{"title":"Fluoroless coronary sinus cannulation using a BeeAT catheter and the CARTO mapping system.","authors":"Shintaro Yamagami, Tsukasa Motoyoshi, Takashi Kanda, Toshihiro Tamura","doi":"10.1016/j.ipej.2025.08.007","DOIUrl":"https://doi.org/10.1016/j.ipej.2025.08.007","url":null,"abstract":"<p><p>Fluoroscopy-free ablation techniques have gained popularity in recent years. However, coronary sinus (CS) cannulation via the femoral approach remains technically challenging, particularly when using specialized catheters like the BeeAT™. To demonstrate a reproducible technique for fluoroscopy-free CS cannulation using the BeeAT catheter guided by CARTO® electroanatomical mapping and intracardiac echocardiography (ICE). Forty three patients undergoing atrial fibrillation ablation were enrolled. After 3D mapping of the right atrium and CS ostium identification via ICE, a femoral-type BeeAT catheter was inserted. Direct advancement or RA loop techniques were applied based on anatomy. CARTO settings were adjusted to allow impedance-based catheter visualization. Successful CS cannulation without fluoroscopy was achieved in all 43 cases. The direct technique succeeded in 36 cases, and the RA loop method was used in 7. No complications occurred. CONCLUSION: Fluoroscopy-free femoral CS cannulation with the BeeAT catheter is safe, feasible, and enhances procedural efficiency while avoiding radiation exposure.</p>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A high-resolution mirage: Navigating atrial flutter circuits in the era of automated mapping.","authors":"Shivaraj Patil, Nayani Makkar, Abhishek J Deshmukh","doi":"10.1016/j.ipej.2025.08.003","DOIUrl":"10.1016/j.ipej.2025.08.003","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmad Awada, Carlo de Asmundis, Gian-Battista Chierchia
{"title":"Atrial fibrillation ablation: Is the Ice Age definitively over?","authors":"Ahmad Awada, Carlo de Asmundis, Gian-Battista Chierchia","doi":"10.1016/j.ipej.2025.08.001","DOIUrl":"10.1016/j.ipej.2025.08.001","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Theory and Practice of Present Clinical Use of Quinidine in the Management of Cardiac Arrhythmias.","authors":"Bernard Belhassen, Anat Milman","doi":"10.1016/j.ipej.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.ipej.2025.07.018","url":null,"abstract":"<p><p>At the beginning of the last century, quinidine had been shown to be highly effective in the management of atrial fibrillation and soon after of ventricular arrhythmias. At the end of the same century, quinidine was quickly abandoned, and its manufacturing ceased, resulting in limited accessibility across numerous countries. Paradoxically, this decline in use occurred alongside accumulating evidence supporting quinidine's therapeutic benefit in managing rare, life-threatening ventricular arrhythmias occurring in patients with no organic heart disease (Idiopathic ventricular fibrillation, Brugada syndrome, Early repolarization syndrome, Short QT syndrome, Multifocal ectopic Purkinje-related premature contractions), as well as those with organic heart disease involving the Purkinje network such as those occurring after acute myocardial infarction or in patients with hypertrophic cardiomyopathy. The present review will extensively deal with all these topics.</p>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erick Sánchez-Rodriguez, Jose Luis Morales-Velázquez, Pio Iran Coria Sandoval, Hugo Enrique Coutiño Moreno
{"title":"ECG Challenge: Focal atrial tachycardia mimicking flutter: Diagnosis clarified by ladder diagrams.","authors":"Erick Sánchez-Rodriguez, Jose Luis Morales-Velázquez, Pio Iran Coria Sandoval, Hugo Enrique Coutiño Moreno","doi":"10.1016/j.ipej.2025.07.014","DOIUrl":"10.1016/j.ipej.2025.07.014","url":null,"abstract":"<p><p>We present the case of a 75-year-old man with a history of hypertension, type 2 diabetes, and concentric left ventricular hypertrophy who presented with palpitations. The initial electrocardiogram suggested atrial flutter; however, detailed analysis using a ladder diagram revealed a focal atrial tachycardia with alternating 2:1 and 3:1 conduction. Some deflections initially interpreted as flutter waves were identified as T waves, highlighting the importance of differentiating true atrial activity from ventricular repolarization. The presence of exit block further supported a focal origin. This case underscores the value of ladder diagrams in accurately interpreting complex supraventricular arrhythmias.</p>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anand Manickavasagam, Priya Chockalingam, Arthur Am Wilde
{"title":"Signature ECG 3: A case of long QT 3 syndrome (LQT3).","authors":"Anand Manickavasagam, Priya Chockalingam, Arthur Am Wilde","doi":"10.1016/j.ipej.2025.07.015","DOIUrl":"10.1016/j.ipej.2025.07.015","url":null,"abstract":"","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmet Taha Sahin, Oznur Keskin, Ahmet Lutfu Sertdemir, Enes Elvin Gul
{"title":"Is competition always good? dual pacemaker management pitfalls.","authors":"Ahmet Taha Sahin, Oznur Keskin, Ahmet Lutfu Sertdemir, Enes Elvin Gul","doi":"10.1016/j.ipej.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.ipej.2025.07.005","url":null,"abstract":"<p><p>Alternating or variable paced QRS morphologies following pacemaker implantation is an important clinical observation. Patients undergoing pacemaker upgrade where contralateral implantation was performed, old generator usually removed. Some centers prefer either leaving the old device in the body or removal after few weeks due to risk of infection. Leaving old pacemaker in the body might lead to dangerous circumstances such as inhibiting new pacing system in a pacemaker dependent patient. This case highlights the complexities and potential complications of managing dual pacemakers.</p>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vivek Narasimha V, Nagalaxmi Patnala, Anoop Agrawal, B Hygriv Rao
{"title":"Electrical storm of short coupled ventricular fibrillation- management by neuromodulation and trigger ablation.","authors":"Vivek Narasimha V, Nagalaxmi Patnala, Anoop Agrawal, B Hygriv Rao","doi":"10.1016/j.ipej.2025.07.001","DOIUrl":"10.1016/j.ipej.2025.07.001","url":null,"abstract":"<p><p>We present the case of a young lady with prior implanted ICD presenting with Electrical storm (ES) of short coupled ventricular fibrillation (SCVF). The clinical emergency was managed by a novel technique of fluoroscopy guided stellate ganglion ablation followed by 3D mapping guided ectopy ablation. This is to the best of our knowledge the first report of such a malignant phenotype treated by the combination and sequence of these treatment modalities.</p>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term outcomes of ventricular tachycardia ablation in ischemic and non-ischemic cardiomyopathy patients: Data from a single center ablation registry","authors":"Reza Khosravi , Farzad Kamali , Saba Simiyari , Zahra Ghaffarinejad , Mahta Arbabi , Mozhgan Hadavi Bavil , Amin Entezari , Majid Haghjoo , Amir Farjam Fazelifar , Shabnam Madadi , Zahra Emkanjoo","doi":"10.1016/j.ipej.2025.07.002","DOIUrl":"10.1016/j.ipej.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>Catheter ablation is effective in the treatment of ventricular tachycardia (VT). However, long-term outcomes after VT ablation in non-ischemic cardiomyopathy are sparsely described. We aimed to compare the outcomes of VT ablation between patients with ischemic cardiomyopathy (ICMP) and non-ischemic cardiomyopathy (NICMP).</div></div><div><h3>Methods</h3><div>Acute procedural and long-term outcomes of 212 consecutive patients (ICMP, 135; NICMP, 77) who were ablated for sustained VT and followed for a median of 36 months were gathered and analyzed.</div></div><div><h3>Results</h3><div>Compared with patients with NICMP, patients with ICM were older, more likely to be men, had lower LVEF, more comorbidities, and had a higher number of inducible VTs. Complete procedure success was higher in patients from the NICMP group (88.3 % in NICMP compared to 79.3 % in ICMP). VT recurrence occurred in 54.8 % of ICMP compared to 38.9 % of NICMP (P value = 0.026). The overall mortality rate was 22 % in the ICMP group, compared to 7 % in the NICMP group (P value = 0.007). Additionally, cardiac mortality occurred significantly more in the ICMP group than in the NICMP group (19 % vs. 6 %) (P value = 0.011).</div></div><div><h3>Conclusion</h3><div>VT ablation in patients with NICMP was found to be an effective and safe approach, achieving acute procedural success in a noticeable number of patients using the currently available catheter mapping and ablation techniques with acceptable low procedural complications. Overall, procedural failures were significantly more frequent in ICMP patients than in NICMP and were consistent with unhealthier long-term outcomes.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 4","pages":"Pages 220-226"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}