Madison J. Spence

Cor Triatriwhatum

Cor triatriatum…….Cor triatri-WHat-um? Does double the chambers in the RA = double the fun?

#ePeeps Check out this rare congenital defect we were able to visualize, while preparing for a “typical” flutter CTI ablation line using our ultrasound technology🫀

In homeview on our ultrasound catheter, we see that the extra membrane separating our RA appears to be fully closed and impenetrable. Clocking our catheter around toward the left atrium we spotted and targeted a gap in the membrane for us to access our Cavo Tricuspid Isthmus line. We were even able to confirm the space using the Doppler tool to visualize blood flow from the RA ➡️ RV.

We made our way to the opening in the membrane, and with some finessed catheter maneuvering and candycane-ing our STSF catheter, we completed our line of block to #burnandterm. It’s hard to say “typical” when patient’s care is so specialized, but I’m stoked have tools that allow us to adapt to complexities in real-time.

#electrophysiology #mycompany #healthcaretechnology #healthcareinnovation

Typical or atypical flutter

#ePeeps Typical or atypical? That is the question.

Patient presented in the hospital with a sawtooth like EKG leading us to believe we had typical flutter. Turns out our patient had a prior atriotomy that seems to have resulted in an incisional flutter.

Mapping with pentaray showed our lateral wall lit up by middiastolic signals with the juiciest of signals begging to be burned, labeled by the purple.

~swoosh~ “got it” ……bump term………seems we found our critical isthmus 🥳

With ablation lesions at our isthmus, and a CTI line for insurance, there was nothing but sinus to follow. Seeing a patient in normal sinus rythm for the first time in a long time never gets old 

#healthcaresoftware #mycompany #healthcareinnovation #electrophysiology #arrhythmia

Routine afib turned aafl

“Routine” afib turned atrial flutter in a patient who had a prior atriotomy. With the CTI ruled out (peep the SNO zone toward the end) we fired up V7. Coherent mapping identified slowing near our SVC that correlated beautifully with an LAT valley, highlighting our critical isthmus. From there, we ripple mapped to confirm the channel and looks like the SVC cannulation site was the culprit.

#ePeeps Can you feel that satisfying “got it” ~ swoosh ~ Sinus.

#healthcare #healthtech #mapping #mycompany #burnandterm

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Case Review

Once a month I send out a newsletter on sharing my learnings in the field of electrophysiology.

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