Giovanni Coluccia @messapus

MD, Cardiac electrophysiologist Tricase - Italy Joined November 2019

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Giovanni Coluccia @messapus

4 weeks ago

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

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Giovanni Coluccia @messapus

a month ago

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

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Giovanni Coluccia @messapus

2 months ago

#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-…

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Giovanni Coluccia @messapus

2 months ago

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?

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Giovanni Coluccia @messapus

3 months ago

#Epeeps, please do not abandon His bundle pacing! Look at our latest data here👉tinyurl.com/HBPCOI about long-term outcome of #dontdistheHis with CurrentOfInjury vs #LBBAP. And guess what..? No difference in the risk of lead-related complications! @ZanonFrancesco @Dr_Pmorina

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Giovanni Coluccia @messapus

3 months ago

Proud of our brilliant #EPeeps fellow, Salvatore Bonanno, here 👇🏻 in one of his first procedures of "pace and ablate", with conduction system pacing #CSP! Congrats! 👏🏻💪🏻 #LBBAP linkedin.com/posts/salvator…

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Giovanni Coluccia @messapus

3 months ago

Challenging implantation of a #leadless PM in a 74yo lady w/perm AF and symptomatic asystolic episodes: a marked scoliosis required careful manoeuvres. Thanks to Eng F. Carrozzo for the valuable technical support, in his last procedure yesterday as an @AbbottNews employee!#Epeeps

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Giovanni Coluccia @messapus

3 months ago

11(a record for me!)F with WPW and 240 bpm orthodromic AVRT. #Epeeps, enjoy the juicy AP potentials seen during prox CS pacing, taking advantage of the oblique course of AP (🙏Prof. Jackman!). RF #ablation almost immediately effective in the sweet spot. #NoFluoro and no sedation!

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Giovanni Coluccia @messapus

4 months ago

A 58M was referred for redo #ablation of a right anterior para-septal manifest accessory pathway with frequent AVRT episodes. AP gone after careful mapping and about 1 s radiofrequency in the sweet spot.🔥No need for fluoroscopy! #NoFluoro #MapMoreBurnLess #Epeeps

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Giovanni Coluccia @messapus

5 months ago

#EHRA2025 has been a great opportunity to learn from Masters, to meet friends and colleagues and to share ideas and views with them. Thanks to @EHRAPresident and all the organizers of this fantastic Congress! @escardio #Epeeps

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Giovanni Coluccia @messapus

6 months ago

54M with high burden, refractory monomorphic PVCs complicated by LV systolic dysfunction (EF 46%, no LGE on MRI). Challenging #ablation of the left-sided focus, finally getting complete PVC suppression at the aortomitral continuity. #LowFluoro (1s!) and only 1 catheter! #ablateVT

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Giovanni Coluccia @messapus

6 months ago

#Epeeps, here 👇 our recently published study about the short-term safety profile of two different single chamber #leadless pacemakers! With Pietro Palmisano and many colleagues from a nationwide 🇮🇹 registry.

HeartRhythm @hrs_journal

6 months ago

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Giovanni Coluccia @messapus

6 months ago

17yoF with recurrent palpitations and normal heart. Easy inducibility of an orthodromic AVRT using a left-sided accessory pathway. #LowFluoro (1'20" XRays) transseptal approach. AP mapping with juicy potentials: RF #ablation in the sweet spot and AP gone in a second!🔥#Epeeps

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Giovanni Coluccia @messapus

8 months ago

69M with CRTD indication for HFrEF, DCM, LBBB, NYHA III. #Epeeps, always look carefully at ECG details, as they can often suggest you the optimal resynchronization strategy! And #DontDisTheHis! @GDandamudiMD @Dr_Pmorina @Marek_Jastrz_EP @curilakarol @micogriecomd @OCanoPerez

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Giovanni Coluccia @messapus

9 months ago

64M w/mechanical Ao valve & mitral ring presented with symptomatic persistent atrial flutter. #Epeeps, here the HD mapping, identifying a post-incisional RA macro-reentry: filtering for high frequency signals helped in reducing the #ablation area. RF there🔥and AFl gone! @Hapa_EP

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Giovanni Coluccia @messapus

9 months ago

Grateful for having our abstract accepted for presentation at #EHRA2025. Topic: #CSP vs #BiV upgrade in patients with #HF and pacing-induced cardiomyopathy. #Epeeps, stay tuned and see you soon in Vienna! #DontDisTheHis #LBBAP #CRT

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Giovanni Coluccia @messapus

9 months ago

#Epeeps, look at the map and juicy diastolic buffet (©️@DrRoderickTung) of this persistent atypical atrial flutter in a 76M with ICM and HFpEF s/p CTI-dependent flutter ablation 1year earlier. A wide ant. LA scar was the substrate: SR during RF #ablation 🔥on the anterior line!

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Giovanni Coluccia @messapus

9 months ago

Thanks to the 🇮🇹#Epeeps Association @AIACaritmologia for hosting a presentation of our book "An atlas of #ConductionSystemPacing"! Join us tomorrow at 6.00 pm CET, here👉us02web.zoom.us/j/82142263433 (free webinar link). #CSP #DontDisTheHis #LBBAP With @ZanonFrancesco & G. Dell'Era 🙏

CardioInfo @Cardioinfo_it

9 months ago

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Giovanni Coluccia @messapus

10 months ago

32M w/WPW and left posterior AP. Inducible AVRT; antegrade ERP <170 ms. #EPeeps, look at those juicy signals in the sweet spot, mapped while pacing the epiLV (🙏Dr. Jackman!): less than 4 s RF #ablation and AP gone! Overall 41" fluoro (including transseptal puncture)! #LowFluoro

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Giovanni Coluccia @messapus

10 months ago

Back from Pisa and Milan, where I took part in 2 excellent #EPeeps meetings. Many thanks to the organizers for the kind invitations: it was really a huge pleasure to be there and meet masters and long-time friends and colleagues! See you soon! #ECG #ECGLovers #DontDisTheHis #CSP