Robert Schaller
@rdschaller
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Cardiac Electrophysiologist at Hospital of the University of Pennsylvania • Associate Professor • Atheist • All Opinions are Mine
Philadelphia, PA
Joined July 2012
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@DGlaucomflecken
The saltine has neither the density nor cracker integrity for that journey; subjecting the finger to PB plunge. The graham cracker, split in half, held halfway down, provides the necessary support, but have no illusions, the situation is still tenuous.
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Amazing tweet 💥
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RV pacing is DEAD. Learn CRT.
“Done!”
CRT is DEAD. Learn HBP.
“Oh...OK. Done!”
HBP is DEAD. Learn LBBP.
“Really? Got it. Done!”
LBBP is DEAD. But there’s this guy in Turkey...
🤦🏻♂️
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OK. New favorite clip. Hall of fame worthy. Take a bow.
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Kids got a new toy. Honestly, did *NOT* see that coming...
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Dual Chamber Aveir from Abbott with ICE-guidance targeting the mouth of the RAA. Love it. Controlled, safe implant. Very exciting option for some patients
#EPeeps
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Natural progression of every
#EPeeps
who does LBBAP:
1. It’s impossible I can’t do it 😣
2. Is this it? 🫣
3. Got it 😁
4. I LOVE this 😝
5. I’m quite literally the best on earth 🥱
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Registration is now open for our 1st Annual Technical Aspects of Lead Extraction Symposium on April 10th. Exciting agenda & first class faculty! It is a virtual CME course that is FREE! Please join us.
#Epeeps
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@MelbourneEPdoc
Snowplowing is common cause for inability to advance sheath. Might be confused with other issues such as lead calcification. Sometimes can't tell until we pull the lead out. For snowplow size up. For calcium, switch to mechanical. Any tips on how to differentiate?
@rdschaller
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Before and after ECG of an 86 M dying of HF now back in the gym. Which therapy helped the most: DCCV? PVC suppression with Amio? His bundle pacing?
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EP if the cup was moving
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Traction on this pacemaker lead shows that it is attached to the SVC
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LV Summit PVC suppressed from 3 distinct sites but continually recurred. Ultimately needed simultaneous unipolar RFA from LV Endo and GCV. Weaker than Bipolar?
@True_EP
@DoctorPhillEP
@Zo_EP2
@andreanatalemd
@DrRoderickTung
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Please join us for this exciting LBBAP program during HRS.
Friday, May 19 at 7 pm at the Hilton in the Grand Ballroom.
#EPeeps
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There are 3 reasons why a pocket infection would be uniquely bad for this patient. Can you identify them?
#EPeeps
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Removing a LINQ
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Massive circumflex infarct with ZERO respect for the ECG!
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VT Symposium this Friday and Saturday. Premier VT/VF conference hosted by
@PennCardiology
and
@MountSinaiHeart
💥FREE 💥Please join us.
#EPeeps
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for best results place heart monitor in middle of ripped 8 pack
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The first report of "Painful LBBB Syndrome Treated with HBP"
@Hisdoc1
@gopi_gdanda1
@psharmadoc
@gauravaupadhyay
@DrRoderickTung
@SergioPinski
@Marek_Jastrz_EP
@amoret01
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The small, broad, fractionated atrial "SP potential" found at the upper inner lip of the anterior CS os. Great place to burn for one and done AVNRT ablations. Anyone agree?
#EPeeps
@BushKelvin
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I will continually ask ChatGPT to make this Cardiac EP more curious for the
#EPeeps
on HRS abstract weekend (in the style of
@garrettscott
)
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Super-fellow
@DavidBriceno_EP
finds signals even
@DrRoderickTung
and
@JRWinterfield
would be proud of.
@True_EP
@DoctorPhillEP
@aalahmadmd
@DrFerminGarcia
@drrakeshg1
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First Twitter collaboration on "Seroma" turned out very nicely. Thanks to everyone who helped.
@krishpothineni
@cesarbos
@Mo_PedsEP
@javyergfMD
@arritmiasmx
@haripj152
@DrJayNasir
@kurtstilllives
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Seriously contemplating being the first person ever to buy “gogo inflight WiFi” to hear CABANA results.
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@GPapiashvili
@MDTolgaAksu
@narrowQRS
@psharmadoc
@ALFIEEP1
@hhuang123
@prof_serkan_cay
@gauravaupadhyay
If you are sticking here, then that is subclavian access.
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Our tribute to the people who discovered and developed conduction system pacing 🙏
@MdHuang
@Hisdoc1
@gopi_gdanda1
@DrRoderickTung
@KennethEllenbo1
@psharmadoc
@Marek_Jastrz_EP
@gauravaupadhyay
@kvernooy
@ZacharyWhinnett
#EPeeps
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Favorite tweet of all time and it's kinda not close...
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That moment when you deploy the Perclose and then see a clinical PVC...
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Pretty rare (and lucky) to get so close to an AIV PVC from the RVOT.
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Tough case of intramural scar and VT requiring ablation from RV, LV, EPI, MCV. Almost had to send to
@jskoruth
for the needle.
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With the master at the
@Medtronic
“Build a 3830 Lead” Program at the manufacturing facility in sunny Puerto Rico. FYI: They are made by hand 😳
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@dredcronin
@HRSonline
Traditional morphologies IMO are:
RCC: (+) in 1 with less R wave in V1
R/L: (+) then (-) in 1 with notch on downstroke of V1
LCC: (-) in 1 and “W” pattern in V1
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@SchakrabartiEP
@gautamsand
@JRWinterfield
@DrRoderickTung
@narrowQRS
@DoctorPhillEP
@drrakeshg1
This morphology in V1 is highly specific for pap. If superiorly directed = PM. If inferiorly directed = AL. Will be presenting our data at HRS.
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TALES2023 is 4 days away (Sat, 3/11). Kutalek, Epstein, Pinski, Ellenbogen, Carrillo, and many more of the brightest stars in lead management/extraction. Please join us. We are committed to making it Free, Virtual, CME.
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To the EP who thought of putting an ablation catheter in the freaking AORTA to start burning PVCs..........respect.
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Please join us again for TALES 2022! Even better agenda this year
🚨 FREE 🚨Virtual! 🚨 Technical Aspects of Lead Extraction • Management • How To • Case Review • Superstar Faculty
#EPeeps
🤛
#EPeeps
: Mark your 🗓️ for the 2nd Annual Technical Aspects of Lead Extraction Symposium on March 12!
This free CME will provide up-to-date practices and emerging concepts for cardiac implantable electronic device management.
Register 👉
@rdschaller
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@DGlaucomflecken
I would kindly direct you to the product densities. I assume you favor the British Stone, yes?
#CrackerTwitter
has been oddly quiet tonight.
@nabisco
you wanna weigh in here?
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🚨TALES 2023🚨 coming March 11. Absolute Banger of a program with world class faculty - a who's who of lead experts. Extraction, Management, Diagnosis, Imaging, and more. FREE, VIRTUAL, CME🗣️
#EPeeps
please join us and register @
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@AMussigbrodtMD
@EPeeps_Bot
@narrowQRS
@SergioRichterMD
@drjohnm
No easy answer but appealing to do this conservatively. Takes effort and experience. Have to debride tissue, remove sutures sleeves, change generator, irrigate like crazy, scrub leads, bury system under the muscle with Tyrx, compartmentalize best you can, then chronic Abx.
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During internship, if you had to put an IV in someone’s foot, you were a badass...😳
Transorbital endovascular embolization of a dural carotid-cavernous fistula. Thank you to
@FelipeTrivelato
@mts_rezende
@neuroabud
for showing us so many technical details during years 🇧🇷 🇪🇸
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Crazy good upcoming conference with guest lectures from
@drjohnm
@netta_doc
@jskoruth
@DJ_Lakkireddy
@Zo_EP2
@docwhitman
and special talk from the voice of our generation
@DGlaucomflecken
. Please join us at
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@DGlaucomflecken
10-years ago, a doctor aimed a laser at my eyeballs. 5-minutes later, I could see. Like a hawk can see. Like a young, young hawk. No matter how many lives I purport to save, I will never match the miracle performed by that doctor. That tan, well-rested, impeccably-dressed doctor.
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This is why it is a bad idea to use central access. Lead encased in bone.
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At grocery store:
Wife: Let’s get whole grain
Me: Why?
Wife: That’s what Pinkers would get
Me: Who?
Wife: That guy you talk to online
Me: Sergio Pinski???
Wife: That’s him
Me: How do you even know him?
Wife: Cause you don’t shut up
Me: Whole grain it is
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@EJSMD
“What do you do?”
“I’m an electrophysiologist”
“A what?”
“You know. Like pacemakers and stuff.“
“But I thought...”
“I do ablations. AF? VT?! You know?”
“But you ARE a doctor, right?”
“Yes, mom. I’m a doctor...”
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Seen during intra-operative LV lead threshold testing in a patient with a lateral infarct. Anyone seen this before?
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See you all tomorrow at 10 am for the TALES Lead Extraction Symposium. 700 registrants thus far!
#EPeeps
Some heavy hitters 👇
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@CMTschabrunn
@drjohnm
@PennMedicine
Great job by
@PennMedicine
leadership to cancel all elective cases/clinics. We remain fully prepared to perform all urgent and emergent cardiac procedures.
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The girl waited extra to get a white pumpkin to paint. Then made it orange.
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