielectrode catheter-induced ectopy mapping: a novel technique for ablation of infrequent premature ventricular contractions” With @KarimBenali42 @vlachoskonstan1 @cortezdias Thread⤵️
@cortezdias in his element on Day 1 at #ATLASMapping working through a complex case with hand-on interactive map analysis.

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