Optimizing Cryoballoon Ablation: Patient Tailored AF Treatment With Arctic Front Advance Pro™

Optimizing Cryoballoon Ablation: Patient Tailored AF Treatment With Arctic Front Advance Pro™

Dr Tarv Dhanjal
University Hospital Coventry & Warwickshire, NHS Trust, UK
PD Dr Andreas Metzner
UKE Hamburg, DE
Prof Dr Serge Boveda
Clinique Pasteur Toulouse, FR

Experts in electrophysiology will showcase the science and evidence behind the 4th generation Arctic Front Advance Pro™ cardiac cryoablation catheter and highlight the latest clinical evidence. The presenters will each draw on their clinical experience, for an in-depth discussion on improvements made in cryoballoon AF ablation and share practical advice to tailor the procedure to the individual patient.

The first Arctic Front™ cardiac cryoablation procedure took place in 2005, and since then, over 500,000 patients have been treated with the Arctic Front™ family of cardiac cryoablation catheters in over 1,600 centers worldwide.1 The efficiency benefits of this unique single-shot therapy are obvious and well documented in more than 800 peer-reviewed scientific articles. The results of the landmark FIRE AND ICE and CRYO4PERSISTENT AF trials highlight an important global shift to value-based healthcare, measured by the ability to standardize the index PVI procedure. The impact on patient outcomes as well as the economic value for the global healthcare systems is significant.


Dr Tarv Dhanjal, University Hospital Coventry & Warwickshire, NHS Trust, UK

Dr. Dhanjal is a Consultant Cardiologist, Electrophysiologist and honorary Associate Clinical Professor of Cardiology at the University Hospital Coventry & Warwickshire; University of Warwick and was previously Clinical Lecturer in Cardiology at St. Thomas' Hospital, UK. 

His expertise is in complex ablations: AF ablation and VT ablation. He has won many prizes, and is a published researcher and book author. Dr Dhanjal is also a fellow of the European Society of Cardiology (ESC) and member of the Royal College of Physicians (MRCP), British Medical Association, British Cardiac Society, Heart Rythmn Society and the Medical Defence Union. 


PD Dr Andreas Metzner, University Heart and Vascular Center, UKE Hamburg, DE

PD Dr Metzner joined the University Heart and Vascular Center, Hamburg, UKE Hamburg in March 2019 as Section Head of Electrophysiology and was previously a senior physician (Oberarzt) at the cardiac electrophysiology department at the Asklepios Klinik St. Georg in Hamburg, Germany, since 2013. He and his colleagues, under the leadership of Prof. Karl-Heinz Kuck, performed more than 2,000 cardiac ablations per year. He is engaged in the development and evaluation of innovative treatment options for cardiac arrhythmias.

PD Dr Metzner is committed to teaching and is a European lecturer and an international expert in atrial fibrillation ablation. He is an established researcher and author, and has published and co-authored over 100 scientific papers. PD Dr Metzner is a member of the German Cardiac Society and the European Heart Rhythm Association.


Prof Dr Serge Boveda, Clinique Pasteur, Toulouse, FR

Prof Dr Boveda (MD, PhD, FESC, FEHRA) is a specialist in cardiovascular diseases and the interventional treatment of cardiac arrhythmias since 1994. He is co-head of the Cardiac Arrhythmia Management Department at the Clinique Pasteur Toulouse (France), and Guest Professor for education in the postgraduate course of EP & Pacing, and research in the domain of EP at the Brussels University of Medicine (VUB).

He is currently the president of the arrhythmia working group of the French Society of Cardiology (SFC) since 2018, and faculty of the French national graduation on cardiac arrhythmias (Diplôme Inter Universitaire de Rhythmologie) since 2002.

Finally he is the co-founder and coordinator of the European Network for the Treatment of Cardiac Arrhythmias (RETAC), and the co-chair of EHRA's Scientific Documents Committee in 2018-2020. 

This webinar is to inform and educate electrophysiologists on the:

  • improvements made with the 4th generation Arctic Front Advance Pro™ cardiac cryoablation catheter and latest clinical data.
  • updates on dosing protocols to tailor AF ablation to the individual patient (vein).
  • tips and techniques to improve visualization of time-to-isolation (TTI).

The following professionals would benefit from this webinar:

  • Cardiac electrophysiologists and allied health professionals performing and assisting during cryoballoon AF ablation procedures.
  • Healthcare professionals using alternative AF ablation techniques.
  • Referring healthcare professionals treating AF patients will also find this topical.



  • 1. Medtronic data on file.
This webinar is supported by:

Advancing Syncope Diagnosis: Practical application of the 2018 ESC Syncope guidelines

Advancing Syncope Diagnosis: Practical application of the 2018 ESC Syncope guidelines

Tuesday 04th February 2020
@ 17:00 (GMT)

Reserve Your Seat for this event.

Prof. Rose Anne Kenny
St James's Hospital & Trinity College Dublin, IE
Mrs. Jayne Mudd
James Cook University Hospital, Middlesborough, UK 
Prof. Jean-Claude Deharo
Hospital Timone, Marseille, FR 

This webinar aims to provide healthcare professionals with practical implementation guidance on the diagnosis of syncope patients and follow-up care based on the 2018 ESC Syncope Guidelines.


Prof. Rose Anne Kenny is founding director of the Falls and Syncope Unit at St. James's Hospital and Trinity College Dublin, IE, head of the Ageing Research Program at Trinity College Dublin, director of the Mercers Institute and holds the Chair of Medical Gerontology. She was task force member of the 2018 ESC guidelines for the diagnosis and management of syncope.


Mrs. Jayne Mudd is a nurse consultant in Cardiac Rhythm Management at the James Cook University Hospital in Middlesbrough, UK. Since being appointed as a specialist nurse in arrhythmia management in 1999, Jayne has led a team of nurses that specialize in arrhythmia and syncope management and is lead-nurse in arrhythmia and syncope services across the community and in tertiary settings. Her team has led many innovative projects which have been recognized with several national awards.


Prof. Jean-Claude Deharo is cardiologist/electrophysiologist at the Hospital Timone in Marseille, France and professor of cardiology at Marseilles Medical School. He has been involved in various ESC and EHRA guidelines and consensus documents, including the 2018 ESC syncope guidelines. He has particular interest in cardiac electrophysiology research in the fields of syncope, lead extraction and clinical electrophysiology.


With this webinar we aim to:

  • increase knowledge and competence around managing the syncope patient, according to 2018 ESC guidelines on syncope.
  • understand practical implementation strategies of the guidelines.
  • apply guideline diagnostic measures for syncope care.
  • make diagnostic and cost-effective decisions to determine the cause of syncopal episodes.

This webinar aims to educate the following: 

  • Cardiologists and electrophysiologists
  • Internal medical professionals/primary care
  • Emergency physicians/nurses
  • Geriatricians



1. Brignole M, Vardas P, Hoffman E, et al. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace 2009;11:671–687.

2. Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018; 1-69.

3. Da Costa A, Defaye P, Romeyer-Bouchard C, et al. Clinical impact of the implantable loop recorder in patients with isolated syncope, bundle branch block and negative workup: a randomized multicentre prospective study. Arch Cardiovasc Dis 2013;106:146–154.

4. Edvardsson N, Garutti C, Rieger G, Linker NJ, PICTURE Study Investigators. Unexplained syncope: implications of age and gender on patient characteristics and evaluation, the diagnostic yield of an implantable loop recorder, and the subsequent treatment. Clin Cardiol 2014;37:618–625.

5. Moore DE Jr, Green JS, Gallis HA. Achieving desired results and improved outcomes: integrating planning and ass essment throughout learning activities. J Contin Educ Health Prof. 2009 Winter;29(1):1-15.

6. Podoleanu C, DaCosta A, Defaye P,et al. Early use of an implantable loop recorder in syncope evaluation: a randomized study in the context of the French healthcare system (FRESHstudy). Arch Cardiovasc Dis 2014;107:546–552.

7. Sulke N, Sugihara C, Hong P, Patel N, Freemantle N. The benefit of a remotely monitored implantable loop recorder as a first line investigation in unexplained syncope: the EaSyAS II trial. Europace 2016;18:912–918.

This webinar is supported by:

Tilt-testing for syncope: when to refer and when it can make a difference

Tilt-testing for syncope: when to refer and when it can make a difference

Afzal Sohaib
Consultant in Cardiac Electrophysiology & Devices
Bart's Health NHS Trust, UK
Dr P Boon Lim
Cardiologist and Electrophysiologist
Imperial College NHS Trust, UK

Effectively differentiating between potentially life-threatening causes of syncope and more benign causes requires careful evaluation. Tilt-testing is used variably across cardiovascular units around the world. Its sensitivity and specificity in identifying causes for syncope is debated, yet it can provide important diagnostic information if performed and interpreted skilfully and has a role in guiding therapy. We discuss how it is performed, how to interpret the results, and when it can make a difference to the investigation and treatment of patients with syncope.

Afzal Sohaib is a Consultant Cardiologist at the Bart's Heart Centre in London and Barking, Havering, and Redbridge University Hospitals NHS Trust. Having completed his medical training at University College London, Dr Sohaib undertook training as a Cardiology registrar at centres in North West London including Imperial College Healthcare NHS Trust and Royal Brompton & Harefield Hospitals NHS Trust. His main research interest lies in cardiac electrophysiology and devices, having also completed a PhD studying how bi-ventricular pacemakers deliver benefits in heart failure.

Dr Sohaib has an interest in improving teaching and training in cardiology and has served on the Specialty Advisory Committee for Cardiovascular Medicine at the Royal College of Physicians which designs and oversees the delivery of cardiology training in the UK. Dr Afzal Sohaib is currently on the ESC Cardiologists' of Tomorrow Nucleus initiative, has directed the annual British Junior Cardiologists' Association (BJCA) meeting, and is involved in designing the programme for the ESC Congress.


Dr P Boon Lim is a Cardiologist and electrophysiologisy specialising in heart rhythm disturbances, pacing and syncope at Imperial College Healthcare NHS Trust and a senior lecturer at Imperial College London. He graduated from Cambridge University with a double first-class honours degree and completed his cardiology training in Oxford and North West London Hospitals. He pursued a PhD at Imperial College London studying the role of the autonomic nervous system in arrhythmias. 

Dr Lim has a strong interest in syncope and leads the well-regarded Imperial Syncope Diagnostic Unit, a heavy volume speciallist tertiary syncope service. He leads more than 800 tilts a year and actively engages in research to understand mechanisms of syncope and understanding the best treatment strategies for patients with debilitating syncope. 

Dr Lim was the UK reviewer for the European Society of Cardiology Guidelines for Syncope and is an executive member of the Syncope Trust and Reflec Anoxic Seizures (STARS) Charity, providing guidance and lectures to patients and staff members to help improve the understanding and management of patients with syncope. He also set up the Syncope Education website,, a free resource for patients and physicians alike. 

This webinar will:

  • Explain how to perform a tilt-test and what is involved 
  • Describe how to interpret the results 
  • Discuss the indications and appropriate cases to refer
  • Explain when it can make a difference in making a diagnosis 
  • Explain when it can make a difference in guiding therapy

This webinar is likely to have a wide ranging audience beyond electrophysiology and more widely to general medicine and general cardiology. In short, anyone who looks after patients with syncope:

  • General Cardiology
  • Electrophysiology
  • General Medicine
  • General Practice
  • Geriatric Medicine


This is an independent Radcliffe production. 
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