16

Nov

2018

16:00

GMT

Webinar

Understanding Radiofrequency Ablation in the Era of Contact Force Sensing

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Overview

In this webinar, Dr Wright, an expert in real-world contact force ablation will discuss and provide an overview of the contact force radiofrequency ablation technique and its effect on lesion size.

Despite the widespread use of RF ablation in daily practice, it is perhaps surprising how much is still not understood about the basics of the biophysics underpinning RF ablation. Contact is fundamental to successful ablation, yet it is only in the last few years that we now have the tools to measure contact while performing ablations.

How we interpret this data among the myriad of factors that affect lesion formation is complicated by the endpoints that we have in clinical medicine. Recurrence of AF is a blunt tool, and even acute recurrence of conduction is relatively poor when we are trying to achieve permanent contiguous transmural lesions.

Faculty:


Matthew Wright

Matthew Wright


Afzal Sohaib

Afzal Sohaib

Key Learning Objectives

  • How irrigation rates and power delivery can be optimised.
  • An historical overview.
  • An outline on the role of contact force with a look at some real life case studies to prove the data.
  • It will also consider the role of contact force in the future.

Target Audience

  • Cardiologists/interventional specialists
  • Allied healthcare professionals such as physiologists, technicians or nurses

Faculty Biographies


Matthew Wright

Matthew Wright

Dr Matthew Wright is a consultant cardiologist at Guys and St Thomas' NHS Trust and The Heart Rhythm Clinic. He is an expert in radiofrequency ablation for the treatment of atrial fibrillation and complex cardiac mapping technologies.

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Afzal Sohaib

Afzal Sohaib

Dr Afzal Sohaib is a Consultant Cardiologist at the Bart's Heart Centre in London and Barking, Havering, and Redbridge University Hospitals NHS Trust.

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Key References

1. Afzal, et al. Heart Rhythm 2015

2. Bishop, et al. Europace 2016 . 376–383

3. Borgreffe, et al. JACC 1987

4. Conti, et al. Heart Rhythm 2018

5. Haines, JCE 1991

6. Haïssaguerre, et al, NEJM 1998

7. Lin, et al. JCE 2017

8. Natale, et al. JACC 2014

9. Nakagawa, Circulation 1995

10. Nakagawa, et al. HRS Abstract 2014

11. Otomo, et al. Heart Rhythm 2010

12. Reddy, et al. Heart Rhythm 2012

13. Sanchez-Quintana, et al. Circulation 2005

14. Shah, et al. JCE 2010

15. Taghji, et al. JACC EP 2018

16. Ullah, et al. Heart Rhythm 2018

17. Whitaker, J et al. Circ. Arrhythmia and Electrophysiology 2018;11:e005892

18. Wright, et al. JACC EP 2018

19. Zhou, et al. Anatol J Cardiol 2017

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