Welchome Address – Scientific committee

Fellows corner – Basic maneuvers and concepts for PVC and VT ablation
T. Deneke, P. della Bella

• Entrainement (20min) – M. Saba (London, GB)
• substrate detection in ICM (20min) – D. Stevens (Cologne, GER)
• substrate characterization in NiCM (20min) – K. Zeppenfeld (Leiden, NL)
• The never ending epicardial story: dry puncture, CO2 insufflation, pre-interventional adhesion detection (20min) – K. Bisceglia (Milan, IT)
• How to effectively ablate VT – how to create effective lesions/lesion enhancement (20min) – J. Silberbauer (Brighton, GB)
• DISCUSSION (20min)

Idiopathic PVC/VT
J. Almendral, J. Merino

• diagnostics – what do we need? (20min) – P. Sommer (Bad Oeynhausen, GER)
• Ablation – who, when, how? (20min) – D. Scherr (Graz, AT)
• Ablation of PVCs without having PVCs? (20min) – T. Deneke (Nuremberg, GER)
• non-outflow-tract PVC locations – how to target? (20min) – F. Sacher (Bordeaux, FR)
• DISCUSSION (30min)

— Working Lunch —

Tips and Tricks from the Experts – ReDo Procedures

Philadelphia Style (15min) – F. Marchlinski (Philadelphia, USA)

Nashville Style (15min) – W. Stevenson (Nashville, USA)

Milan Style (15min) – P. della Bella (Milan, IT)

Conduction system pacing in VT patients
F. Marchlinski, P. Jais

• Techniques of conduction system pacing (20min) – C. Israel (Bielefeld, GER)
• Evolving indications – beyond the guidelines (20min) – H. Burri (Geneva, CH)
• Overview of current trials and perspective (20min) – J. Steffel (Zurich, CH)
• DISCUSSION (30min)

— Coffee Break —

Target detection in VT – different schools
K.-H. Kuck, T. Deneke

• DEEP (20min) – M. de Riva Silva (Leiden, NL)
• Repolarization mapping (20min) – P. Lambiase
• imaging (20min) – H. Cochet, A. Berruezo
• S2-S3-Mapping (20min) – I. Roca (Barcelona, ESP)
• High density mapping (20min) – P. Jais (Bordeaux, FR)
• DISCUSSION (20min)

New tools for old problems
J. Kautzner, P. Jais

•  Bipolar ablation (15min) – P. Futyma (Rzeszowski, PL)
•  Pulsed Field Ablation (15min) – P. Peichl (Prague, CZ)
•  Ultra-low cryo temperature (10min) – R. Tilz (Lübeck, GER)
• Alcohol ablation for intramural substrat/PVC (15min) – P. Lambiase (London, GB)
• DISCUSSION (20min)

— Coffee Break —

Electrical storm and management
P. della Bella, K. Zeppenfeld

• ICD-implantation and programming (20min) – J. Steffel (Zurich, CH)
• Heart failure management (20min) – M. Pauschinger (Nuremberg, GER)
• Ganglion stellatum blockade and autonomic nervous system (20min) – S. Savastano (Pavia, IT)
• Catheter ablation – what is the best timing? (20min) – P. della Bella (Milan, IT)
• DISCUSSION (10min)

— Working Lunch —

DEBATE acute versus early ablation in ES patients.
F. Marchlinski, P. Jais

Acute – H. Pürerfellner (Linz, AUT)

Early – W. Stevenson (Nashville, USA)

Rebuttal and friendly handshake

primary prophylaxis in non-ischemic cardiomyopathy patients
W. Stevenson, F. Sacher

• statistical appraisal of ICD-trials for primary prophylaxis in NiCM – is there evidence? –
• risk profiling by genetics – E. Behr (London, GB)
• ICDs: when, who, why – subcutaneous or substernal electrodes? – C. Butter (Berling, GER)
• what can we learn from imaging – AI-supported? – N. Trayanova (Baltimore, USA9
• what do new HF medications do to arrhythmia risk – W. Stevenson (Nashville, USA)
• what about athletes? Risk profiling – D. Corrado (Padua, IT)

Together VT Case Summit – Fellow-presented case reports

K. Zeppenfeld, F. Marchlinski, P. della Bella, J. Kautzner, P. Jais, T. Deneke

Adjourn and upcoming Together VT 2026