VT2021 On-Demand

We are pleased to provide complimentary and unlimited access to the On-Demand Archive of the 16th Annual International Symposium on Ventricular Arrhythmias, which includes the full library of educational programming that occurred in real-time through the live streaming broadcast.

16^th Annual International Symposium on Ventricular Arrhythmias

Course Directors
Francis Marchlinski, MD University of Pennsylvania Health System Philadelphia, PA		Vivek Reddy, MD The Mount Sinai Hospital New York, NY
David Callans, MD University of Pennsylvania Health System Philadelphia, PA		Srinivas Dukkipati, MD The Mount Sinai Hospital New York, NY
Andre d’Avila, MD, PhD Beth Israel Deaconess Medical Center, Boston, MA

Faculty
Michael Acker, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Christine Albert MD, MPH Smidt Heart Institute at Cedars-Sinai Medical Center Los Angeles, CA Jesus Almendral, MD, PhD Hospital Madrid Monteprincipe Madrid, Spain Elad Anter, MD Cleveland Clinic Cleveland, OH Samuel Asirvatham, MD Mayo Clinic Rochester, MN Cristina Basso, MD, PhD University of Padova Medical School Padua, Italy Antonio Berruezo, MD, PHD Teknon Heart Institute Barcelona Barcelona, Spain Caterina Bisceglia, MD, PhD San Raffaele Hospital Milan, Italy Frank Bogun, MD University of Michigan Health System Ann Arbor, MI Jason Bradfield, MD UCLA Medical Center Los Angeles, CA Alfred Buxton, MD Beth Israel Deaconess Medical Center Boston, MA Minglong Chen, MD The First Affiliated Hospital of Nanjing Medical University Nanjing, Jiangsu, China Fa-Po Chung, MD National Taiwan University Hospital Taipei, Taiwan Phillip Cuculich, MD Washington University School of Medicine St. Louis, MO Christian de Chillou, MD, PhD University Hospital Nancy Nancy, France Paolo Della Bella, MD IRCCS San Raffaele Scientific Institute Milan, Italy Thomas Deneke, MD Cardiovascular Center Bad Neustadt Bad Neustadt, Germany Rajat Deo, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Luigi Di Biase, MD, PhD Albert Einstein College of Medicine at Montefiore Hospital Bronx, NY Timm Dickfeld, MD, PhD University of Maryland School of Medicine Baltimore, MD Sanjay Dixit, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Kevin Donahue, MD University of Massachusetts Medical School Worcester, MA Kenneth Ellenbogen, MD Virginia Commonwealth University Richmond, VA Andrew Epstein, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA David Frankel, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Fermin Garcia, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Edward Gerstenfeld, MD UCSF School of Medicine San Francisco, CA Michael Gold, MD, PhD Medical University of South Carolina Charleston, SC Gustavo Guandalini, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA David Haines, MD Beaumont Health System Royal Oak, MI Michel Haïssaguerre, MD, PhD Central University Hospital of Bordeaux Bordeaux, France Haris Haqqani, MBBS, PhD University of Queensland Brisbane, Australia Gerhard Hindricks, MD University of Leipzig Heart Center Leipzig, Germany Mélèze Hocini, MD, PhD University of Bordeaux Pessac Bordeaux, France Jose Huizar, MD Virginia Commonwealth University Pauley Heart Center-Hunter Holmes McGuire VA Medical Center Richmond, VA Matthew Hyman, MD, PhD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Pierre Jaïs, MD Central Hospital University of Bordeaux Bordeaux, France Josef Kautzner, MD, PhD Institute for Clinical and Experimental Medicine (IKEM) Charles University Medical School Prague, Czech Republic Young-Hoon Kim, MD Korea University College of Medicine Seoul, Korea Jacob Koruth, MD Mount Sinai Hospital New York, NY Pramesh Kovoor, MBBS, PhD Westmead Hospital Westmead, Australia Ramanan Kumareswaran, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA		David Lin, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Timothy Markman, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA John M. Miller, MD Indiana University School of Medicine Indianapolis, IN Marc A. Miller, MD Mount Sinai Hospital New York, NY Joshua Moss, MD UCSF School of Medicine San Francisco, CA Daniele Muser, MD Santa Maria della Misericordia University Hospital Udine, Italy Daniel Musikantow, MD Mount Sinai Hospital New York, NY Hiroshi Nakagawa, MD, PhD Retired (Cleveland Clinic) Cleveland, OH Calambur Narasimhan, MD AIG Hospitals Hyderabad, India Andrea Natale, MD Texas Cardiac Arrhythmia Institute Austin, TX Saman Nazarian, MD, PhD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Douglas Packer, MD Mayo Clinic Rochester, MN Jeanne Poole, MD University of Washington Seattle, WA Stacey Rentschler, MD, PhD Washington University School of Medicine St. Louis, MO Michael Riley, MD, PhD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Melissa Robinson, MD University of Washington Seattle, WA Andrea Russo, MD Cooper Medical School of Rowan University Camden, NJ Magdi Saba, MD St. George’s University Hospital London, UK Pasquale Santangeli, MD, PhD Perelman School of Medicine University of Pennsylvania Philadelphia, PA John Sapp, Jr., MD QEII - Halifax Infirmary (HI) Site Halifax, Nova Scotia William Sauer, MD Brigham and Women’s Hospital Boston, MA Robert Schaller, DO Perelman School of Medicine University of Pennsylvania Philadelphia, PA Kalyanam Shivkumar, MD, PhD UCLA Medical Center Los Angeles, CA Kostantinos Siontis, MD Mayo Clinic Rochester, MN Kyoko Soejima MD Kyorin University Tokyo, Japan William Stevenson, MD Vanderbilt University School of Medicine Nashville, TN Gregory Supple, MD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Charles Swerdlow, MD UCLA Medical Center Los Angeles, CA Harikrishna Tandri, MD Johns Hopkins University Baltimore, MD Usha Tedrow, MD, MS Brigham and Women’s Hospital Boston, MA Cory Tschabrunn, PhD Perelman School of Medicine University of Pennsylvania Philadelphia, PA Roderick Tung, MD The University of Arizona College of Medicine-Phoenix Phoenix, AZ Mohit Turagam, MD Mount Sinai Hospital New York, NY Wendy Tzou, MD University of Colorado School of Medicine Anschutz Medical Campus Aurora, CO Miguel Valderrábano, MD Houston Methodist Weill Cornell Medical College Houston, TX Marmar Vaseghi, MD, PhD UCLA Medical Center Los Angeles, CA Atul Verma, MD Southlake Regional Health Care Centre Newmarket, Ontario, Canada Pugazhendhi Vijayaraman, MD Geisinger Medical Center Danville, PA Katie Walsh, MBBCh Cork University Hospital Cork, Ireland William Whang, MD Mount Sinai Hospital New York, NY David Wilber, MD Loyola University Medical Center Chicago, IL Jeffrey Winterfield, MD Medical University of South Carolina Charleston, SC Shu Zhang, MD Fuwai Hospital Beijing, China
Live Case Sites and Case Operators
Hospital of University of Pennsylvania Operators: Gregory Supple, MD; Fermin Garcia, MD; Pasquale Santangeli, MD, PhD; David Frankel, MD; Robert Schaller, DO; David Lin, MD; Ramanan Kumareswaran, MD; Gustavo Guandalini, MD; Matthew Hyman, MD, PhD; Michael Riley, MD, PhD The Mount Sinai Hospital Operators: Srinivas Dukkipati, MD; Jacob Koruth, MD; William Whang, MD, MS; Marc Miller, MD; Mohit Turagam, MD; Daniel Musikantow, MD

To view, click on the presentation titles within each session

Welcome / Introductions / Opening Remarks
Francis Marchlinski, MD

Session I
Biology/Biophysics of Old and New Ablation Strategies
Moderators: David Haines, MD; Atul Verma, MD
Digital Moderators: Vivek Reddy, MD

Techniques for Making RFA More Effective in the Ventricles
Elad Anter, MD

Scar, Conduction System, and Coronaries: Impact on Pulsed Field Ablation
Samuel Asirvatham, MD

Pulsed Field Ablation in Ventricular Myocardium: Challenges
Jacob Koruth, MD

PFA: Effect of Contact Force and Repetitive Focal Application
Hiroshi Nakagawa, MD, PhD

Effects of Focused Radioablation on Basic Electrophysiology: Functional Ablation?
Stacey Rentschler, MD, PhD

Panel Discussion

Session II
New Concepts in Sudden Death Risk Stratification
Moderators: David Callans, MD; Christine Albert, MD, MPH
Digital Moderators: Rajat Deo, MD

SCD Risk: Substrate, Triggers, and Modulators: New Insights
Kalyanam Shivkumar, MD, PhD

Sudden Death in Patients with PVCs: New Markers of Risk
Daniele Muser, MD

Sudden Death in Malignant MVP and MAD: Update on Risk/Treatment
Marc Miller, MD

Use of ECG-based Neural Networks for Risk Prediction
Andrea Natale, MD

PROFID (Post-MI) SCD Risk Prediction Model—Can It Rise to the Challenge?
Gerhard Hindricks, MD

Panel Discussion

Session III
Advances in Device Therapy
Moderators: Andrew Epstein, MD; Andrea Russo, MD
Digital Moderator: Kenneth Ellenbogen, MD

CRT in the Era of Conduction System Pacing
Pugazhendhi Vijayaraman, MD

Conduction System Pacing: His Bundle vs. Left Bundle Pacing?
Kenneth Ellenbogen, MD

UNTOUCHED and PRAETORIAN: Present Role for the S-ICD
Michael Gold, MD, PhD

Substernal Extravascular ICD
Charles Swerdlow, MD

Perspective: What Trials Are Necessary for Advancing Device Therapy Effectiveness/Appropriate Use?
Jeanne Poole, MD

Panel Discussion

Access Live Cases 1 >>

Session IV
LIVE CASES 1
Live cases from the Hospital of the University of Pennsylvania
Moderator: Francis Marchlinski, MD
Digital Moderator: Andre d’Avila, MD, PhD

Panel: Vivek Reddy, MD; William Stevenson, MD; Jeffrey Winterfield, MD; Wendy Tzou, MD; Katie Walsh, MBBCh; Pierre Jais, MD

Hospital of the University of Pennsylvania Operators: Gregory Supple, MD; Fermin Garcia, MD; Pasquale Santangeli, MD, PhD; David Frankel, MD; Robert Schaller, DO; David Lin, MD; Ramanan Kumareswaran, MD; Gustavo Guandalini, MD; Matthew Hyman, MD, PhD; Michael Riley, MD, PhD

Live Case Updates from the Hospital of the University of Pennsylvania

Epicardial Non-Ischemic VT Substrate
Gregory Supple, MD; Ram Kumareswaran, MD; Rob Schaller, MD; Tim Markman, MD

Ischemic VT with Epicardial Isthmus and RV Involvement
Pasquale Santangeli, MD; Matt Hyman, MD; David Frankel, MD; Max Cerantola

Multifocal PVCs and Depressed Ejection Fraction
Gustavo Guandalini, MD; Fermin Garcia, MD; David Lin, MD; Ahmed Alsalem, MD

Session V
Annual Mark E. Josephson Memorial Lecture
Moderator: David Callans, MD
Digital Moderator: Francis Marchlinski, MD

Lessons Learned from More Than 40 Years of Surgical Ablation
John Miller, MD

Panel Discussion:
Moderator: David Callans, MD
Digital Moderator: Francis Marchlinski, MD
Panel: John Miller, MD; Wendy Tzou, MD; Michael Acker, MD; William Stevenson, MD; Vivek Reddy, MD; Alfred Buxton, MD

Session VI
PVCs: Mapping/Ablation
Moderators: Jose Huizar, MD; Magdi Saba, MD
Digital Moderator: Sanjay Dixit, MD

Spontaneous Variability and Remission of PVCs
Timm Dickfeld, MD, PhD

PVCs: Role of Early Intervention
Edward Gerstenfeld, MD

Limitations of Unipolar Mapping for PVCs
Wendy Tzou, MD

Intramural PVCs: Imaging, Localization, and Ablation
Frank Bogun, MD

Pacemapping for Infrequent PVCs: Is There a Role?
Robert Schaller, DO

Panel Discussion

Session VII
Nonischemic Cardiomyopathy and VT
Moderators: David Callans, MD; William Stevenson, MD
Digital Moderator: Andre d’Avila, MD, PhD

Pathological Features of COVID-19–associated Myocardial Injury: Should We be Concerned about VT?
Cristina Basso, MD, PhD

Substrate Localizing Clues in NICM-Using Sinus Rhythm ECG and Endocardial Electrograms
Francis Marchlinski, MD

Defining Midseptal Substrate and Ablation Targets: Don’t Forget to Map the Veins
Fermin Garcia, MD

Automatic VTs in Nonischemic CM: Recognition/Ablation
Usha Tedrow, MD, MS

Targeting Late Potentials and LAVA in NICM: Pitfalls
Caterina Bisceglia, MD, PhD

New Observations on VT Ablation in Patients with Sarcoid
Konstantinos Siontis, MD

What New Data or Tools Are Needed to Improve Outcomes in VT Ablation in NICM?
David Wilber, MD

Panel Discussion

To view, click on the presentation titles within each session

Asia-Pacific VT Symposium 2021 Program
Moderators: Francis Marchlinski, MD; Vivek Reddy, MD
Digital Moderator: Sanjay Dixit, MD

Session I

Highlights of Day 1 VT Symposium
Sanjay Dixit, MD

Update on the PROTECT Trial
Pramesh Kovoor, MBBS, PhD

Stellate Ganglion Phototherapy
Kyoko Soejima, MD

SAECG and Epicardial Substrate in ARVC
Fa Po Chung, MD

Panel Discussion

Session II

Anticipated New Information/Teasers from Day 2 VT Symposium — Please Stay Tuned!
Vivek Reddy, MD

PAUSE-SCD Study Update
Minglong Chen, MD

Cardiac Inflammation and VT—Unique Scenarios
Calambur Narasimhan, MD

Improve Sudden Cardiac Arrest (SCA) Study: Lessons Learned

Commentary from China
Shu Zhang, MD

Commentary from South Korea
Young-Hoon Kim, MD

Extravascular ICD implant – State of the Art
Haris Haqqani, MBBS, PhD

Panel Discussion

To view, click on the presentation titles within each session

Welcome to Day 2
Francis Marchlinski, MD

Session VIII
Important Role of Imaging in VT Ablation
Moderators: Vivek Reddy MD; Thomas Deneke, MD
Digital Moderator: Cory Tschabrunn, PhD

Relationship Between MRI-defined Scar Geography and the VT Isthmus
Christian de Chillou, MD, PhD

Ablation of MRI Scar Channels as Primary Prevention
Antonio Berruezo, MD, PhD

Signs of Trouble on Preprocedural Imaging for VT Ablation
Saman Nazarian, MD, PhD

ECGi 3D Ventricular Tachycardia Mapping
John Sapp, MD

Imaging-guided Approach to VT Ablation: Future Directions
Pierre Jais, MD

Panel Discussion

Session IX
Unique Methods/Physiology for VT/VF Control/Ablation
Moderators: Edward Gerstenfeld, MD; Pasquale Santangeli, MD, PhD
Digital Moderator: Francis Marchlinski, MD

Direct Sympathetic Modulation—Why It Beats Beta-blockers?
Marmar Vaseghi, MD, PhD

A 3D Construct of Lateral Isthmus Boundaries and Intramural Isthmus Components
Roderick Tung, MD

Targeting Ventricular Tachycardias in Myocarditis: A Patient-tailored Approach
Paolo Della Bella, MD

Repolarization Heterogeneities and Post-infarct VT Mechanism
Kevin Donahue, MD

The Purkinje Network: A New Target for VF in HCM
Michel Haïssaguerre, MD

Panel Discussion

Session X
Before/During/After VT Ablation
Moderators: David Callans, MD; Melissa Robinson, MD
Digital Moderator: Andre d’Avila, MD, PhD

Setting Up a Hybrid OR for VT Ablation: Equipment, Patients, and Goals
Gregory Supple, MD

Usefulness of ICD Electrogram Recordings for VT Ablation
Jesus Almendral, MD, PhD

Adverse Impact of VT Substrate Mapping on Programmed Stimulation: The Observer Effect
William Stevenson, MD

Update on the Usefulness of Postprocedural NIPS
David Frankel, MD

Panel Discussion

Access Live Cases 2 >>

Session XI
Live Cases 2
Live cases from Mount Sinai Hospital
Moderator: Vivek Reddy, MD
Digital Moderator: Andre d’Avila, MD, PhD
Panel: David Callans, MD; Sanjay Dixit, MD; Roderick Tung, MD; Paolo Della Bella, MD; Mélèze Hocini, MD; Thomas Deneke, MD

Mount Sinai Hospital Operators:
Srinivas Dukkipati, MD; Jacob Koruth, MD; William Whang, MD, MS; Marc Miller, MD; Mohit Turagam, MD; Daniel Musikantow, MD

Live Case Updates from Mount Sinai Hospital
Srinivas Dukkipati, MD

Session XII
Debates That Will Move the Field Forward
Moderator: Francis Marchlinski, MD
Digital Moderator: Vivek Reddy, MD

Debate 1
There Is No Signal for Improved Mortality with VT Ablation
Pro: David Callans, MD
Con: William Sauer, MD

Debate 2
In NICM and VT: EPI Access Should be Obtained
Upfront Access: Luigi Di Biase, MD, PhD
Access if Persistent Inducibility or Defined Substrate: Andre d’ Avila, MD, PhD

Session XIII
Bailouts for Failed Ablation Procedures and Future Directions to Improve Outcomes—Part 1
Moderators: Francis Marchlinski, MD; Harikrishna Tandri, MBBS, MD
Digital Moderator: David Frankel, MD

What the IVTCC Database Suggests People Are Using for Bailouts
Jason Bradfield, MD

Radioablation: Patient Selection, Targets, and Outcome
Phillip Cuculich, MD

Alcohol Ablation: Optimal Techniques for Improving Effectiveness
Miguel Valderrábano, MD

Stellate Ganglion Blockade in Electrical Storm Before VT Ablation?
Josef Kautzner, MD, PhD

Panel Discussion

Session XIV
Bailouts for Failed Ablation Procedures and Future Directions to Improve Outcomes—Part 2
Moderators: David Callans, MD; Joshua Moss, MD, MS
Digital Moderator: Francis Marchlinski, MD

Large-lesion VT Ablation: Beware of Collateral Injury to the Normal LV
Douglas Packer, MD

Transcutaneous Magnetic Stimulation for Electrical Storm
Timothy Markman, MD

Techniques to Minimize Peri-procedural Heart Failure and Hemodynamic Compromise
Srinivas Dukkipati, MD

Advances in Mapping and Advanced Technical Approaches that May Improve Outcomes—Looking to the Future!
Pasquale Santangeli, MD, PhD

New Technologies with Promise for More Effectively and Safely Ablating VT
Vivek Reddy, MD

Panel Discussion

Thank You and Concluding Remarks