Epicardial Access Should Be Part of Every Structural VT Ablation Case

Description

Debators will discuss the role of epicardial substrate in scar related VT including ischemic cardiomyopathy. Advanced imaging and technical aspects of the epicardial access will be part of the presentations.

Learning Objectives

Recognize the role of epicardial mapping in scar related ventricular tachycardia assessment.
Define indications and contraindications to epicardial access for ventricular tachycardia ablation.
Critically assess the workflow of a ventricular tachycardia ablation procedure to achieve successful endpoint.

Session Chair(s)

Francis Marchlinski, MD
Isabelle Nault, MD, CCS

Presentation

Epicardial Access and Mapping Should be Part of Every Structural VT Ablation Case
Presenter(s): Roderick Tung, MD

Epicardial Access and Mapping Should NOT be Performed in Every Scar-related VT Ablation
Presenter(s): Frederic Sacher, MD, PhD

Rebuttal
Presenter(s): Roderick Tung, MD

Rebuttal
Presenter(s): Frederic Sacher, MD, PhD

Disclosures

Roderick Tung:

Abbott Medical (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
AtriCure, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Sanofi (Speakers' Bureau - Speaking and Teaching)
Siemens (Honoraria/Speaking/Consulting Fee - Consulting)
Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
iRhythm Technologies (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

Frederic Sacher:

Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Abbott (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
inHEART (Honoraria/Speaking/Consulting Fee - Consulting)
Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

Roderick Tung:

Abbott Medical (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
AtriCure, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Sanofi (Speakers' Bureau - Speaking and Teaching)
Siemens (Honoraria/Speaking/Consulting Fee - Consulting)
Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
iRhythm Technologies (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

Frederic Sacher:

Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Abbott (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
inHEART (Honoraria/Speaking/Consulting Fee - Consulting)
Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

To view all Heart Rhythm 2025 Faculty Disclosures, please click here.

Education Framework

Ventricular Tachyarrhythmias
-- Ventricular Tachycardia (VT) - Catheter Ablation
-- 184. Know the indications, contraindications, and complications associated with catheter ablation of ventricular arrhythmias, including endocardial and epicardial ablation, including during pregnancy.

Summary


Availability:	No future session


Cost:	FREE


Credit Offered:	No Credit Offered