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AF Ablation – Pre and Intra Procedure Updates (as presented at Heart Rhythm 2018)

Activity Type:

  • Course

Release Date: 8/1/2018

Expiration Date: 8/1/2019

  • Participation - no CE credit: 0


AF Ablation – Pre and Intra Procedure Updatesy is comprised of presentations from Heart Rhythm 2018, held May 9 - 12 in Boston, MA.

Atrial fibrillation ablation has always been a moving target. There is an excess of data to review from hundreds of trials each year, and as technology continues to provide more and more tools and options, staying current becomes very difficult. This learning objective is intended to review the current state of atrial fibrillation ablation, and provide expert summary to simplify the excess of knowledge available.

Presentations include:

AF Ablation - Pre-Ablation

  • Low Voltage Tissue: Ablate, Encircle or Ignore 
  • Quantifying Atrial Fibrosis in The Electrophysiology Laboratory: The Role of High Density Mapping 
  • Identification of Potential Mechanisms Underlying the Persistence of Atrial Fibrillation: A Cased Based Approach 
  • Ablation of Rotors and Focal Sources Underlying Persistent AF: A Case Based Approach 
  • Subclinical AF in patients without pacemakers and defibrillators - Effective means of risk stratification
  • When do patients with atrial high rate episodes (or 'subclinical' atrial fibrillation) require oral anticoagulation?
  • Pill-in-the-pocket on demand oral anticoagulation - Are we there yet?

AF Ablation - Intra-procedure

  • Catheter Ablation of AF Drivers 
  • None Pulmonary Vein Trigger ablation after pulmonary vein isolation to improve Paroxysmal Atrial Fibrillation ablation result
  • Additional sinus rhythm substrate modification beyond pulmonary vein isolation to improve Paroxysmal Atrial Fibrillation ablation result 
  • Non-PV Triggers in AF Ablation: Illustration Cases- How to provoke, Localize, and Ablate
  • Do I Need to Map Atrial Fibrillation? 
  • Impedance Decrease in Predicting Lesion Formation in Radiofrequency Left Atrial Ablation
  • Fire or ICE: Which, When and Who?
  • Catheter Ablation of AF: Lessons Learned 
  • Role of Esophageal Temperature Monitoring During Ablation, and Appropriate Testing if Atrioesophageal Fistula is Suspected


Learning Objectives

Upon completion of this educational activity, participants will be able to:

  • Discuss the significant body of data correlating pathophysiology and patient outcomes to ablation tools and techniques, comparing and contrasting options available to the modern medical 
  • Discuss the styles and techniques required to optimize outcomes for our patients, both through increasing probability of response to ablation and minimize complications


Catheter Ablation Learning Pathway include the following presentations from Heart Rhythm 2018:

AF Ablation - Pre-Ablation
Thomas Arentz, MD
Herz-Zentrum Bad
Krozingen, Germany

Elad Anter, MD
BIDMC, Cardiology
Boston, MA

Jonathan M. Kalman, MBBS, PhD, FHRS
Royal Melbourne Hospital
Melbourne, Australia

John D. Hummel, MD, FHRS
Ohio State Univ.
Div of Cardiovascular Medicine
Columbus, OH

Andrea M. Russo, MD, FHRS
Director, Electrophysiology and Arrhythmia Services
Cooper University Hospital
Moorestown, NJ

Paulus Kirchhof
University of Birmingham
Birmingham, United Kingdom

Raghuveer Dendi, MD, FHRS
University of Kansas Hospital
Kansas City, KS

AF Ablation - Intra-Procedure
Andrea Natale, MD, FHRS
Texas Cardiac Arrhythmia Institute at St. David's Medical Center
Austin, TX

Luigi Di Biase, MD, PhD, FHRS
Albert Einstein College of Medicine at Montefiore Hospital
New York, NY

Christopher Piorkowski, MD
University of Dresden - Heart Center
Dresden, Germany

Francis E. Marchlinski, MD, FHRS
Hospital of the Univ of Pennsylvania
Cardiac Electrophysiology
Bala Cynwyd, PA

Saurabh Kumar, MD, PhD
Westmead Hospital
University of Sydney
Westmead, Australia

Alexander Fürnkranz, MD
Düsseldorf University Hospital
Düsseldorf, Germany

Douglas L. Packer, MD, FHRS
Mayo Clinic - St. Mary's Hospital
Rochester, MN

Thomas Deneke, MD, PhD, FHRS
Herz-und Gefiss Klinik GmbH
Cardiology Clinic for Interventional EP
Bad Neustadt, Germany


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