Advanced EP Ablation Training

Master the entrainment technique used in electrophysiology to assess reentrant tachycardia (SVT and VT). Learn how to use fusion beats and post-pacing interval (PPI) to identify the critical part of the reentry circuit for accurate diagnosis.

Master CTI ablation for atrial flutter, focusing on catheter placement, lesion creation, and ensuring complete electrical block across the cavo-tricuspid isthmus (CTI). Learn how to confirm proper catheter positioning and avoid complications like premature ventricular contractions to achieve a successful procedure.

Learn how to spot gaps in your CTI ablation line by identifying high voltage potentials, double potentials, and irregular catheter movement. Understand common pitfalls like catheter instability or anatomical challenges (e.g., pouch or Eustachian valve) and how to validate your ablation line using techniques like 3D mapping and activation mapping to ensure a complete conduction block.

Learn how to verify CTI block using techniques like differential pacing (A1/A2 method), wide double potentials, and high-resolution mapping systems. Master tips for catheter movement, gap detection, and bidirectional block confirmation to ensure a complete and accurate cavo-tricuspid isthmus (CTI) conduction block.

Discover the Halo catheter’s role in diagnosing atrial flutter and tracking ablation progress. Understand the ideal catheter positioning, how to interpret activation patterns, and how to identify interrupted conduction for confirming CTI block.

Explore common complications during CTI ablation, including AV block, V. cava perforation, and steam pops. Learn how to avoid risks with careful catheter movement, energy titration, and recognizing critical warning signs, such as extreme pain reactions and fluoroscopy signals.

Understand the mechanisms behind ectopic atrial tachycardia (EAT), including automaticity and triggered activity. Learn how to distinguish EAT from reentry using mapping systems, pacing maneuvers, and ECG characteristics, ensuring accurate diagnosis during electrophysiology studies.

Identify the typical locations of ectopic atrial tachycardia (EAT), including the right atrium, midline, and left atrium. Learn how to distinguish EAT origins using CS catheter and surface ECG, and avoid anatomy-related pitfalls during ablation, especially near the phrenic nerve and sinus node.

Perform activation mapping for ectopic atrial tachycardia (EAT) using techniques like VA linking and signal comparison. Identify the right spot for ablation by ensuring the local signal precedes all others, and avoid pitfalls by verifying clinical beats and paying attention to signal sequence in CS series.

Master pulmonary vein isolation (PVI) using modern mapping systems and the pace-and-ablate technique. Learn how to identify gap areas and ensure a complete isolation line by inspecting signal characteristics and energy delivery, ensuring effective ablation without missed spots.

Ensure pulmonary vein isolation by confirming entry and exit block using techniques like spiral catheter recording and pacing. Recognize isolated signals and local capture as key signs of complete isolation, ensuring no conduction occurs from the vein to the left atrium.

Learn how to induce and terminate AV nodal reentrant tachycardia (AVNRT) using incremental pacing, atrial programmed stimulation, and pharmacological modulation. Discover key techniques for diagnosing AVNRT, recognizing mechanism patterns, and applying overdrive pacing for rapid termination of the arrhythmia.

Master the key pacing maneuvers to diagnose AVNRT, including VA interval measurement, ventricular entrainment, and post-pacing interval (PPI) analysis. Learn to differentiate AVNRT from other arrhythmias like AVRT and EAT, and discover effective strategies for confirming the diagnosis early in the procedure.

Learn where to locate the ideal ablation target for AVNRT by mapping the His bundle and slow pathway regions. Discover how to identify good intracardiac signals and assess the right response to ablation. Understand what signals indicate proper ablation and what to avoid, such as accelerated junctional beats or VA conduction issues. Ensure success by using post-ablation testing to confirm that the tachycardia can no longer be re-induced.

Recognize key warning signs like fast junctional rhythms and loss of VA conduction during AVNRT ablation. Learn to minimize risks, adjust energy settings, and react quickly to ensure patient safety and successful outcomes.

Recognize key diagnostic signs of left-sided accessory pathways (AP) using pacing maneuvers. Look for eccentric activation, preexcitation, and decremental properties to assess tachycardia mechanisms. Learn to induce AVRT and confirm findings with specific pacing techniques for accurate diagnosis.

Master the technique of curing arrhythmias with a single pacing impulse. Learn how to identify the precise point for ablation, optimize pacing rates, and ensure the proper conduction pathways are targeted. This lesson focuses on maximizing the effectiveness of your procedure with minimal intervention.

Understand the differences between antidromic and orthodromic AVRT. Learn how to diagnose antidromic AVRT by identifying preexcitation, VA conduction, and mapping strategies. Explore the best approaches for successful ablation of this arrhythmia.

Understand when AV node ablation is appropriate and how to identify the optimal spot for ablation within the Triangle of Koch. Learn the best procedural techniques for achieving effective AV block while preserving high escape rhythm, ensuring long-term success in treating symptomatic AF.

Pace mapping helps identify the optimal ablation site by matching paced QRS to PVC. Learn how to perform and interpret pace mapping, ensuring the paced QRS resembles the clinical PVC. Be aware of potential pitfalls like poor tissue contact or high pacing output affecting accuracy.

Learn how to map the origin of PVCs using activation mapping and unipolar signals. Confirm the best ablation site by ensuring early local signals and low-voltage fractionated potentials. Pace mapping can be used as additional verification. Pay attention to unipolar signal slope and use proper power settings for safe and effective ablation.