Programme

1. Fellows corner – Basic maneuvers and concepts for PVC and VT ablation

– Entrainment
– substrate detection in ICM
– substrate characterization in NiCM
– The never ending epicardial story: dry puncture, CO2 insufflation, pre-interventional adhesion detection
– How to effectively ablate VT – how to create effective lesions/lesion enhancement

2. idiopathic PVC/VT

– diagnostics – what do we need?
– Ablation – who, when, how?
– Ablation of PVCs without having PVCs?
– non-outflow-tract PVC locations – how to target?

3. Conduction system pacing in VT patients

– Techniques of conduction system pacing
– Evolving indications – beyond the guidelines
– Overview of current trials
– Modulation of the autonomous nervous system in patients with symptomatic bradycardia

4. Target detection in VT – different schools

-DEEP
– Repolarization mapping
-Imaging
– ARVC/ARVD/left dominant ACM: where do we stand?
– Arrhythmogenic Mitral Valve Prolapse Syndromes

5. New tools for old problems

– Increasing RF ablation lesion size
– Bipolar ablation
– Pulsed Field Ablation
– Ultra-low cryo temperature
– Alcohol ablation for intramural substrate/PVC

6. Electrical storm and management

– ICD implantation and programming
– Heart failure management
– Autonomic Nervous System
– Catheter ablation – what is the best timing?
DEBATE acute versus early ablation in ES patients – what do you prefer?

7. Primary prophylaxis in non-ischemic cardiomyopathy patients

– statistical appraisal of ICD-trials for primary prophylaxis in NiCM – is there evidence?
– Risk profiling by genetics
– ICDs: when, who, why – subcutaneous or substernal electrodes?
– what can we learn from imaging – AI-supported?
– what do new HF medications do to arrhythmia risk
– What about athletes? Risk profiling.

8. How to approach Redo VT ablation procedures?

– Overview: How to tackle Redo VT cases – F. Marchlinski
– 2 Cases Redo-VTs cases – Hipes and flops?

9. Together VT Case Summit – Fellow-presented case reports