First-in-Nation: Integrating ViewFlex X SE ICE with VOLT PFA This week started with a meaningful milestone at St. Bernards Healthcare (Jonesboro, AR) — first-in-nation combining Abbott’s ViewFlex X Sensor Enabled ICE with the VOLT PFA platform. This builds on our prior experience with: • FIH clinical trial use of ViewFlex X SE • Post-FDA VOLT PFA cases as part of the VOLT LMR What stood out was how well imaging + mapping + energy delivery functioned as one ecosystem in a zero fluoroscopy / zero contrast workflow . Key takeaways 🔹 ICE integrated into EnSite X for real-time anatomic confirmation during PFA 🔹 Safe ICE-in-LA workflow and transseptal planning that reduced unnecessary manipulation in small LA anatomy. Integration helped support transseptal decision-making up front—optimizing trajectory and reducing unnecessary catheter manipulation in small LA anatomy. 🔹 Quick LA shell creation to confirm ridge/posterior wall/carina geometry early 🔹 Small atria lesion strategy: integration helped us decide tighter antral lesions vs intentionally addressing a posterior “critical isthmus” when the posterior corridor was inherently narrow 🔹 During VOLT delivery: very low microbubble visualization on ICE and no clinical hemolysis observed VOLT workflow highlights: single-catheter mapping/pacing/ablation, impedance-based contact visualization, balloon-in-basket (8 splines), selective electrode delivery; PVI ± PVI+ as clinically indicated (GA used). Grateful for the St. Bernards EP Lab team and the Abbott clinical support team. #ViewFlexXSE #VOLTPFA #FirstInNation #ICE #EnSiteX #ZeroFluoro #ZeroContrast #EPWorkflow #Innovation #epeeps @StBernards | @ARGJonesboro I @AbbottNews I @AbbottCardio