Samir Rafla

Alexandria University, Egypt

Title: What is New in Electrophysiology Technologies

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Biography

The previous head of the cardiology department, Faculty of Medicine, Alexandria University, Egypt

Published 33 papers listed in Google Scholar, 40 other papers published not available on the internet.

Reviewer in National council for the promotion of professors in cardiology and critical care, reviewer of some journals, grader of abstracts of the European Society of Cardiology conference, and EHRA European Heart Rhythm Association conference.

Worked in ablation and device implantation in Alexandria Faculty of Medicine

Chairperson or speaker in Many conferences inside and outside Egypt

Abstract

Leads are frequently cited as the weakest component of pacing. 1- Leadless Pacemakers solved the problems of leads. What is new that there is now dual chamber Leadless Pacemakers. 2- Subcutaneous ICDs, It only requires two very small incisions with no need to create a pulse generator pocket. 3- The first endocardial, leadless CRT pacing system. It uses an electrode about the size of a large grain of rice that is implanted inside the wall of the LV using transcatheter delivery. 4- Improved Ablation Technologies, laser ablation balloon technology. The combination of the balloon, camera and variable-energy, steerable ablation is    able to eliminate the interoperator variability in ablation procedures . The energy level for each electrode can be tailored to prevent damage to neighboring nerves or the esophagus.  5- Increasing Safety in Lead Extractions. Spectranetics Bridge Occlusion Balloon, introduced in 2016, offers a new safety net during procedures, allowing rapid inflation of an intravascular balloon to seal the tear and allow the surgical team time to prep and perform a repair without fear of the patient bleeding out. The device is credited with saving about 20 lives in the past year since gaining market clearance. the device is one of the most important new developments in lead extraction technology. 6- Replacing Holters With Wearable and Implantable Devices.  7- New Electro-mapping Systems, a basket catheter with 48 electrodes combined with 48 tiny ultrasound transducers. 8- MRI To Guide Ablation Procedures. 8- Ultrasound Guidance in the EP Lab. Two vendors have developed lightweight, compact, cart-based ultrasound systems that allow high-quality intracardiac echocardiography (ICE) and transesophageal echo (TEE) in the EP or cath lab. 9- Apple Watch Series: Taking an ECG with the ECG app on Apple Watch Series. 10- Cardiac contractility modulation therapy in advanced systolic heart failure