Thanks Haitham!

That’s a great paper. We reference it often when teaching PVC localization to the fellows!

Baseline burden, initial acceleration and pleomorphism with EtOH injection, and then complete suppression at 30 mins post injection.

Luckily had 2 septal perforators to target for EtOH ablation. #CARTOUNIVU was helpful for targeting. Double balloon to protect distal subtended myocardium of AIV.

EP Star shows polarity reversal between 2-3 and 3-4. Unipolar EGMS show progressive loss of R wave until QS, then later EGM onset. Let's leave endo lesions up for reference but keep them small. Our SOO just might be somewhere mid-myo.

Agreed! It seemed that the LOB correlated to where the RV incision during remote repair would be, with potential isthmuses between the incision and the PV and potentially also the TV. Decided to homogenize LOB, extend to PV and to TV. Showed block with omni and diff pacing post.

Nellie….my little medical dogtor!

That’s awesome. Let me know if I can contribute if you decide to publish. Katja Zeppenfelds papers were such a resource going into this case.

Took me a while to find it. Here is RV and LV.

RIPV can be such a pain with fara if the transeptal is inadequate. Nice move.

I was more persistent than usual this case. I did 2 cycle lengths from 2 chambers down to triples. They had been given amio while inpatient prior.