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Reality EP: Catheter Ablation for Paroxysmal AF

Optimizing Image Integration for Ablation
May 1, 2008 at 5:00 PM EDT
(21:00 UTC)
Broadcasting LIVE from The University of Virginia Health System, Charlottesville, VA
Click here to register
Expert Faculty

Larry Chinitz, MD
New York University Medical Center

John D. Ferguson, MBChB
University of Virginia Medical Center

J. Michael Mangrum, MD
University of Virginia Medical Center

David Wiggins, BS, BME, RN
University of Virginia Health System

Program Description

This Heart Rhythm Society live webcast will feature a panel discussion of a catheter ablation for paroxysmal atrial fibrillation procedure utilizing ESI mapping and rotational intracardiac echocardiography (ICE). Additional online resources include an interview with David Wiggins, BS, BME, RN, Electrophysiology Technical Specialist at the University of Virginia Health System.  MORE...

Expert Faculty

Larry Chinitz, MD
New York University Medical Center

John D. Ferguson, MBChB
University of Virginia Medical Center

J. Michael Mangrum, MD
University of Virginia Medical Center

David Wiggins, BS, BME, RN
University of Virginia Health System

Program Description

This Heart Rhythm Society live webcast will feature a panel discussion of a catheter ablation for paroxysmal atrial fibrillation procedure utilizing ESI mapping and rotational intracardiac echocardiography (ICE). Additional online resources include an interview with David Wiggins, BS, BME, RN, Electrophysiology Technical Specialist at the University of Virginia Health System.

CME and CE credit is available for this program.

Intended Audience

This program is intended for a professional audience, including:

  • Cardiac electrophysiologists
  • Cardiac surgeons
  • Pediatric electrophysiologists
  • Other cardiologists
  • Physician Assistants
  • Nurse Practitioners
  • Registered Nurses
  • Members of industry

Learning Objectives

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

  • Optimize CT and MRI imaging of the left atrium prior to AF ablation
  • Identify the PV ostia and the esophagus with rotational ICE
  • Perform registration of 3-D images using rotational ICE
  • Validate registration accuracy prior to ablation
  • Categorize the advantages, disadvantages, and limitations of 3-D electroanatomical mapping systems
  • Identify the benefits and risks of complex ablation procedures

Patient Medical History

The patient is a 52-year-old male with a two-year history of increased cholesterol and hypertension. The patient began experiencing symptoms of intermittent palpations in 2006. He described fast, irregular rhythms that would last less than one hour. These symptoms continued to become more and more frequent and finally in September, 2007 it was confirmed by ECG that this was Atrial Fibrillation. Holter monitors had shown only PACs and PVCs. Additional work-up included a sleep study in which confirmed sleep apnea.

CPAP and Flecainide were started in November, 2007 and the patient showed significant improvement. However, in February 2008, the patient continued to have additional episodes (rapid/irregular rhythms); particularly if he failed to take a single dose of flecainide. The patient was then referred for ablation for paroxysmal atrial fibrillation.

This program is supported by an educational grant from St. Jude Medical, and is part of the Heart Rhythm Society's AF 360° Initiative.

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