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Hands-On Ablation: The Experts' Approach, Second edition

Editors: Amin Al-Ahmad, MD; David J. Callans, MD;
Henry H. Hsia, MD; Andrea Natale, MD; Oscar Oseroff, MD;
Paul J. Wang, MD
Foreword by Melvin Scheinman, MD

Published May 2017
ISBN: 9781942909170

Format: Hardcover and eBook set; eBook


Trim Size: 8.5 X 11 inches
674 pages, full color interior

Print book includes a free digital edition.

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

This updated and expanded Hands-On Ablation, The Experts' Approach, Second Edition is a comprehensive and unique book that gives an inside look at leading electrophysiology labs throughout the world and provides the reader with useful information and tips for ablation procedures directly from the experts themselves.

  • Each chapter highlights the practical knowledge of the expert author with a specific procedure.
  • “Hands-on” detail that helps translate new ideas and innovations into practice for the most state-of-the-art patient care.
  • In-depth “how-to” approaches are described for over 50 procedures, including ablations for supraventricular tachycardia, atrial fibrillation, and ventricular tachycardia. 
  • A valuable reference for every electrophysiology lab to help differentiate diagnostic challenges.
  • Fully illustrated with over 170 videos and 550 figures.

New in the Second Edition:

  • Chapters detailing the latest complex approaches to ablation of both atrial and ventricular arrhythmias.
  • A section on approaches to left atrial appendage closure.
  • An update of new technologies used for arrhythmia treatment.
  • 14 new chapters (59 total), 34 new videos (170 total), and 210 new figures (550 total).


Texas Cardiac Arrhythmia Institute at St. David’s Medical Center, Austin, Texas
University of Pennsylvania Health System, Philadelphia, Pennsylvania
University of California, San Francisco, San Francisco, California
Texas Cardiac Arrhythmia Institute at St. David’s Medical Center, Austin, Texas
Bazterrica Clinic, Buenos Aires, Argentina
Stanford University, Stanford, California

Table of contents

SECTION I: Ablation of Supraventricular Tachycardia

1 How to Rapidly Diagnose Supraventricular Tachycardia in the Electrophysiology Lab

Nishant Verma, Luis F. Couchonnal, Bradley P. Knight

2 How to Ablate Typical and Reverse Atrial Flutter

Javed M. Nasir, John C. Evans, Donald D. Hoang, Mintu P. Turakhia

3 How to Ablate Atrial Flutter Postsurgery

Aarti Dalal, 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 K. Triedman

6 How to Perform Radiofrequency Ablation and Cryoablation for AV Nodal Reentrant Tachycardia

Paul J. Wang, Zhongwei Cheng, Scott R. Ceresnak

7 Ablation of Left-Lateral Accessory Pathways

Abram Mozes, Mohamed Aljaabari, Mark S. Link, Ann C. 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

Babak Nazer, David S. Kwon, Melvin M. Scheinman

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 Atrial Fibrillation Ablation

Mathew D. Hutchinson

14 How to Perform Pulmonary Vein Antral Isolation for Atrial Fibrillation

Carola Gianni, Marco V. Perez, Amin Al-Ahmad, Andrea Natale

15 How to Utilize Noninvasive Guidance for Persistent Atrial Fibrillation

Ashok J. Shah, Seigo Yamashita, Mélèze Hocini, Michel Haïssaguerre, Pierre Jaïs

16 How to Ablate Long-Standing Persistent Atrial Fibrillation Using a Stepwise Approach: The Natale Approach

Luigi Di Biase, Jorge Romero, Carola Gianni, Pasquale Santangeli, Andrea Natale

17 How to Use Balloon Cryoablation for Ablation of Atrial Fibrillation

Wilbur W. Su, Paul J. Wang

18 How to Perform Pulmonary Vein Isolation Using Laser Catheter Ablation

Edward P. Gerstenfeld

19 How to Use the Radiofrequency Hot Balloon for Ablation of Atrial Fibrillation

David E. Haines

20 How to Perform Ethanol Ablation of the Vein of Marshall

Miguel Valderrábano

21 How to Ablate the Vein of Marshall

Seongwook Han, Peng-Sheng Chen, Chun Hwang

22 Diagnosis and Ablation of Atrial Tachycardias Arising in the Context of Atrial Fibrillation Ablation

Amir S. Jadidi, Ashok J. Shah, Mélèze Hocini, Nicolas Derval, Frédéric Sacher, Michel Haïssaguerre, Pierre Jaïs

23 How to Perform 3-Dimensional Entrainment Mapping to Treat Post–AF Ablation Atrial Tachycardia/AFL

Philipp Sommer, Christopher Piorkowski, Gerhard Hindricks

24 Catheter Ablation of Autonomic Ganglionated Plexi in Patients with Atrial FibrillationHiroshi Nakagawa, Benjamin J. Scherlag, Warren M. Jackman

25 How to Perform Rotor Mapping for Atrial Fibrillation Ablation

Sanjiv Narayan, Mohan Vishwanathan, Christopher A. B. Kowalewski, Tina Baykaner, David E. Krummen, Paul J. Wang

26 How to Utilize Frequency Analysis to Aid in Atrial Fibrillation Ablation

Yenn-Jiang Lin, Men-Tzung Lo, Li-Wei Lo, Shih-Ann Chen

27 How to Use Electroanatomic Mapping to Rapidly Diagnose and Treat Post–AF Ablation Atrial Tachycardia and Flutter

Aman Chugh

28 Utilization of the Hansen Robotic Catheter Navigation System: The Austin Approach

G. Joseph Gallinghouse, Luigi Di Biase, Andrea Natale

29 Hybrid Minimal Invasive Epicardial and Transvenous Catheter Ablation for Atrial Fibrillation

Mark La Meir, Laurent Pison

30 How to Perform Accurate Image Registration with Electroanatomic Mapping Systems

Francesco Perna, Moussa Mansour

31 How to Perform Atrial Fibrillation Ablation without the Use of Fluoroscopy

Rodney P. Horton, Carola Gianni, Andrea Natale

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 Ventricular Tachycardia from the Papillary Muscles

Matthew C. Hyman, Jeffrey P. Gordon, Gregory E. Supple

35 How to Ablate Non-Outflow Right Ventricular Tachycardia

Jason S. Bradfield, Fermin C. Garcia, Luis Saenz, Kalyanam Shivkumar

36 How to Map and Ablate Parahisian Ventricular Arrhythmias

Andres Enriquez, Fermin C. Garcia

37 How to Ablate Ventricular Tachycardia from the Left Ventricular Summit

Daniele Muser, Jackson J. Liang, Pasquale Santangeli

38 How to Diagnose and Ablate Fascicular Ventricular Tachycardia

Frederick T. Han, Nitish Badhwar

39 How to Map and Ablate Hemodynamically Tolerated Ventricular Tachycardias

Kojiro Tanimoto, Henry H. Hsia

40 How to Map and Ablate Unstable Ventricular Tachycardia: The University of Colorado and University of Pennsylvania Approach

Wendy S. Tzou, Francis E. Marchlinski

41 How to Map and Ablate Unstable Ventricular Tachycardia: The Brigham Approach

Usha B. Tedrow, William G. Stevenson

42 How to Map and Ablate Ventricular Tachycardia Using Delayed Potential in Sinus Rhythm

Eduardo Castellanos, Jesús Almendral, Carlos De Diego

43 How to Utilize Electroanatomical Mapping to Identify Critical Channels for Ventricular Tachycardia Ablation

Henry H. Hsia, Kojiro Tanimoto

44 How to Use ICE to Aid in Catheter Ablation of Ventricular Tachycardia

Marc W. Deyell, Mathew D. Hutchinson, David J. Callans

45 How to Perform an Epicardial Access

Mauricio I. Scanavacca, Sissy Lara Melo, Carina A. Hardy, Cristiano Pisani, Eduardo Sosa

46 Transcoronary Ethanol Ablation for Ventricular Tachycardia

Karin K. M. Chia, Paul C. Zei

47 How to Perform Epicardial Ablation in Postcardiac Surgery Patients

Sheldon M. Singh, Arash Aryana, Andre d’Avila

48 How to Perform Endocardial/Epicardial Ventricular Tachycardia Ablation

Jorge Romero, J. David Burkhardt, Carola Gianni, Matthew Dare, Pasquale Santangeli, Andrea Natale, Luigi Di Biase

49 How to Ablate Ventricular Fibrillation Arising from the Structurally Normal Heart

Ghassen Cheniti, Mélèze Hocini, Ashok Shah, Ruairidh Martin, Shinsuke Miyazaki, Michel Haïssaguerre

50 How to Ablate Ventricular Tachycardia in Patients with Congenital Heart Disease

Katja Zeppenfeld

51 Mapping and Catheter Ablation for Ventricular Tachycardia Associated with Hypertrophic Cardiomyopathy

Kyoko Soejima, Akiko Ueda, Masaomi Chinushi

52 How to Ablate Ventricular Tachycardia in Patients with Arrhythmogenic Right

Ventricular Cardiomyopathy/Dysplasia

Victor Bazan, Fermin C. Garcia

53 How to Ablate Ventricular Tachycardia/Ventricular Fibrillation in Patients with the Brugada Syndrome

Frédéric Sacher, Mélèze Hocini, Ruairidh Martin, Gregoire Massoulie, Arnaud Denis, Arnaud Chaumeil, Thomas Pambrun, Nicolas Derval, Pierre Jaïs, Michel Haïssaguerre

54 How to Perform Surgical Ventricular Tachycardia Ablation in a Hybrid Lab

Roderick Tung

55 How to Use Pace Mapping to Identify the Critical Isthmus

Athanasios Kordalis, Jean-Marc Sellal, Isabelle Magnin-Poull, Christian de Chillou

56 How to Ablate Scar-Related Ventricular Tachycardia Using Isochronal Late Activation Mapping

Zaid Aziz, Roderick Tung

57 How to Use Ventricular Assist Devices to Facilitate Ablation of Hemodynamically Unstable Ventricular Tachycardia

Chandrasekar Palaniswamy, Marc A. Miller, Vivek Y. Reddy, Srinivas R. Dukkipati

Section IV: Miscellaneous Procedures

58 How to Implant a Watchman Device

Sarina A. van der Zee, Srinivas R. Dukkipati, Shephal K. Doshi

59 How to Close the Left Atrial Appendage Using Endocardial and Epicardial Approach

Venkat Vuddanda, Mohammad-Ali Jazayeri, Donita Atkins, Dhanunjaya Lakkireddy