Hands-On Ablation : The Experts' Approach

by Amin Al-Ahmad (Editor); David J. Callans (Editor); Henry H. Hsia (Editor); Andrea Natale (Editor); Oscar Oseroff (Editor); Paul J. Wang (Editor);
Foreword by Ranjan K. Thakur, MD

Published January 2013
Format: Hardcover and eBook set; eBook
Trim Size: 8.5 x 11 inches
ISBN: 9781935395249
496 pages, full color interior
Print book includes a free digital edition.

Featured title on IBHRE's Cardiac Electrophysiology Core Reading List Recommendations for the Physician and Allied Professional- more information



Free digital edition! Receive free full digital content with purchase of print book! (Access code included in book.)

Clinically useful approaches for the effective diagnosis and ablation of arrhythmias.

The field of catheter ablation continues to advance with innovations in technology and a deeper understanding of the pathophysiology of arrhythmias. This comprehensive and unique book gives an inside look at leading electrophysiology labs throughout the world and provides the reader with practical knowledge and tips for ablation procedures directly from the experts themselves.

  • Each chapter highlights the practical knowledge of the expert author with a specific procedure.
  • In-depth "how-to" approaches are described for over 50 procedures, including ablations for supraventricular tachycardia, atrial fibrillation, and ventricular tachycardia.
  • "Hands-on" detail that helps translate new ideas and innovations into practice for the most state-of-the-art patient care.
  • A valuable reference for every electrophysiology lab to help differentiate diagnostic challenges.
  • Fully illustrated with over 165 videos and 475 figures.

Purchase of book includes online access to full text and videos.


About the Authors:

Amin Al-Ahmad, MD, FACC, FHRS; Assistant Professor, Department of Medicine, Stanford University School of Medicine, Associate Director of the Cardiac Arrhythmia Service, and Director of the Cardiac Electrophysiology Laboratory, Stanford University, Stanford, California

David Callans, MD, Division of Cardiovascular Medicine, Electrophysiology, University of Pennsylvania, Philadelphia, Pennsylvania

Henry H. Hsia, MD, FACC, Associate Professor of Medicine, Cardiac Electrophysiology and Arrhythmia Service, Stanford University Medical Center, Stanford, California

Andrea Natale, MD, FACC, FHRS; Executive Medical Director, Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas; Consulting Professor, Division of Cardiology, Stanford University, Stanford, California; Clinical Associate Professor of Medicine, Case Western Reserve University, Cleveland, Ohio; Senior Clinical Director, EP Services, California Pacific Medical Center, San Francisco, California; and Director of Interventional EP, Scripps Green, San Diego, California

Oscar Oseroff, MD, Professor, University of Buenos Aires; Chief of Electrophysiology and Pacing, Castex Hospital, Buenos Aires, Argentina

Paul J. Wang, MD, FACC, FHRS, Professor, Department of Medicine, Stanford University School of Medicine, and Director of the Cardiac Arrhythmia Service, Stanford University, Stanford, California

Table of Contents:

SECTION I: Ablation of Supraventricular Tachycardia

1: How to Rapidly Diagnose Supraventricular Tachycardia (SVT) in the Electrophysiology Lab
Luis F. Couchonnal, Bradley P. Knight

2: How to Ablate Typical and Reverse Atrial Flutter
John C. Evans, Donald D. Hoang, Mintu P. Turakhia

3: How to Ablate Atrial Flutter Postsurgery
George F. Van Hare

4: The Ablation of Atrial Tachycardia
Patrick M. Heck, Peter M. Kistler, Andrew W. Teh, Jonathan M. Kalman

5: How to Ablate Atrial Tachycardias in Patients with Congenital Heart Disease
John Triedman

6: How to Perform Radiofrequency and Cryoablation Ablation for AV Nodal Reentrant Tachycardia
Paul J. Wang, Zhongwei Cheng

7: Ablation of Left-Lateral Accessory Pathways
Abram Mozes, Mark S. Link, Ania Garlitski, Jonathan Weinstock, Munther Homoud, N.A. Mark Estes III

8: Catheter Ablation of Accessory Pathways
Hiroshi Nakagawa, Warren M. Jackman

9: Right-Sided Accessory Pathways
Anne M. Dubin

10: How to Diagnose, Map, and Ablate AVRT Due to Atriofascicular Conduction Fibers
Melvin M. Scheinman, David S. Kwon

11: How to Ablate Accessory Pathways in Patients with Ebstein's Syndrome
Christina Y. Miyake

SECTION II: Ablation of Atrial Fibrillation

12: How to Perform a Transseptal Puncture
Gregory E. Supple, David J. Callans

13: How to Utilize ICE for Optimal Safety and Efficacy with AF Ablation
Mathew D. Hutchinson

14: How to Perform Pulmonary Vein Antrum Isolation for Atrial Fibrillation
Marco V. Perez, Amin Al-Ahmad, Andrea Natale

15: How to Perform Circumferential Ablation for Atrial Fibrillation
Carlo Pappone, Vincenzo Santinelli

16: How to Perform Ablation of Atrial Fibrillation by Targeting Complex Fractionated Atrial Electrograms
Koonlawee Nademanee, Montawatt Amnueypol

17: How to Ablate Long-Standing Persistent Atrial Fibrillation Using a Stepwise Approach (The Bordeaux Approach)
Daniel Scherr, Michala Pedersen, Ashok Shah, Sebastien Knecht, Pierre Jais

18: How to Ablate Long-Standing, Persistent Atrial Fibrillation Using a Step-Wise Approach (The Natale Approach)
Luigi Di Biase, Pasquale Santangeli, Andrea Natale

19: How to Use Balloon Cryoablation for Ablation of Atrial Fibrillation
Pipin Kojodjojo, Wyn Davies

20: How to Perform Pulmonary Vein Isolation Using Laser Catheter Ablation
Edward P. Gerstenfeld

21: The Combined Surgical/Endocardial Ablation Procedure for Atrial Fibrillation
Rodney P. Horton, Luigi Di Biase, Andrew Hume, James R. Edgerton, Javier E. Sanchez, Andrea A. Natale

22: How to Perform a Hybrid Surgical Epicardial and Catheter Endocardial Ablationfor Atrial Fibrillation
Srijoy Mahapatra, Gorav Ailawadi

23: How to Ablate the Vein of Marshall
Seongwook Han, Peng-Sheng Chen, Chun Hwang

24: Diagnosis and Ablation of Atrial Tachycardias Arising in the Context of Atrial Fibrillation Ablation
Amir S. Jadidi, Ashok J. Shah, Meleze Hocini, Michel Haissaguerre, Pierre Jais

25: How to Perform 3-Dimensional Entrainment Mapping to Treat Post-AF Ablation Atrial Tachycardia/AFL
Philipp Sommer, Christopher Piorkowski, Gerhard Hindricks

26: Catheter Ablation of Autonomic Ganglionated Plexi in Patients with Atrial Fibrillation
Hiroshi Nakagawa, Benjamin J. Scherlag, Warren M. Jackman

27: How to Use Electroanatomic Mapping to Rapidly Diagnose and Treat Post-AF Ablation Atrial Tachycardia and Flutter
Aman Chugh

28: How to Utilize Frequency Analysis to Aid in Atrial Fibrillation Ablation
Yenn-Jiang Lin, Li-Wei Lo, Shih-Ann Chen

29: Utilization of the Hansen Robotic Catheter Navigation System: The Austin Approach
G. Joseph Gallinghouse, Luigi Di Biase, Andrea Natale

30: How to Perform Atrial Fibrillation Ablation Using Remote Magnetic Navigation
J. David Burkhardt, Matthew Dare, Luigi Di Biase, Pasquale Santangeli, Andrea Natale

31: How to Perform Accurate Image Registration with Electroanatomic Mapping Systems
Francesco Perna, Moussa Mansour

Section III: Ablation of Ventricular Tachycardia

32: How to Localize Ventricular Tachycardia Using a 12-Lead ECG
Hicham El Masry, John M. Miller

33: How to Diagnose and Ablate Ventricular Tachycardia from the Outflow Tract and Aortic Cusps
Takumi Yamada, G. Neal Kay

34: How to Diagnose and Ablate Fascicular Ventricular Tachycardia
Frederick T. Han, Nitish Badhwar

35: How to Map and Ablate Hemodynamically Tolerated Ventricular Tachycardias
Kojiro Tanimoto, Henry H. Hsia

36: How to Map and Ablate Unstable Ventricular Tachycardia: The University of Pennsylvania Approach
Wendy S. Tzou, Francis E. Marchlinski

37: How to Map and Ablate Unstable Ventricular Tachycardia: The Brigham Approach
Usha B. Tedrow, William G. Stevenson

38: How to Map and Ablate Ventricular Tachycardia Using Delayed Potential in Sinus Rhythm
Eduardo Castellanos, Jesus Almendral, Carlos De Diego

39: How to Utilize Electroanatomical Mapping to Identify Critical Channels for Ventricular Tachycardia Ablation
Henry H. Hsia, Kojiro Tanimoto

40: How to Use Noncontact Mapping for Catheter Ablation of Ventricular Tachycardia
Jason T. Jacobson

41: How to Use ICE to Aid in Catheter Ablation of Ventricular Tachycardia
Marc W. Deyell, Mathew D. Hutchinson, David J. Callans

42: How to Perform an Epicardial Access
Mauricio Scanavacca, Sissy Lara, Carina Hardy, Cristiano Pisani, Eduardo Sosa

43: Transcoronary Ethanol Ablation for Ventricular Tachycardia
Karin K. M. Chia, Paul C. Zei

44: How to Perform Epicardial Ablation in Postcardiac Surgery Patients
Sheldon M. Singh, James O. Coffey, Andre d'Avila

45: How to Perform Endocardial/Epicardial Ventricular Tachycardia Ablation
J. David Burkhardt, Luigi Di Biase, Matthew Dare, Pasquale Santangeli, Andrea Natale

46: How to Ablate Ventricular Fibrillation Arising from the Structurally Normal Heart
Shinsuke Miyazaki, Ashok J. Shah, Michel Haissaguerre, Meleze Hocini

47: How to Ablate Ventricular Tachycardia in Patients with Congenital Heart Disease
Katja Zeppenfeld

48: Catheter Ablation of Ventricular Tachycardia in Sarcoidosis / Hypertrophic Cardiomyopathy
Kyoko Soejima, Akiko Ueda, Masaomi Chinushi

49: How to Ablate Ventricular Tachycardia in Patients with Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia
Fermin C. Garcia, Victor Bazan

50: How to Perform Hybrid VT Ablation in the Operating Room
Paolo Della Bella, Giuseppe Maccabelli, Francesco Alamanni

Doody's Review Service 4-Star Rating:


Yoaav Krauthammer,  MD(Ochsner Clinic Foundation)


This is an overview of advanced concepts of cardiac arrhythmias amenable to catheter ablation.


It presents fundamental concepts of cardiovascular electrophysiology, specifically related to catheter ablations.


The intended audience includes clinical electrophysiology fellows and staff.


The first section focuses on supraventricular tachycardias, the second section on atrial fibrillation, and the last section on ventricular arrhythmias. Chapters in each section present a concise evaluation of appropriate diagnostic techniques and ablation maneuvers. The book is well illustrated, with diagrams providing important added benefit.


This book takes the electrophysiological literature and translates it into practical techniques for clinical decision-making in the electrophysiology lab. It meets the objectives of presenting advanced concepts of arrhythmia ablation to electrophysiology fellows and staff.