Afib: initiation at the RIPV ➡️ termination at the RSPV as we wrapped up our PVI
#ePeeps check out the initiation of afib/aflutter at the base of the RIPV from sinus rhythm as we were getting ready to complete our pulmonary vein isolation.
After pacing the anterior side of our right veins to avoid making “friends” with the phrenic nerve, we completed our PVI via WACA to have the most glorious #burnandterm at the anterior RSPV.🫀
There’s still so much more to learn about the mechanism of atrial fibrillation, but it’s hard to argue with that juicy signal and having nothing but NSR in the end! 🥳
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