- Convergent Procedure: A New Approach to Atrial Fibrillation Ablation
Convergent Procedure: A New Approach to Atrial Fibrillation Ablation
- Heart Rhythm
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The cornerstone of atrial fibrillation (Afib) is electrical isolation of the pulmonary veins (PV). In patients with non-paroxysmal Afib, PV isolation alone is insufficient and one needs to modify the atrial arrhythmogenic substrate. Afib ablation is now a fairly common procedure and mostly performed using a transvenous, endocardial approach with catheters. For patients with persistent Afib however, this procedure is not sufficient.
There is a growing movement towards a convergent procedure management strategy, used alongside standard catheterisation techniques to optimise patient outcomes. More and more research suggests that an integrated approach involving multidisciplinary teams (of electrophysiologists and surgeons) may lead to improved success rates and increased patient satisfaction.
Convergent procedure is a promising therapy for patients’ refractory to standard Afib-treatment, however the approach involves some challenges that require specific attention from the medical specialities involved. It is a new way of working for both EPs and surgeons so the benefits and best ways of implementing this in clinical practice are still largely unknown.
Join a panel of international faculty as they discuss the clinical value of the convergent procedure as a treatment strategy for persistent atrial fibrillation ablation.
- How can it improve patient outcomes?
- What evidence base is available to support its use?
- How can it be implemented effectively in clinical practice?
This activity has been supported by an unrestricted educational grant from AtriCure Inc.
This programme is accredited by the European Board for Accreditation in Cardiology (EBAC) for 1 hour of external CME credit(s). Each participant should claim only those hours of credit that have actually been spent in the educational activity. EBAC works according to the quality standards of the European Accreditation Council for Continuing Medical Education (EACCME), which is an institution of the European Union of Medical Specialists (UEMS). In compliance with EBAC/ EACCME guidelines, all speakers/chairpersons participating in this programme have disclosed or indicated potential conflicts of interest which might cause a bias in the presentations. The Organizing Committee/Course Director is responsible for ensuring that all potential conflicts of interest relevant to the event are declared to the audience prior to the CME activities.
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Please note that relevant faculty disclosures are included in the presentations.
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Instructions to Participants
There is no fee for taking part in this online learning activity.
Activities are designed to be completed within 60 minutes and must be completed by the registered user. Physicians should only claim credits for time spent on the activity. To successfully earn credit, participants must complete the activity in full in the indicated time frame.
To complete the course and claim certification participants must:
1. Read the course outline information supplied and complete pre-test questions if supplied prior to starting the activity. Users must read and study the activity in its entirety before completing the post-test questions.
2. Your results will be automatically saved and if a pass score is achieved (where applicable), you may be eligible to claim credit for the activity and receive a certificate of completion.
This programme is intended to educate:
- General Cardiologists
- After this session electrophysiologists will be able to identify the causes of sub-optimal outcomes in atrial ablation, describe the convergent procedure and appropriate patients, and outline the electrophysiologist’s role.
|1||The ongoing challenges of atrial fibrillation||Jaswinder Gill (London, UK)|
|2||The electrophysiologic problem leading to sub-optimal outcomes||Claudio Tondo (Milan, Italy)|
|3||Convergent ablation: The what and the why||Felix Yang (New York, USA)|
|4||The role of the electrophysiologist in convergent ablation: The how and the who||Syed Ahsan (London, UK)|
The ongoing challenges of atrial fibrillation
The electrophysiologic problem leading to sub-optimal outcomes
Convergent ablation: The what and the why
The role of the electrophysiologist in convergent ablation: The how and the who
- Identify arrhythmias other than atrial fibrillation that may benefit from hybrid ablation
- Summarise the existing evidence base for hybrid ablation in IST, POTS and Brugada Syndrome
- Identify patients who may benefit from a hybrid ablation approach
- Recall existing RCT and real-world evidence supporting the use of hybrid ablation in AF
- Describe the fundamental steps in hybrid ablation
- Recall the clinical outcomes from randomised controlled trials and real-world data supporting the use of hybrid ablation in persistent AF
- Select ideal patient candidates for hybrid ablation
- Consider the existing equipment and skill requirements for successful hybrid ablation
- Not accredited
- Apply knowledge gained on the complex nature of antithrombotic therapies in non-valvular AF patients undergoing PCI in a range of clinical scenarios
- Increase knowledge on the complications surrounding triple antithrombotic therapy
- Understand the latest clinical evidence regarding the use of NOAC therapy in AF patients undergoing PCI