Founders Lectureship: Past Present and Future of Catheter Ablation (non-ACE)-Founders Lectureship: Past Present and Future of Catheter Ablation (non-ACE)

Video Transcription

Video Summary

The session focused on advancements in electrophysiology, particularly in atrial fibrillation (AF) treatments and innovations in pacemaker technology. Dr. Pierre Jais from Bordeaux highlighted the evolution of catheter ablation for AF, emphasizing the transition from surgical techniques to non-pharmacological treatments. He discussed the development and benefits of electroporation (PFA), which is seen as a safer, more effective method with fewer complications like esophageal fistula or pulmonary vein stenosis compared to previous methods. He noted that PFA could potentially change the management strategies for persistent AF and emphasized the need to redefine endpoints for ablation, focusing on AF burden rather than symptom status alone.<br /><br />Igor Efimov from Northwestern University introduced groundbreaking pacemaker technology. He presented a bioresorbable, transient electronic pacemaker, which can dissolve safely in the body after use. This device, significantly smaller than current pacemakers, can be wirelessly powered and controlled, offering a novel solution for temporary pacing needs. Efimov's work suggests a future where patients could benefit from untethered recovery post-surgery, reducing risks associated with traditional pacing leads and components. The innovation encompasses applications in resynchronization therapy and potentially with TAVR-TAVI patients, highlighting a substantial shift towards more efficient and patient-friendly cardiological interventions.<br /><br />Both speakers underscored the importance of continued innovation to enhance treatment efficacy and patient safety while reducing environmental impact and healthcare costs.

Keywords

electrophysiology

atrial fibrillation

catheter ablation

electroporation

pacemaker technology

bioresorbable pacemaker

temporary pacing

resynchronization therapy

TAVR-TAVI

cardiological interventions