Linus Holmström (@LinusHolmstrom) header
Linus Holmström (@LinusHolmstrom) profile picture
Joined April 2018
An excellent start to the Complex Mapping and Ablation Workshop at Karolinska University Hospital in Stockholm, with complex VT cases and practical insights shared throughout the day. Directed by Dr Finn Akerstrom (@finnakerstrom) with K’s great team, Dr Peter Karl Jacobsen and Dr Javier Moreno
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Comparison with our SUPPRESS-AF trial (Nat Med. 2025;31:1661–7): Single-procedure arrhythmia-free rates (LVA ablation vs PVI alone): ✔ SUPPRESS-AF: 61% vs 50% ✔ IDEAL-AF: 62.7% vs 31.8% Why was the recurrence rate so different in the PVI-alone arm between the two trials? 🤔
🧵 Presented today at #ESCCongress: Among patients with persistent #AtrialFibrillation and significant low-voltage zones identified by electroanatomical mapping, adjunctive low-voltage zone ablation added to pulmonary vein isolation improved arrhythmia-free survival at 12 months vs pulmonary vein isolation alone. Benefit was observed after 1 or 2 ablation procedures and without antiarrhythmic drugs, supporting a substrate-guided ablation strategy in this population. ja.ma/4qHzaxv
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Among patients with persistent #AtrialFibrillation and significant low-voltage zones identified by electroanatomical mapping, adjunctive low-voltage zone ablation added to pulmonary vein isolation improved arrhythmia-free survival at 12 months vs pulmonary vein isolation alone. Benefit was observed after 1 or 2 ablation procedures and without antiarrhythmic drugs, supporting a substrate-guided ablation strategy in this population. #ESCCongress ja.ma/4zJ2bwT
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Relationship Between Areas of Delayed Trans-Septal Conduction Time and Critical Sites for Septal Ventricular Tachycardia in Non-Ischemic Cardiomyopathy - Great work by star fellow Tasuku Yamamoto heartrhythmjournal.com/artic… @CleClinicHVTI @ClevelandClinic
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THERMAL PROFILES OF PULSED FIELD ABLATION CATHETERS #OpenAccess @PrashSanders @UniofAdelaide heartrhythmjournal.com/artic…
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Durable block of the anterior and mitral lines is difficult to achieve, even with a lattice-tip catheter
3️⃣1️⃣/36 (86%) PVs and 5️⃣4️⃣/71 (76%) linear lesions durably isolated/blocked after a dual-energy lattice-tip catheter #ablation (#PFA/#RF)- data from invasive remapping 👇 heartrhythmjournal.com/artic… @SergeBoveda @RolandTilz @ftrae @EuropaceEiC
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Amazing anatomic dissection to reveal the real atrial septum doi.org/10.3390/jcdd12070245
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I think we can use fasciculo-ventricular pathway to explain the three type of Fascicular ventricular tachycardia (FVT) mechanisms .
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Free read at @JICE_EP. There are many variables to consider for PFA. We examined one parameter (interpulse delay) and found that lesions were larger when the time between pulses was increased, regardless of total energy delivered. rdcu.be/eMG7u
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Elimination of VT and PVC by Ablation of Oppositely Directed Re-Entrant Circuits -PVC ablation at a site other than the earliest activation site authors.elsevier.com/a/1lv-7…
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RCT: Intracardiac echocardiography is non-inferior to transesophageal echocardiography for thromboembolic prevention in atrial fibrillation ablation, with added benefits in safety, efficiency, and patient comfort. ja.ma/47l2u3V
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Periaortic VT substrates are increasingly common amongst NICM patients, yet extremely hard to diagnosis with imaging. Congrats @NaohikoSahara on leading our group, showing yet another value proposition for ICE. @JACCJournals. #ablateVT Intracardiac Echocardiography for the Detection of Arrhythmogenic Peri... sciencedirect.com/science/ar…
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Utilization of #AI based tools for delineating cardiac structures with ICE during #AblateVT cases as part of #FIH trials with new @AbbottCardio exceeded expectations - rapid definition of valves, paps in LV:
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#AbbottProud to see the first-in-human use of our #ViewFlexICE, Sensor Enabled* and #EnSiteEcho technology! Thanks to @Drdevignair for your valuable insights and partnership. Safety Info: bit.ly/4kZ3Buz *Pending 510(k) clearance. Not available for sale in the U.S.
First-in-Human cases  with ViewFlex™ SE + EnSite™ X v5 at #ArrhythmiaResearchGroup Group and St. Bernards Healthcare as part of ViewFlex SE Trial. Pushing the boundaries of EP workflows with the first clinical use of the @AbbottCardio ViewFlex™ SE ICE catheter, now paired with AI-assisted map creation, Grid Mapping, and real-time Contact Assessment using Farapulse and PulseSelect PFA systems. Some of the features that caught my eye:     Physician-ready geometry with EnSite Echo     Simplified ICE navigation to stay focused on therapy     Single-handed deflection via auto-locking mechanism     Color-coded deflection indicators for intuitive control     Softer, more stable catheter with enhanced torque response      Sterile tip-to-connector (no sterile bagging)      Single catheter cable = less clutter, more efficiency     Contact is critical in PFA — and the new Contact Index on EnSite X v5 lets you validate contact instantly and tag lesions appropriately. Powered by AI. Backed by precision. Designed for EPs. A simplified, smarter, and safer workflow is best workflow ever. #FirstInHuman #ViewFlexSE #AIinHealthcare #ICEIntegration #CatheterInnovation #PFA #MedTechInnovation #epeeps @AbbottNews
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Long-term Risk of Right Coronary Artery Injury Following Catheter Ablation of Cavotricuspid Isthmus-dependent Flutter @YogasundaramEP @DrMatthewHyman heartrhythmjournal.com/artic…
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