Cardiologist, Cardiac electrophysiologist, EHRA certified electrophysiology and device specialist. Jo Ann University Hospital and Healthycore hospital.

Tbilisi, Georgia
Can RVOT PVCs with transition at V4 still be ablated from the left side? Despite local EGMs being much better on the right, RF resulted only in very late and brief suppression. RF from the left, opposite to the RV lesions immediately eliminated the ectopy.
3
13
4,862
Giorgi Papiashvili, MD, PhD, FESC retweeted
ADVANTAGE AF subanalysis: Linear bipolar PFA for CTI shows safety and efficacy comparable to RF, with greater efficiency, and supports a standardized coronary safety protocol. Details in #JACC: jacc.org/doi/10.1016/j.jacc.… #AFSymposium2026 #AFib #epAblation #EPeeps @VivekReddyMD
11
47
4,635
Giorgi Papiashvili, MD, PhD, FESC retweeted
Publicada nuestra revisión de la anatomía e histología del seno coronario🫀 relevante para la enolización de la vena de Marshall en FA! Esperamos que el tema os resulte tan apasionante como a nosotros 🤩@CardioQuironMad Disponible online👇🏼 sciencedirect.com/science/ar…
3
29
105
6,175
Giorgi Papiashvili, MD, PhD, FESC retweeted
Thrombo-inflammation and Hemolysis after Pulsed Field Ablation with a Pentaspline Catheter: Clinical Predictors, Renal Safety and Rhythm Outcomes heartrhythmjournal.com/artic…
1
9
28
2,746
Giorgi Papiashvili, MD, PhD, FESC retweeted
Our new topic in “Da Vinci" Anatomy Corner @cardiac_anatomy @JACCJournals Case Reports jacc.org/doi/full/10.1016/j.… 🔹Fundamental Anatomy and its Impact on Clinical Practice: The Membranous Septum and Conduction System in TAVI🔹 @AndreaScotti21 @GilbertTangMD @DamianSanc1955
1
16
44
2,885
Giorgi Papiashvili, MD, PhD, FESC retweeted
"Multipolar EGMs are superior to unipolar EGMs in predicting the location of a PVC, reflected by a smaller area of QS morphology and narrowing down the diffuse breakout of early activation." jacc.org/doi/abs/10.1016/j.j…
1
7
51
2,494
Giorgi Papiashvili, MD, PhD, FESC retweeted
🧵 The FARAPOINT™ Pulsed Field Ablation (#PFA) Catheter has now received #FDA approval for treatment of atrial flutter!    EP in 2026 has never been more well-equipped. Incredible era—more tools, more precision, more options for our patients. #Epeeps
3
14
70
6,519
Entrainment is an indispensable tool for the electrophysiologist. Colors can be misleading. Three distinct flutter circuits identified during a single procedure.
4
150
Giorgi Papiashvili, MD, PhD, FESC retweeted
From Structure to Clinical Insight: The Da Vinci Corner's New Series on Fundamental Anatomy | JACC: Case Reports jacc.org/doi/10.1016/j.jacca…
1
9
28
1,801
The patient with persistent atypical atrial flutter after PVI. CCW activation around mitral annulus. LIPV reconnected and the gap can be seen on its anterior aspect. Anterior mitral line slowed and terminated the flutter. Re-isolation of left TVs and CTI line afterwards.
1
7
219
Giorgi Papiashvili, MD, PhD, FESC retweeted
Young PFA is already as effective as RF - a technology refined over 30 years!
Piere Jais 🇫🇷on BEAT AF at #ESCCongress ⚡️ PFA vs 🔥 RF in paroxysmal AF 👥 292 pts, RCT, 9 EU centers 📊 No difference in AF recurrence at 12 mo ➡️ PFA is as effective as RF ablation in paroxysmal AF
1
3
21
3,492
39 yo F s/p aortic and mitral valve replacement and cryo PVI. Redo case with RSPV reconnection and re-isolation. Induced MRAT with CL of 424 ms. Confusing caudo-cranial activation on both posterior and anterior LA. Good PPI at proximal CS and LA roof.
3
8
419
My explanation was possible epicardial connection via Septo-Pulmonary bundle and endocardial breakthrough at right inferior part of the posterior LA. Ablated on the roof where ablation slowed and terminated the tachycardia.
1
7
143
Giorgi Papiashvili, MD, PhD, FESC retweeted
#EPeeps Ablation of cavo-tricuspid isthmus dependent atrial flutter using a focal monopolar pulsed-field ablation catheter: Feasibility, periprocedural coronary spasms and conduction disorders. ✴️84 patients from 2 large EP centers… 👉🏻For focal #PFA vs #RFA radiofrequency: - the proportion of first pass block was higher (93% vs 55%) - procedure times were shorter (7 [5,11] min vs 17 [15,19] min) But ‼️Despite nitroglycerine administration: - 4 patients (5%) presented transient ST elevation - 2 patients (2%) showed a transient complete AV block during ablation. Conclusion: ✏️ CTI ablation using focal PFA is feasible, but operators should be aware of rare but critical conduction disturbances and coronary spasm during the procedure, even when preventive measures such as nitroglycerine administration are employed. Now online @hrs_journal 📖 heartrhythmjournal.com/artic… More publications will follow 🙂 #AFib_MUMC_UCPH @JLuermans @kvernooy @arnelasaljic @florentfarnir @PrashSanders @DrJasonAndrade @AndreasMetzner7 @DanielScherr3 @drjohnm @jskoruth @Phiso_de @TorBiering @Drdevignair @ChristianHeeger @True_EP @ftrae @drraviele @ManningerMartin @WakiliReza
2
20
54
4,868
Giorgi Papiashvili, MD, PhD, FESC retweeted
Dear colleagues and friends, We are pleased to share with you our recent work. @JACCJournals #JACCEP “Left Bundle Branch Pacing: Histology, the Key to Understand Different Responses” kwnsfk27.r.eu-west-1.awstrac… “A picture is worth a thousand words.”👇
4
45
118
8,931
Giorgi Papiashvili, MD, PhD, FESC retweeted
#Epeeps Ability of Real Time Tissue Optical Assessment to Predict Lesion Durability: First in Human Study from @atulverma_md et al. LBT #AFSymposium2025 Publication #Europace 🔗 doi.org/10.1093/europace/eua… @GiulioConte9 @FraSantoroMD @AndyZhangMD @marcovitoloMD @Dominik_Linz
14
25
2,774
Proud to have participated in this project and congratulations to MedLumics for successfully completing this FIM study. finance.yahoo.com/news/medlu…
2
6
152
Giorgi Papiashvili, MD, PhD, FESC retweeted
RIGGED ELECTIONS IN GEORGIA 🇬🇪 I've spent the last 48 hours proving fraud in the Georgian elections. Let me show you the evidence in 2 charts. Chart 1: Russian tail...
418
4,082
17,409
2,524,927