Ablation of atrial fibrillation Techniques and workflow in AF rotors. G. Hindricks and Ph. Sommer
|
|
|
- Charlotte Harper
- 6 years ago
- Views:
Transcription
1 IDSS - Israel Tel Aviv 2016 Ablation of atrial fibrillation Techniques and workflow in AF rotors G. Hindricks and Ph. Sommer University of Leipzig - Heart Center - Department of Electrophysiology
2 Presenter Disclosure Information Gerhard Hindricks/Department of Electrophysiology has received scientific grants and research & development grants through the University Leipzig / Heart Center from St. Jude Medical, Biotronik, Boston Scientific, and Volkswagen Foundation. No personal relations to disclosure.
3 Catheter ablation at Heart Center Leipzig
4 Catheter ablation of atrial fibrillation at the Heart Center Leipzig: Agenda Infrastructure Work flow Treatment standards Techniques and technologies Quality control Follow-up
5 Ablation of atrial fibrillation general thoughts Precise and personalized indications - what s the profit and what are the risks? Optimal patient preparation - meaningful resource utilization - do the necessary but don t waste resources Select the best treatment technology available - 3-D mapping systems / cryo balloon / FIRM - steerable sheath technology - force sensing catheters Choose the optimal treatment technique - PVI plus substrate modification plus rotor ablation
6 AF ablation at the Heart Center Leipzig: Infrastructure 5 cathlabs - 4 advanced mapping techologies - Stereotaxis, Mediguide, UniView, - Rhythmia, Topera - MRI interventional suite 65 patient beds for EP (plus ICU beds) 10 outpatient beds outpatient clinic dedicated AF follow-up center (Cardiocenter)
7 MRI
8 AF ablation at the Heart Center Leipzig: Work flow Day 1 - history, physical examination, blood tests - ECG, stress tests (if necessary) - informed consent TTE, MRI/CT Day 2 - cath labs start at 06: AF cases - puncture 07:30 (sharp) - after ablation 2h close observation - back to normal ward
9 AF ablation at the Heart Center Leipzig: Work flow Day 3 - ECG, TTE - physical examination - 7 day ECG, - follow-up information letter - potential discharge (or on Day 4)
10 AF ablation at the HZL: Treatment standards start analgosedation with propofol 5 punctures (4 veins, 1 artery) - 4F, 5F, 6F, 8F, 12F catheters RVA, CS, 1/2 LA single/double TSP with steerable sheaths heparine administration (ACT 300) accept INR < 3.0, 5000 IE before TSP check pts. status
11 Specific workflow for FIRM ablation
12 Sommer et al.; JCE 2015 Techniques and Workflow for AF Rotors Patients selection for FIRM ablation
13 Specific issues for FIRM ablation MRI assessment of LA / RA size Usually, patients enter the lab in AF If not, AF is induced Sustained AF could be induced in all pts. > 10 min ongoing AF before FIRM mapping
14 Planning the case: left atrial size measured from MRI
15
16 Sommer et al.; JCE 2015 Techniques and Workflow for AF Rotors Workflow for FIRM ablation
17 Leipzig workflow for FIRM ablation Take geometry of RA Check ACT (>300) Position 1 RA: high right atrium Take data, analyze (and ablate)
18 Workflow for the case: step 1
19 Leipzig workflow for FIRM ablation Take geometry of RA Check ACT (>300) Position 1 RA: high right atrium Take data, analyze (and ablate) Position 2 RA: basal right atrium Take data, analyze (and ablate)
20 Workflow for the case: step 2
21 Leipzig workflow for FIRM ablation Take geometry of RA Check ACT (>300) Position 1 RA: high right atrium Take data, analyze (and ablate) Position 2 RA: basal right atrium Take data, analyze (and ablate) Go transseptal Take geometry of LA
22 Clinical study for AF ablation using magnetic navigation (III)
23 Leipzig workflow for FIRM ablation Go transseptal Take geometry of LA Position 1 LA: left side / LUPV
24 Workflow for the case: step 3
25 Leipzig workflow for FIRM ablation Go transseptal Take geometry of LA Position 1 LA: left side / LUPV Take data, analyze (and ablate) Position 2 LA: LA central
26 Workflow for the case: step 4
27 Workflow for the case: step 5
28 Leipzig workflow for FIRM ablation Go transseptal Take geometry of LA Position 1 LA: left side / LUPV Take data, analyze (and ablate) Position 2 LA: LA central Take data, analyze (and ablate) Position 3 LA: right side
29 Workflow for the case: step 6
30 Workflow for the case: summary of cath. positions
31 Workflow for the case: ablation sites
32 Case example: 45 year old male patient LA diameter 40mm, LVEF 65%; EHRA III 3 previous ablation procedures: 2011: VSD closure with cryoablation 10/2013 PVI alone 08/2014 PV still isolated, additional box lesion Recurrences of AF appr. 1 week after ablation/cv
33 Case example: RA + LA: 0 rotors!
34 Case example: FIRM mapping in LPSVC
35 Case example: ablation of 6 rotor regions
36 Case example: redo after 9 months
37 Summary FIRM ablation can be well implemented in efficient ablation workflow. As always: development and systematic application of workflow standards is important for safe, effective, and economically balanced procedures. The next step will be the developement and evaluation of standard workflow for FIRM stabd alone procedures.
38
39 Catheter ablation of atrial fibrillation: Leipzig perspective - JHRS 2014 Isolation of the pulmonary veins II III V1 PV 1/2 PV 3/4 PV 5/6 PV 7/8 PV 9/10 CS 1/2 CS 3/4 CS 5/6 CS 7/8 RVA
40 Catheter ablation of atrial fibrillation: Leipzig perspective - JHRS 2014 Isolation of the pulmonary veins II III V1 PV 1/2 PV 3/4 PV 5/6 PV 7/8 PV 9/10 CS 1/2 CS 3/4 CS 5/6 CS 7/8 RVA
41 Catheter ablation of atrial fibrillation: Leipzig perspective - JHRS 2014 Isolation of the pulmonary veins II III V1 PV 1/2 PV 3/4 PV 5/6 PV 7/8 PV 9/10 CS 1/2 CS 3/4 CS 5/6 CS 7/8 RVA
42 Catheter ablation of atrial fibrillation: Leipzig perspective - JHRS 2014 AF ablation at the HZL: Treatment standards verification and documentation of complete circumferential isolation induction via CS and LAA - CL 300, 250, 200 ms / 15 sec. further treatment according to specific protocols withdraw catheters and sheaths after administration of protamine
Repeat procedures: the best approach
ESC Stockholm 2010 Repeat procedures: the best approach Gerhard Hindricks, MD University Leipzig - Heart Center - Dept. of Electrophysiology Leipzig, Germany Presenter Disclosure Information Gerhard Hindricks
Treatment of VT of Purkinje fiber origin: ablation targets and outcome
Treatment of VT of Purkinje fiber origin: ablation targets and outcome Ch. Piorkowski University Leipzig - Heart Center - Dept. of Electrophysiology Leipzig, Germany Presenter Disclosure Information Gerhard
Ablation of persistent AF Is it different than paroxysmal?
Ablation of persistent AF Is it different than paroxysmal? Steven J. Kalbfleisch, MD Medical Director Electrophysiology Laboratory Ohio State University Wexner Medical Center Ross Heart Hospital Columbus,
Jesus M. Paylos, C. Ferrero, L. Azcona, A. Morales, M. A. Vargas, L. Lacal, V. Gomez Tello.
CRYO-BALLOON CATHETER ABLATION EFFICACY RESTORING AND MAINTAINING SINUS-RHYTHM IN PATIENTS TREATED FOR PERSISTENT LONG STANDING ATRIAL FIBRILLATION AFTER ACUTE COMPLETE ELECTRICAL ISOLATION OF THE PULMONARY
Rotor Mapping A FIRM Foundation Exists
Rotor Mapping A FIRM Foundation Exists John M. Miller, MD Professor of Medicine Indiana University School of Medicine Krannert Institute of Cardiology Director, Clinical Cardiac Electrophysiology ~ Disclosures
EDUCATION MEDICAL PROGRAMS EDUCATION AF SOLUTIONS TRAINING AND EDUCATION OVERVIEW ONLINE TRAINING PROGRAMS
MEDICAL EDUCATION AF SOLUTIONS EDUCATION AND EDUCATION OVERVIEW ONLINE www.afsolutions.eu www.medtronicacademy.com EDUCATION CRYOTHERAPY Arctic Front Training Program (AFTP) Focal Cryo Training Program
Percutaneous Transvenous Atrial Fibrillation Ablation and Stroke
Percutaneous Transvenous Atrial Fibrillation Ablation and Stroke Vivek Y. Reddy, MD Helmsley Trust Professor of Medicine Director, Cardiac Arrhythmia Service The Mount Sinai Hospital Disclosures Grant
Debate-STAR AF 2 study. PVI is not enough
Debate-STAR AF 2 study PVI is not enough Debate about STAR AF 2 trial STAR AF trial Substrate and Trigger Ablation for Reduction of Atrial Fibrillation EHJ 2010 STAR-AF 2 trial One Size Fits All? PVI is
Catheter Ablation for Atrial Fibrillation: Patient Selection and Outcomes
Catheter Ablation for Atrial Fibrillation: Patient Selection and Outcomes Francis Marchlinski, MD Richard T and Angela Clark President s Distinguished Professor Director Cardiac Electrophysiolgy University
Inappropriate electrical shocks: Tackling the beast
ESC Paris 2011 Inappropriate electrical shocks: Tackling the beast Gerhard Hindricks University of Leipzig Heart Center Dept. of Electrophysiology ESC Paris 2011 Inappropriate electrical shocks: Tackling
Catheter ablation of atrial macro re-entrant Tachycardia - How to use 3D entrainment mapping -
Catheter ablation of atrial macro re-entrant Tachycardia - How to use 3D entrainment mapping - M. Esato, Y. Chun, G. Hindricks Kyoto Ijinkai Takeda Hosptial, Department of Arrhythmia, Japan Kyoto Koseikai
Role of LAA isolation in AF cure
MAM 2017, Zurich Role of LAA isolation in AF cure Sakis Themistoclakis, MD Director, Unit of Electrophysiology and Cardiac Pacing Department of Cardiothoracic & Vascular Medicine Ospedale dell Angelo,
AF ablation Penn experience. Optimal approach to the ablation of PAF: Importance of identifying triggers 9/25/2009
Optimal approach to the ablation of PAF: Importance of identifying triggers David J. Callans, MD University of Pennsylvania School of Medicine AF ablation Penn experience Antral (circumferential) PV ablation
Devices to Protect Against Stroke in Atrial Fibrillation
Devices to Protect Against Stroke in Atrial Fibrillation Jonathan C. Hsu, MD, MAS Associate Clinical Professor Division of Cardiology, Section of Cardiac Electrophysiology June 2, 2018 Disclosures Honoraria
Catheter ablation of AF Where do we stand, where do we go?
Catheter ablation of AF Where do we stand, where do we go? Sébastien Knecht MD, PhD Hôpital cardiologique du Haut L Evêque, Bordeaux Declaration of conflict of interest ABLATION STRATEGIES Duration proc:
Catheter Ablation of Atrial Fibrillation Strategy and Outcome Predictors Shih-Ann Chen MD
Catheter Ablation of Atrial Fibrillation Strategy and Outcome Predictors Shih-Ann Chen MD Taipei Veterans General Hospital, Taiwan Outline of AF Ablation 1. Strategy for Catheter Ablation of AF 2. Substrate
Fibrillation Atriale Paroxystique : ablation, résultats, complications
Fibrillation Atriale Paroxystique : ablation, résultats, complications DIU Rythmologie Paris, le 27/01/16 sboveda@clinique-pasteur.com 1 A disease with bad consequences RR de patients en FA comparé avec
Persistent AF: when and why using the Cryo Technology
Persistent AF: when and why using the Cryo Technology Cesare Storti Electrophysiology and Cardiac Pacing Unit Istituto di Cura Città di Pavia, Pavia, Italy Persistent AF: when and why using the Cryo Technology
Balloon and Mesh Catheter Ablation of Pulmonary Veins
Balloon and Mesh Catheter Ablation of Pulmonary Veins ISHNE 2009 Atul Verma, MD FRCPC Cardiology/Electrophysiology Heart Rhythm Program, Division of Cardiology Southlake Regional Health Centre Newmarket,
Atrial Fibrillation: Catheter Ablation with New Technologies, Improving Quality of Life and Outcomes in Various Disease States
Atrial Fibrillation: Catheter Ablation with New Technologies, Improving Quality of Life and Outcomes in Various Disease States Srinivas R. Dukkipati, MD Co-Director, Cardiac Arrhythmia Service The Mount
Should hybrid ablation be the standard of care instead of transcatheter ablation techniques?
Should hybrid ablation be the standard of care instead of transcatheter ablation techniques? Christian Shults, MD Assistant Professor, Georgetown University School of Medicine Cardiac Surgeon, Medstar
The Future of Catheter Ablation
The Future of Catheter Ablation KH Kuck, MD Asklepios Klink St. Georg, Hamburg Disclosure Statement Research Grants Consultant / Advisory Board Ownership Interests Speaker s Bureau Honoraria Biosense Webster,
PVI and What Else for Persistent AF Lessons Learned from STAR AF 2 CCCEP 2015 October 31, New York
PVI and What Else for Persistent AF Lessons Learned from STAR AF 2 CCCEP 2015 October 31, New York Atul Verma, MD FRCPC FHRS Director, Arrhythmia Services Southlake Regional Health Centre Faculty of Medicine
SEVEN YEARS OF CRYO-BALLOON CATHETER ABLATION
SEVEN YEARS OF CRYO-BALLOON CATHETER ABLATION. FOLLOW-UP ANALYSIS, RESULTS, RECURRENCES, COMPLICATIONS AND SIDE EFFECTS IN PATIENTS TREATED FOR PAROXYSMAL ATRIAL FIBRILLATION, WITH A PROSPECTIVE PROTOCOL
Linear Ablation Should Not Be a Standard Part of Ablation in Persistent AF. Disclosures. LA Ablation vs. Segmental Ostial Ablation With PVI for PAF
Linear Ablation Should Not Be a Standard Part of Ablation in Persistent AF The CA Heart Rhythm Symposium September 7, 2012 Gregory K. Feld, MD Professor of Medicine Director, Cardiac EP Program University
Raphael Rosso MD, Yuval Levi Med. Eng., Sami Viskin MD Tel Aviv Sourasky Medical Center
Radiofrequency Ablation of Atrial Fibrillation: Comparison of Success Rate of Circular Ablation vs Point-by-Point Ablation with Contact Force Assessment in Paroxysmal and Persistent Atrial Fibrillation
Mapping techniques in AFib. Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria
Mapping techniques in AFib Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria critical zone Microreeentrant circuits LOM PV foci Sueda Ann Thorac Surg 1997 Haissaguerre
New technology to minimize radiation
Room 103-104 15/April/2016 New technology to minimize radiation Jun Kim University of Ulsan College of Medicine Asan Medical Center Heart Institute Disclosure NONE I have no experience using Carto Univu
Surgical Ablation: Which Lesion Set for Which Patient?
Surgical Ablation: Which Lesion Set for Which Patient? Patrick M. McCarthy MD, FACC Director of the Bluhm Cardiovascular Institute Chief of Cardiac Surgery Division Heller-Sacks Professor of Surgery in
8/26/2016. Historical Perspective (1) Is Cryoballoon the Preferred Approach to Ablation of Paroxysmal AF? Historical Perspective (2)
California Heart Rhythm Symposium September 9-10, 2016 Is Cryoballoon the Preferred Approach to Ablation of Paroxysmal AF? Peter Guerra Institut de Cardiologie de Montréal Historical Perspective (1) 1992
Atrial Fibrillation Ablation: in Whom and How
Update on Consensus Statement on Management of Atrial Fibrillation: EHRA 2012 Atrial Fibrillation Ablation: in Whom and How Update of HRS/EHRA AF/ECAS Ablation Document 2012 Anne M Gillis MD FHRS Professor
Catheter ablation in AF patients with heart failure. What is possible?
Catheter ablation in AF patients with heart failure What is possible? Sébastien Knecht, MD PhD Hôpital cardiologique du Haut L Evêque, Bordeaux HEART FAILURE AND AF Ehrlich. JCE 2002 (13): 399-405, Wang
Ablation Index : A new standard for Safety and Efficacy. Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France
Ablation Index : A new standard for Safety and Efficacy Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France Disclosures Dr Franck Halimi... I have the following potential conflicts of interest to
Supplementary Online Content
Supplementary Online Content Verma A, Champagne J, Sapp J, et al. Asymptomatic episodes of atrial fibrillation before and after catheter ablation: a prospective, multicenter study. JAMA Intern Med. Published
The Future. Sanjiv M. Narayan, MD, PHD, FHRS, FRCP Professor of Medicine, University of California San Diego San Diego Veterans Affairs Medical Center
The Future Sanjiv M. Narayan, MD, PHD, FHRS, FRCP Professor of Medicine, University of California San Diego San Diego Veterans Affairs Medical Center Disclosures: Funded by NIH (HL70529, HL83359, HL103800,
Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial
Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial Samuel J. Asirvatham, MD Mayo Clinic Rochester California Heart Rhythm Symposium San Francisco, CA September 8,
Purse-String Pv Box Isolation: A Less Invasive Modified Maze Procedure For Non-Mitral Atrial Fibrillation
Purse-String Pv Box Isolation: A Less Invasive Modified Maze Procedure For Non-Mitral Atrial Fibrillation T. Taguchi, K. Imai, M. Watanabe, H. Kodama, K. Katayama, S. Takahashi, T. Kurosaki, T. Sueda Department
Catheter Ablation of Atrial Fibrillation
Cardiology Update 2011 Catheter Ablation of Atrial Fibrillation Laurent Haegeli University Hospital Zurich February 16, 2011 Willem Einthoven and Sir Thomas Lewis The first ECG in 1903 Willem Einthoven
A Cryo Anatomical Procedure to Everyone? Saverio Iacopino, FACC, FESC
A Cryo Anatomical Procedure to Everyone? Saverio Iacopino, FACC, FESC AF Clinical/Referral Challenge Asymptomatic 40% 3 Rx Effective 30% Failed Rx Ablation Atrial fibrillation (AF) is the most common Candidate
The Atrial Septum: Opening the Septum Transseptal Needle Perforation, Radio Frequency Perforation, and Stent Placement
The Atrial Septum: Opening the Septum Transseptal Needle Perforation, Radio Frequency Perforation, and Stent Placement Matthew J. Gillespie MD, FSCAI The Children s Hospital of Philadelphia SCAI Fellows
Storia dell ablazione della fibrillazione atriale: da dove siamo partiti, dove siamo, dove andremo. Prof. Fiorenzo Gaita
Storia dell ablazione della fibrillazione atriale: da dove siamo partiti, dove siamo, dove andremo Prof. Fiorenzo Gaita Knowledge Idea Serendipity Technology (right tools) Serendipity - discovery of a
Cardiac Imaging in abnormal rhythm Role of MDCT
Cardiac Imaging in abnormal rhythm Role of MDCT Cardiac Imaging in abnormal rhythm Role of MDCT Scope of the problem CT in Atrial Fibrillation CT and pacing Ventricular arrhythmia Other applications 1
Catheter ablation: the recovery process and what to expect
Catheter ablation: the recovery process and what to expect Mark O Neill DPhil FRCP FHRS Consultant Cardiologist & Professor of Cardiac Electrophysiology Division of Imaging and Biomedical Engineering &
20% 10/9/2018. Fluoroless Ablation relinquishing an old habit. Prevalence of Atrial Fibrillation. Atrial Fibrillation is a Progressive Disease
Fluoroless Ablation relinquishing an old habit Robert Percell, MD, FACC Cardiac Electrophysiologist, Bryan Heart Institute Lincoln, NE Prevalence of Atrial Fibrillation 3.1 Million + 1 Million by 2020
Contemporary Strategies for Catheter Ablation of Atrial Fibrillation
Contemporary Strategies for Catheter Ablation of Atrial Fibrillation Suneet Mittal, MD Director, Electrophysiology Medical Director, Snyder Center for Atrial Fibrillation The Arrhythmia Institute at The
Stand alone maze: when and how?
Stand alone maze: when and how? Dong Seop Jeong Department of Thoracic and Cardiovascular Surgery, HVSI Samsung Medical Center Type of atrial fibrillation First diagnose AF Paroxysmal AF: self-terminating
How to Distinguish Focal Atrial Tachycardia from Small Circuits and Reentry
How to Distinguish Focal Atrial Tachycardia from Small Circuits and Reentry Pierre Jaïs; Bordeaux, France IHU LIRYC ANR-10-IAHU-04 Equipex MUSIC imaging platform ANR-11-EQPX-0030 Eutraf HEALTH-F2-2010-261057
AF ABLATION Concepts and Techniques
AF ABLATION Concepts and Techniques Antony F Chu, M.D. Director of Complex Ablation Arrhythmia Services Section Division of Cardiology at the Rhode Island and Miriam Hospital HIGHLIGHTS The main indications
CATHETER ABLATION CODING & REIMBURSEMENT GUIDE. Updated September 2018
CATHETER ABLATION CODING & REIMBURSEMENT GUIDE Updated September 2018 TABLE OF CONTENTS Diagnosis Codes...3 ICD-10-CM Diagnosis Codes Coverage for Catheter Ablation Procedures....4 Medicare Other Payers
Catheter ablation of atrial fibrillation: Indications and tools for improvement of the success rate of the method. Konstantinos P.
Ioannina 2015 Catheter ablation of atrial fibrillation: Indications and tools for improvement of the success rate of the method Konstantinos P. Letsas, MD, FESC SECOND DEPARTMENT OF CARDIOLOGY LABORATORY
Combined catheter ablation and left atrial appendage closure as a. treatment of atrial fibrillation
Combined catheter ablation and left atrial appendage closure as a hybrid procedure for the treatment of atrial fibrillation Giulio Molon, MD FACC, FESC, Fellow ANMCO Card Dept, S.Cuore hospital Negrar
Long-Term Outcomes After Cryoballoon Pulmonary Vein Isolation
Journal of the American College of Cardiology Vol. 61, No. 16, 2013 2013 by the American College of Cardiology Foundation ISSN 0735-1097/$36.00 Published by Elsevier Inc. http://dx.doi.org/10.1016/j.jacc.2012.09.033
Ablazione della fibrillazione atriale: dubbi presenti e prospettive future
Ablazione della fibrillazione atriale: dubbi presenti e prospettive future Carlo Pappone, MD, PhD, FACC Cardiac Pacing & Electrophysiology Department, Director Villa Maria Group, Italy Atrial Fibrillation
What s new in my specialty?
What s new in my specialty? Jon Melman, MD Heart Rhythm Specialists McKay-Dee Hospital some would say some would say my specialty 1 some would say my specialty First pacemaker 1958 some would say my specialty
Mapping and Ablation of VT in The Operating Room
Mapping and Ablation of VT in The Operating Room Sanjay Dixit, M.D. Associate Professor, University of Pennsylvania School of Medicine Director, Cardiac Electrophysiology Laboratory, Philadelphia V.A.M.C.
1-3 JUNE, 2018 PROGRAMME CLINICAL ELECTROPHYSIOLOGY AND CATHETER ABLATION OF TACHYCARDIA FOR INTERVENTIONAL CARDIOLOGISTS MOSCOW, RUSSIA.
European Heart Rhythm Association Russian Scientific Society of Clinical Electrophysiology, Arrhythmology and Cardiac Pacing PROGRAMME CLINICAL ELECTROPHYSIOLOGY AND CATHETER ABLATION OF TACHYCARDIA FOR
The Emerging Atrial Fibrillation Epidemic: Treat It, Leave It or Burn It. Chandra Kumbar MD FACC FHRS The Heart Group, Evansville IN
The Emerging Atrial Fibrillation Epidemic: Treat It, Leave It or Burn It Chandra Kumbar MD FACC FHRS The Heart Group, Evansville IN Disclosures Consultant Advisory Board, Medtronic Atrial fibrillation
Radiofrequency Catheter Ablation for Atrial Fibrillation
Radiofrequency Catheter Ablation for Atrial Fibrillation Background Atrial fibrillation (AP) is the commonest sustained arrhythmia. It affects around I% of the population, and its incidence is increasing.
Hybrid Ablation of AF in the Operating Room: Is There a Need? MAZE III Procedure. Spectrum of Atrial Fibrillation
Hybrid Ablation of AF in the Operating Room: Is There a Need? MAZE III Procedure Paul J. Wang, MD Amin Al-Ahmad, MD Gan Dunnington, MD Stanford University Cox J, et al. Ann Thorac Surg. 1993;55:578-580.
Catheter Ablation for Treatment of Atrial Fibrillation 2010 and Beyond
Catheter Ablation for Treatment of Atrial Fibrillation 2010 and Beyond John M. Miller, MD Professor of Medicine Indiana University School of Medicine Director, Clinical Cardiac Electrophysiology Krannert
The Who, What, Why, and How-To Guide for Circumferential Pulmonary Vein Ablation
1226 TECHNIQUES AND TECHNOLOGY Editor: Hugh Calkins, M.D. The Who, What, Why, and How-To Guide for Circumferential Pulmonary Vein Ablation CARLO PAPPONE, M.D., PH.D., and VINCENZO SANTINELLI, M.D. From
Recent observations have focused attention on the PVs as a source of ectopic activity i determining i AF
Atrial Fibrillation in 2010 Panos Vardas Professor of Cardiology President of EHRA Atrial Fibrillation Pathophysiology of AF Triggers Recent observations have focused attention on the PVs as a source of
Treating Atrial Fibrillation. Richard Schilling. St Bartholomew's Hospital, Queen Mary s University of London
Treating Atrial Fibrillation Richard Schilling St Bartholomew's Hospital, Queen Mary s University of London AF burden Framingham Lifetime risk of developing AF = 25% Mortality: SMR =1.9 1.5 NHS audit 1%
Long Standing Persistent AF ; CPVI is enough for it
Long Standing Persistent AF ; CPVI is enough for it Kee-Joon Choi, MD University of Ulsan College of Medicine Asan Medical Center, Seoul, Korea Boston AF Symposium 2012 In a patient undergoing AF ablation
AF Ablation in 2015 Why, Who, What and How? Steve Wilton ACC Rockies, Banff March 10, 2015
AF Ablation in 2015 Why, Who, What and How? Steve Wilton ACC Rockies, Banff March 10, 2015 Disclosures Research grant: St. Jude medical Speaking: Boehringer-Ingelheim Consulting: Arca Biopharma Learning
Charging Considerations. Agenda 1/30/2013
February 2013 Jean C. Russell, MS, RHIT jrussell@epochhealth.com Richard Cooley, BA, CCS rcooley@epochhealth.com 518-430-1144 2 Agenda Cardiology special considerations 2013 Cardiology Codes Deleted Codes
February Jean C. Russell, MS, RHIT Richard Cooley, BA, CCS
February 2013 Jean C. Russell, MS, RHIT jrussell@epochhealth.com Richard Cooley, BA, CCS rcooley@epochhealth.com 518-430-1144 2 Agenda Cardiology special considerations 2013 Cardiology Codes Deleted Codes
Long-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation
Long-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation Carlo Pappone, MD, PhD, FACC EP Director, Villa Maria Hospital Group How many times AF can increase mortality DO MORTALITY REALLY
Επιπλοκές κατάλυσης πνευµονικών φλεβών
Επιπλοκές κατάλυσης πνευµονικών φλεβών Παναγιώτης Ιωαννίδης Διευθυντής Τµήµατος Αρρυθµιών & Επεµβατικής Ηλεκτροφυσιολογίας Βιοκλινικής Αθηνών ΣΕΜΙΝΑΡΙΑ ΟΜΑΔΩΝ ΕΡΓΑΣΙΑΣ Ιωάννινα, 27-2-2015 Solving an equation
RADAR-AF Trial. A Randomized Multicenter Comparison of Radiofrequency Catheter Ablation of Drivers vs. Circumferential Pulmonary Vein
RADAR-AF Trial A Randomized Multicenter Comparison of Radiofrequency Catheter Ablation of Drivers vs. Circumferential Pulmonary Vein Isolation in Patients with Atrial FibRillation Felipe Atienza, MD, PhD,
CLINICAL OUTCOME OF AF ABLATION Who Benefits from Catheter Ablation?? Dr Gamal Shaban MD FESC Fellow of EHRA ECR AFA AFIB ALLIANCE NHI
CLINICAL OUTCOME OF AF ABLATION Who Benefits from Catheter Ablation?? Dr Gamal Shaban MD FESC Fellow of EHRA ECR AFA AFIB ALLIANCE NHI RHYTHM IS THE SOUL OF LIFE AF the last remaining challenge Considerable
Variants of preexcitation: the tough stuff Case #4. Sergio Richter, MD Heart Center University of Leipzig
Variants of preexcitation: the tough stuff Case #4 Sergio Richter, MD eart Center University of Leipzig Variants of preexcitation the tough stuff Presenter disclosure information Sergio Richter has received
Atrial Fibrillation Procedures Data Summary. Participant STS Period Ending 12/31/2016
Period Ending 12/31/2016 Number of Cases Preoperative Predominant Atrial Arrhythmia Type Paroxysmal Atrial Fibrillation... - - Persistent Atrial Fibrillation... - - Longstanding Persistent Atrial Fibrillation...
A request for a log book extension must be put in writing and sent to BHRS, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton,
7 7. A request for a log book extension must be put in writing and sent to BHRS, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton, Oxfordshire OX7 5SR. E-mail: admin@bhrs.com. Tel: 01789 867
Since pulmonary veins (PVs) have
Case Report Hellenic J Cardiol 2011; 52: 371-376 Left Atrial-Pulmonary Vein Reentrant Tachycardia Following Pulmonary Vein Isolation Dionyssios Leftheriotis, Feifan Ouyang, Karl-Heinz Kuck II. Med. Abteilung,
This overview was prepared in October 2011, and updated in March 2012.
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE INTERVENTIONAL PROCEDURES PROGRAMME Interventional procedure overview of percutaneous balloon cryoablation for pulmonary vein isolation in atrial fibrillation
EVOLUTION OF CARDIAC ELECTROPHYSIOLOGY
EVOLUTION OF CARDIAC Mohamed El Guindy Cairo University EVOLUTION OF CARDIAC 1960s His bundle recording (Scherlag, Damato) Programmed electrical stimulation (Durren, Wellens, Coumel) Transvenous permanent
Outcomes of AF Ablation
2017 춘계심혈관통합학술대회 AF Summit: Atrial Fibrillation Apr.21(Fri) 14:40-16:10 Rm.300B 15:00-15:10 Outcomes of AF Ablation Gi-Byoung Nam MD Asan Medical Center, UUCM 2017 Annual Spring Scientific Conference of
Διαδερμική Θεραπεία Κολπικής Μαρμαρυγής: Αποτελέσματα και Δεδομένα στην Ελλάδα
Διαδερμική Θεραπεία Κολπικής Μαρμαρυγής: Αποτελέσματα και Δεδομένα στην Ελλάδα Eleftherios M. Kallergis MD, PhD, FESC Cardiology Department Heraklion University Hospital ΠΑΝΕΛΛΗΝΙΑ ΣΕΜΙΝΑΡΙΑ ΟΜΑΔΩΝ ΕΡΓΑΣΙΑΣ
Biatrial Maze or PVI to Ablate Afib? Marc Gillinov, MD
Biatrial Maze or PVI to Ablate Afib? Marc Gillinov, MD Disclosures Consultant/Speaker AtriCure Medtronic CryoLife Edwards Abbott Research Funding Abbott Equity Interest Clear Catheter Cleveland Clinic
Thetimecourseofexitandentranceblockduring cryoballoon pulmonary vein isolation
Europace (2014) 16, 500 504 doi:10.1093/europace/eut231 CLINICAL RESEARCH Ablation for atrial fibrillation Thetimecourseofexitandentranceblockduring cryoballoon pulmonary vein isolation Jason Andrade 1,2
2004 3 32 3 Chin J Cardiol, March 2004, Vol. 32 No. 3 211 4 ( ) 4 (HRA) (CS), 10 (Lasso ),, 4 (3 ) (1 ), 118,3,1, 417, ; ; The electrophysiological characteristics and ablation treatment of patients with
EP lab robotic support
EP lab robotic support Philips and Hansen team to enhance complex EP procedures Who/where J. Michael Mangrum, MD Associate Professor of Medicine and Director of Atrial Fibrillation Center University of
Is cardioversion old hat? What is new in interventional treatment of AF symptoms?
Is cardioversion old hat? What is new in interventional treatment of AF symptoms? Joseph de Bono Consultant Electrophysiologist University Hospitals Birmingham Atrial Fibrillation (AF) Affects 2% of the
CLINICAL COMPENDIUM. The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand. CardioFocus.com
CLINICAL COMPENDIUM The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand CardioFocus.com Published results summarized in this compendium may include references to
How to improve procedural outcome of cryoballoon ablation in persistent AF Experience from Redo procedures
How to improve procedural outcome of cryoballoon ablation in persistent AF Experience from Redo procedures Kyoung-Ryul Julian Chun Cardioangiologisches Centrum Bethanien (CCB) Markus Krankenhaus, Med.
Interventional solutions for atrial fibrillation in patients with heart failure
Interventional solutions for atrial fibrillation in patients with heart failure Advances in Cardiovascular Arrhythmias Great Innovations in Cardiology Matteo Anselmino, MD PhD Division of Cardiology Department
CLINICAL COMPENDIUM. The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand. CardioFocus.com
CLINICAL COMPENDIUM The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand CardioFocus.com Published results noted below may include references to both on-label and
Role of Imaging in Complex LAA Closure Anatomies
Role of Imaging in Complex LAA Closure Anatomies Sameer Gafoor 1,2 1 Swedish Heart and Vascular: Ming Zhang, Paul Huang, Darryl Wells, Adam Zivin, John Petersen II, Madalena Petrescu, Nimish Muni, Eric
Image-guided Minimally-invasive Cardiac Interventions
Image-guided Minimally-invasive Cardiac Interventions Terry Peters PhD Biomedical Imaging Research Centre University of Western Ontario Imaging Research Labs - Robarts Research Institute Surgical Cardiac
AF :RHYTHM CONTROL BY DR-MOHAMMED SALAH ASSISSTANT LECTURER CARDIOLOGY DEPARTMENT
AF :RHYTHM CONTROL BY DR-MOHAMMED SALAH ASSISSTANT LECTURER CARDIOLOGY DEPARTMENT 5-2014 Atrial Fibrillation therapeutic Approach Rhythm Control Thromboembolism Prevention: Recommendations Direct-Current
What is an O.R. Report? BY STEVE S. RYAN, PhD
BY STEVE S. RYAN, PhD Steve is a former A-Fib patient, publisher of the non-profit patient education website, Atrial Fibrillation: Resources for Patients, (A- Fib.com), author of the award-winning book,
AATS STARS Meeting Miami Beach November 17, 2017
The New Surgical The Heart Ablation Hospital Guidelines AATS STARS Meeting Miami Beach November 17, 2017 The Heart Hospital Baylor Plano Plano, Texas James R. Edgerton, MD, FACS, FACC, FHRS Surgical Director
Percutaneous Mitral Valve Repair
Percutaneous Mitral Valve Repair MitraClip: Procedure, Data, Patient Selection Chad Rammohan, MD FACC Director, Cardiac Cath Lab El Camino Hospital Mountain View, California Mitral Regurgitation MitraClip
Case Report Successful Multi-chamber Catheter Ablation of Persistent Atrial Fibrillation in Cor Triatriatum Sinister
www.ipej.org 50 Case Report Successful Multi-chamber Catheter Ablation of Persistent Atrial Fibrillation in Cor Triatriatum Sinister Andrew Gavin, MBChB 1, Cameron B Singleton, MD 1, Andrew D McGavigan,
EHRA EUROPACE How to perform epicardial ventricular tachycardia mapping and ablation
EHRA EUROPACE 2011 How to perform epicardial ventricular tachycardia mapping and ablation Jacob Atié Director Arrhythmias Department Federal University of Rio de janeiro jacobatie1@gmail.com Presenter
Complications During Cardiovascular Interventions: Management and Prevention
Complications During Cardiovascular Interventions: Management and Prevention Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria Atrial Tachycardia/Atypical left
Protocol. This trial protocol has been provided by the authors to give readers additional information about their work.
Protocol This trial protocol has been provided by the authors to give readers additional information about their work. Protocol for: Verma A, Jiang C, Betts TR, et al. Approaches to catheter ablation for
PROCEDURAL ASSESSMENT CHECKLIST PACEMAKER IMPLANT PROCEDURE. Fellow: Supervising Physician: Date of Observation:
PACEMAKER IMPLANT PROCEDURE 9. Placement of diagnostic catheters limitation of fluoroscopy 10. Placement of diagnostic catheters electrogram interpretation 11. Measurement of baseline intervals 12. Assessment
Individualised strategy approach to AF ablation
Individualised strategy approach to AF ablation Dr Tim Betts MD MBChB FRCP Consultant Cardiologist & Electrophysiologist Oxford Heart Centre, John Radcliffe Hospital Oxford University Hospitals NHS Foundation