Expert Faculty:
Edward P. Gerstenfeld, MD, MS
University of Pennsylvania Health System
Bradley P. Knight, MD, FACC, FHRS
University of Chicago Medical Center
Sofiane Benali, CVT/CCT
University of Chicago Medical Center
Program Description:
This Heart Rhythm Society live webcast will feature video of an ablation procedure for a patient left atrial tachycardia post atrial fibrillation ablation procedure.
2.0 AMA-PRA Category 1 CME credits are available for this program.
2.0 CE credits are available for this program.
Target Audience:
- 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
MORE...
Expert Faculty:
Edward P. Gerstenfeld, MD, MS
University of Pennsylvania Health System
Bradley P. Knight, MD, FACC, FHRS
University of Chicago Medical Center
Sofiane Benali, CVT/CCT
University of Chicago Medical Center
Program Description:
This Heart Rhythm Society live webcast will feature video of an ablation procedure for a patient left atrial tachycardia post atrial fibrillation ablation procedure.
2.0 AMA-PRA Category 1 CME credits are available for this program.
2.0 CE credits are available for this program.
Target Audience:
- 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:
- Identify common sources of atrial flutter after a left atrial ablation for AF
- Prepare a strategy for difficult repeat transseptal punctures
- Recognize the proper approach to left atrial flutters using activation patterns and pacing maneuvers
- List methods to isolate recovered pulmonary vein fascicles
Patient Medical History
The patient is a 67-year-old woman with medically-refractory idiopathic atrial fibrillation and typical atrial flutter since 1998. The patient underwent pulmonary vein isolation and ablation of the cavotricuspid isthmus on August 19th, 2008. The patient now has atypical appearing atrial flutter, most likely from the left atrium, which is refractory to propafenone and cardioversion.
Highlights of the Procedure
Challenges related to transseptal catheterization for repeat left-sided procedures
Reisolation of recovered pulmonary vein potentials during redo procedures
Value of initial pacing maneuvers with periodic reconfirmation to identify the mechanism of tachycardias after atrial fibrillation ablation
This program is part of the Heart Rhythm Society's AF 360® Initiative.
