Pulsed-Field Ablation of Recurrent Right Atrial Tachycardia

In this video from Arrhythmia Academy’s Journal Club, Dr Dhiraj Gupta (Liverpool Heart and Chest NHS Foundation Trust, UK) is joined by Dr Serge Boveda (Clinique Pasteur Toulouse, FR) to discuss methods and approaches to pulsed-field ablation (PFA) of recurrent right atrial tachycardia.

Dr Boveda delivers a short presentation, outlining a difficult case in which PFA was implemented to treat a 68-year-old woman’s recurrent focal atrial tachycardia arising from the left atrium. Dr Gupta and Dr Boveda then discuss the case study, weighing up the benefits and efficacy of PFA.

Arrhythmia Academy Journal Club: Early versus Later Anticoagulation for Stroke with Atrial Fibrillation

Dr Else Sandset (Oslo University Hospital, NO) is joined by Prof Jesse Dawson (University of Glasgow, GB), Dr Urs Fischer (University Hospital Basel, CH) and Dr Masatoshi Koga (National Cerebral and Cardiovascular Center, JP) to discuss the findings from their recent paper on “Early versus Later Anticoagulation for Stroke with Atrial Fibrillation” published in the New England Journal of Medicine.

This study aimed to investigate the effect of early as compared with later use of direct oral anticoagulants (DOACs) in patients with atrial fibrillation who have had ischemic stroke. In this video, Dr Sandset, Prof Dawson, Dr Fischer and Dr Koga discuss the background, aims, methods and results of the ELAN trial before launching into a discussion surrounding the potential impacts of this study on clinical practice.

Fully Digital Self-Screening for Atrial Fibrillation with Patch Electrocardiogram

Dr Dominik Linz (Maastricht University Medical Center+, NL) is joined by Dr Dan Atar (University of Oslo, NO) and Dr Edvard Sandberg (Sorlandet Hospital, NO) to discuss their February 2023 article published in EP Europace, ‘Fully digital self-screening for atrial fibrillation with patch electrocardiogram’.

Dr Sandberg presents a summary of the findings of this trial, outlining the current global landscape, guidelines, and feasibility for digital atrial fibrillation self-screening in 2023. Dr Linz, Atar and Sandberg then go on to discuss the details of the trial, including the patient uptake, the impact of coronavirus and CHA₂DS₂-VASc scores.

3D Anatomic Map-Guided Transseptal Puncture

We are joined by Prof Dhiraj Gupta (Liverpool Heart and Chest NHS Foundation Trust, UK) and Dr Heiko Lehrmann (Universitäts-Herzzentrum Freiburg Bad Krozingen, DE) in this video from Arrhythmia Academy’s Journal Club as they discuss advances in 3D-mapping which reduce electrophysiologist’s exposure to radiation in transseptal puncture.

Dr Lehrmann outlines a novel method of 3D Anatomic Map-Guided Transseptal Puncture as another step towards a zero-fluoroscopy PVI procedure, presenting the feasibility of implementing this technique in clinical practice.

ECG Undetected Atrial Fibrillation and the Associated Risk of Stroke

In this video from the Arrhythmia Academy’s Journal Club, Dr Dominik Linz (Maastricht University Medical Centre, Maastricht, NL) is joined by Dr William McIntyre (McMaster University, Hamilton, CA) to discuss a paper published in Europace 2022 titled “Estimated incidence of previously undetected atrial fibrillation on a 14-day continuous electrocardiographic monitor and associated risk of stroke”. As the first author, Dr McIntyre outlines the main findings of the trial and provides more insight into how the simulation study was operated.

High-Power Short Duration Ablation for Pulmonary Vein Isolation

In this short video from Arrhythmia Academy’s Journal Club, Prof Roland Tilz (University Heart Centre Lübeck, Lübeck, DE) and Prof Josef Kautzner (Institute for Clinical and Experimental Medicine, Prague, CZ) sit down to discuss the use of short-duration-ablation for pulmonary vein isolation (PVI). Prof Tilz provides a 10-minute presentation overview of VHPSD ablation technologies, including Abbott’s Tacticath and Tactiflex, and Biosense’s Q dot 90 w/4 seconds. Prof Kautzner and Prof Tilz then discuss the future implications of this technology for the treatment of atrial fibrillation.

Pre-procedural Planning for Pulsed-Field Ablation

In this short video from Arrhythmia Academy’s Journal Club, Dr Serge Boveda (Clinique Pasteur Toulouse, FR) and Dr Andreu Porta-Sanchez (Hospital Clínic de Barcelona, ES) discuss the key elements that must be considered in pre-procedural planning for pulsed-field ablation.

Discussion points include:
What is the pre-procedural planning needed for PFA?
Can it be done without general anaesthesia?
How many applications per vein?
Do you need a CT reconstruction or imaging for every case?
Do you need to use a mapping system?
What is the usual procedure time?
Are all the veins isolated after a few months of the procedure?
Is it safer than radiofrequency?

Future Directions in Autonomous Temporary Electrotherapy

In this Arrhythmia Academy Journal Club episode, Prof Angelo Auricchio (Fondazione Cardiocentro Ticino, CH) is joined by Professor John A Rogers, award-winning physical chemist and a materials scientist from Northwestern University, US.

Join this discussion on an exciting new technology, a transient closed-loop system that combines a time-synchronized, wireless network of skin-integrated devices with an advanced bioresorbable pacemaker. Prof Rogers presents the findings of the report published in Science. Prof Auricchio asks practical questions regarding the application of this cutting-edge technology.

Recorded remotely from Evanston and Lugano, 2022.

Leadless pacing: Therapy, Challenges and Novelties

In this episode of Arrhythmia Academy’s Journal Club, Dr Jonathan Behar (Guy’s and St Thomas’ NHS Foundation Trust, London, UK) sits down with Dr Mikael El Chami (Emory University School of Medicine, Atlanta, GA, US) and Dr Paul Roberts (University Hospital Southampton, Southampton, UK) to discuss recent developments in leadless pacing in 2022.

2021 ESC Guidelines on Cardiac Pacing and CRT

In this 3-part video series from Arrhythmia Academy’s Journal club, Dr Jonathan Behar (Guy’s and St Thomas’ Hospital NHS Foundation Trust, UK) chairs this discussion on the 2021 ESC Guidelines on cardiac pacing and resynchronization therapy with Prof Kevin Vernooy (Maastricht University Medical Center, Maastricht, NL), Prof Cecilia Linde (Karolinska University, Stockholm, SE) and Prof Michael Glikson (Shaare Zedek Medical Center, Jerusalem, IL).

How To: Zero and Near-Zero Fluoroscopic Ablation of Cardiac Arrhythmias

In the latest video from Arrhythmia Academy, Dr Claudio Tondo (Monzino Cardiology Center, Milan, IT) and Dr Luigi Di Biase (Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA) sit down to discuss their approach to fluoroscopic ablation.

Recorded remotely from Milan and New York, 2022.

New Technologies for Atrial Fibrillation Ablation

In this video from Arrhythmia Academy’s Journal Club, Dr Tom De Potter (Cardiovascular Center, OLV Hospital, BE) is joined by Prof David Duncker (Hannover Heart Rhythm Center, Hannover, DE) and Dr Boris Schmidt (Cardioangiologisches Centrum Bethanien, Frankfurt, DE) to discuss the latest technological developments in the ablation of atrial fibrillation. Dr De Potter presents the latest developments in PFA, Ultralow Cryoablation and RF balloon ablation, and the panel discusses the practical uses and benefits of each technology.

Recorded remotely from Hannover, Aalst and Frankfurt, 2022.