2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation
2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design. If you are involved with Atrial Fibrillation ablations, you should read this article. Text. Heart Rhythm Society. Membership required.
30 Years of Ablation
This sessions is a historical journal through early DC ablation up to modern electroporative, automatic, and non-thermal ablation techniques are reviewed by a pioneer and expert in the field of interventional electrophysiology.
3D Mapping & Ablation of AF Rotors: A Paradigm Shift in Standard of Care to Improve Long-Term Outcomes in AF Ablation.
This complimentary on-demand webcast evaluates the global landscape of AF ablation, including current trends and emerging strategies that impact long-term procedural outcomes.
A Patient with Newly Diagnosed Atrial Fibrillation
How should anticoagulation be handled in patients with atrial fibrillation who are to undergo cardioversion or ablation procedures? The goal of this activity is to provide an update on anticoagulation strategies for these patients.
Ablation and Anticoagulation: What’s New?
The goal of this activity is to provide an update on the use of non-vitamin K oral antagonists in patients with AF who are to undergo ablation.
Ablation of Arrhythmias Near the AV Node
To explain the anatomy of the atrioventricular junction and related structures implicated in arrhythmia To identify different approaches to catheter ablation of peri-nodal arrhythmia To explain when to use cryo ablation.
Ablation of VF: Choosing the Right Candidate and Technique.
This session will discuss the basics of resetting and entrainment, followed by using entrainment mapping to look for ablation targets.
Advances in Atrial Fibrillation 2011
Six different classes on cutting current AF technologies. – Epicardial Ablation in Non-ischemic Cardiomyopathy – Overview: Multipolar and Balloon Ablation – Cryoballoon Ablation – Laser Balloon Ablation – Multielectrode Ablation – Left Atrial Appendage Occlusion/Ligation PowerPoint Presentations with audio. Heart Rhythm Society.
Anatomical Considerations For AF and VT Ablation
To illustrate critical anatomical structures for ablation To define the relationship between anatomy and the sites of ablation To understand the anatomical considerations during epicardial ablation
Anatomy and Fluroscopic Landmarks Relevant to the Pericardial Space
Anatomy and Fluroscopic Landmarks Relevant to the Pericardial Space by Dr. Samuel Asirvatham, Professor, Mayo Clinic, Rochester, MN. – Catheter Ablation
Anatomy of the Left Atrium: Implications for Radiofrequency Ablation of Atrial Fibrillation
Excellent review of pertinent anatomy of the left atrium. Numerous photographs. Text. Journal of Cardiovascular Electrophysiology.
Assessment of Temperature, Proximity, and Course of the Esophagus During Radiofrequency Ablation Within the Left Atrium
Left atrioesophageal fistula is a devastating complication of atrial fibrillation ablation. There is no standard approach for avoiding this complication, which is caused by thermal injury during ablation. The objectives of this study were to evaluate the course of the esophagus and the temperature within the esophagus during pulmonary vein antrum isolation (PVAI) and correlate these data with esophagus tissue damage. Circulation. Text.
Atrial Fibrillation Ablation: Reaching the Mainstream
A review of multiple approaches to Atrial Fibrillation ablation using numerous diagrams for explanation. A review of studies that look at the results of the different approaches. Text. Medscape Nurses.
Atrial Fibrillation at the Time of Mitral Valve Surgery: Should Everyone Have Ablation?
Atrial Fibrillation at the Time of Mitral Valve Surgery: Should Everyone Have Ablation?
Atrial Tachycardia After AF Ablation
To identify how to use entrainment and activation mapping to ablate these tachycardias To explain the creation of atrial tachycardias To discuss mechanisms and improve knowledge for mapping and treating iatrogenic atrial tachycardias.
Box-lesion set during modified Cox maze significantly improves patient outcomes
Placing an additional ablation set during the Cox-maze procedure significantly improves clinical outcomes, according to a new report Text. The Heart.org. Free registration.
Can You Successfully Treat Persistent Atrial Fibrillation without Silencing the Posterior Left Atrium? Setting a Standard for Single-Procedure Outcomes.
Discuss the economic burdens of persistent AF and the need to deliver long-term value through comprehensive, multidisciplinary patient care. Evaluate the underlying mechanisms for AF pathogenesis as a function of atrial stretch and how stretch mediated remodeling can be addressed through comprehensive posterior LA ablation.
Catheter Ablation for Paroxysmal Atrial Fibrillation- Replay Webcast
Webcast of AF ablation. Moderated with discussion and questions. There are 3 such programs listed. Expose yourself to the different viewpoints. HRS Webcast. Free registration.
Catheter Ablation of Atrial Fibrillation Update for 2013
Conor Barrett, MD, Director of the Al-Sabah Arrhythmia Institute at St. Lukes Hospital, discusses the latest techniques and treatments for cardiac arrhythmias. Dr. Barrett also explains the mechanisms of paroxysmal and persistent atrial fibrillation and how they differ.
Catheter Ablation of Persistent Atrial Fibrillation
Catheter ablation for symptomatic, drug-resistant atrial fibrillation (AF) has become an important therapeutic option over the past decade.
Catheter Ablation: Techniques for Safe Success in Pediatrics
To explain ablation technologies To review cutting edge ablation technology To examine the science behind catheter ablation.
Determinants of Atrial Lesion Maturation during Radio Frequency Ablation Using Localized Tissue Electrograms
Unlike ventricular tissue, the atria consist of thin tissue with little exposure to intramyocardial blood flow or cooling from epicardial vasculature. As a result, the likelihood of extracardiac damage increases with prolonged radiofrequency (RF) application. An accurate assessment of transmural lesion maturation would reduce the risk of extracardiac injury while still maintaining ablation efficacy. –
Diagnosis and Ablation of Fascicular Tachycardia
Verapamil-sensitive fascicular ventricular tachycardia (VT) is the most common form of idiopathic left VT. According to the QRS morphology and the successful ablation site, left fascicular VT can be classified into three subgroups: left posterior fascicular VT, whose QRS morphology shows right bundle branch block (RBBB) configuration and superior axis (common form); left anterior fascicular VT, whose QRS morphology shows RBBB configuration and right-axis deviation (uncommon form), and upper septal fascicular VT, whose QRS morphology shows narrow QRS configuration and normal or right-axis deviation (rare form). Posterior and anterior fascicular VT can be successfully ablated at the posterior or anterior mid-septum with a diastolic Purkinje potential during VT or at the VT exit site with a fused pre-systolic Purkinje potential.
Emerging Tools and Techniques for Optimally Managing AF and VT.
Review current challenges in VT and AF mapping and ablation that impede success rates. Assess emerging tools that may improve procedural outcomes in the management of AF and VT. Evaluate optimal clinical decision making strategies with current technology for achieving lead free catheter ablation procedures.
Entrainment Mapping to Find Ablation Targets?
This session will discuss the basics of resetting and entrainment, followed by using entrainment mapping to look for ablation targets.
Epicardial Ablation in Nonischemic Cardiomyopathy
Epicardial Ablation in Nonischemic Cardiomyopathy by Dr. David Wilber, Director of Cardiology, Loyola University Medical Center, Maywood, IL.
Hemodynamic Support During Complex VT Ablation: Use of Impella 2.5
Video of ablation procedure using the Impella device for blood pressure support. EP Lab Live. Video.
ICE- section I – intracardiac Echo Video ( ICE )
Video overview of ICE Catheters
Improving Long-Term Clinical Outcomes with Rotor Elimination
The webcast is comprised of the proceedings from the accredited satellite symposium held at Heart Rhythm 2015, Improving Long-Term Clinical Outcomes with Rotor Elimination. The presentation format consists of synched audio and HD video, along with the presenters slides, and features panel discussion sessions. Review the current global state of AF ablation outcomes and evaluate emerging evidence-based treatment solutions. Evaluate the fundamental mechanisms of AF initiation and maintenance, and assess the role electrical rotors and focal impulses have on sustaining AF. Discuss recent study data, and examine what questions need to be addressed through future studies. Observe the benefits and challenges for employing the focal impulse and rotor modulation ablation approach within daily practice.
Limited Ablation for Persistent Atrial Fibrillation Using Preprocedure Reverse Remodeling
Pulmonary vein isolation (PVI) has been demonstrated to be a highly effective treatment option for patients with paroxysmal atrial fibrillation (AF), but less effective for patients with persistent AF. The lower efficacy of PVI alone has been attributed to adverse atrial electrical and structural remodeling in the setting of AF.
Mapping and Ablation of AF Rotors: Examining Data, Clinical Experiences, and Future Directions.
Review the current global state of AF ablation outcomes and evaluate emerging evidence-based treatment solutions. Evaluate the fundamental mechanisms of AF initiation and maintenance, and assess the role electrical rotors and focal impulses have on sustaining AF. Discuss recent study data, and examine what questions need to be addressed through future studies. Observe the benefits and challenges for employing the focal impulse and rotor modulation ablation approach within daily practice.
Marked Suppression of Pulmonary Vein Firing After Circumferential Pulmonary Vein Isolation in Patients With Paroxysmal Atrial Fibrillation
Rapid firing in pulmonary veins (PVs) is a leading cause of paroxysmal atrial fibrillation. We hypothesized that PV firing (PV-F) should continue after circumferential PV isolation (CPVI) because the PV tissue responsible for PV-F remains intact.
Maximizing integration with EP navigator’s real-time 3D image acquired in lab and BioSense Webster’s CARTO 3
This video presents an AF ablation procedure and illustrates their ablation strategy with comment on the technologies they use to perform it. Specific attention is devoted to the EP navigator 3D ATG’s imaging of the left atrium and the benefits of using technology to assess patient anatomy. The presenters also demonstrate how this image imports and interfaces with BioSense Webster’s Carto 3 product. Also to be discussed: how to acquire the 3D ATG rotational scan, and the practical workflow and benefits of subsequently using these images in Carto 3. Video. Free registration. Biosense Webster & Algemeen Ziekenhuis St. Jan Bruges, Belgium.
New Hope for Patients Who Have Failed Catheter Ablation: Effective Hybrid Procedure Performed Completely in the EP Lab
In patients whose AF has become highly symptomatic with a negatively impacted quality of life, catheter ablation has emerged as a potent therapy in the restoration and maintenance of normal sinus rhythm. It is recognized as an effective and safe alternative to chronic medical therapy.
New Technologies for AF Ablation: Do They Add Value? CME
Emphasizing the limitations of current atrial mapping and ablation techniques and where improvement is needed.
Preventing AF-Related Stroke in 2013: Appropriate Choices, Appropriate Patients
The goal of this activity is to provide an update on the use of oral anticoagulants to prevent the risk for stroke in patients with atrial fibrillation. Upon completion of this activity, participants will be able to: 1.Assess stroke and bleeding risk in patients with atrial fibrillation 2.Individualize anticoagulant therapy for patients with atrial fibrillation
Rapid Ablation of Recurrent Atrial Flutter Using a Novel Ablation Catheter
T. Radiofrequency ablation of atrial flutter is a very successful procedure with rare recurrences. We report the first use of a novel radiofrequency ablation catheter with mini-electrodes embedded in the tip to detect and ablate the critical site of recurrent atrial flutter. Added 11-21-2014
Understanding Pulmonary Vein Recordings: Implications for the Mapping and Ablation of Atrial Fibrillation
At the conclusion of this activity, the participant should be able to: 1. Understand the role of pulmonary veins in the pathogenesis of atrial fibrillation. 2. Interpret pulmonary vein potentials recorded on a circumferential mapping catheter and understand the methods for distinguishing these from farfield, non-pulmonary vein signals. 3. Recognize the left atrium to pulmonary vein breakthrough points as targets for ablation and identify the endpoints for pulmonary vein electrical isolation. Text with electrograms. EP Lab Digest.
Why Does Ablation for Atrial Fibrillation Fail and What to do About it?
Dr. Brian DeVille, DLV 2012 Faculty, speaks about why ablation for atrial fibrillation fails and what to do if it does at Dallas-Leipzig Valve 2012.
