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Mike Lean

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@mike_lean

Abbott EP
Orlando, FL Joined May 2013
389 Following 1.1K Followers 269 Posts

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Mike Lean Verified account @mike_lean
Some post-case learning with @danealson (Dr. Neal Bhatia) and @_shannonmillard: following an ischemic VT case, together we compared how the clinical VT circuit presented when mapped with the First Deflection algorithm versus EnSite™ OT Near Field.
 
What we found brings up an interesting question. Is it better to….
- Force the system to visualize the full circuit with First Deflection, or
- Illustrate the potential midmyocardial bridges and touchdown points with OT NF?

While there may not be a "correct" answer, we think there is value in appreciating both pieces of information. And if nothing else, it makes for a fun discussion with talented colleagues like Dr. Bhatia and Shannon.
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Mike Lean Verified account @mike_lean
It is amazing to reflect on how many specialties and technologies had to come together to make this case and collaboration happen. At the forefront of this is @FergieLosiniec1 - thank you for being a pioneer and a top-class operator!
Great case of ICE guided LAAO with @medinbox @AbbottCardio support. @medinbox allows for procedural support worldwide between physicians and key specialist that can assist with tips during complex cases. It was super easy to connect. Looking forward to sharing more cases with my peers all around the world. Thanks for the visit! @KahabkaMark @Austin_in_EP @mike_lean @Mapbastian @joel_chic
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Mike Lean Verified account @mike_lean
Projection Overlap Map (POM) to show locations with multiple therapy applications in PFA cases.

Here are the map settings we landed on using the “Point Count” map type. Looking forward to seeing what clinical utility this has, and also how the @AbbottCardio teams continue to expand & refine this strategy.
Great fluoroless PFA case completed with @GXMoralesMD of Grandview Medical Center in Birmingham, AL . This time using the new Projection Overlap Mapping (POM) which identifies areas of PF application overlap. Mapping and video courtesy of @DavidSmithAbtEP @mike_lean @AbbottCardio
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