Limited-Attendance Hands-On Course

Maximum 20 participants per course

SYNC-HEART 2026

Limited-Attendance Advanced Hands-On Courses

1️ Translational Cardiac Anatomy for Electrophyssiologists From Specimens to Strategy
        (CT-ICE-3D Mapping)

Course Directors:

Jose Angel Cabrera
Alejandro Jimenez Restrepo

2️ Advanced Transseptal Puncture Course

Course Directors:

Abdülkadir Uslu

Emrah Ermiş

From Anatomy to Safe & Precise Execution

Duration: 3 hours
Participants: Max. 20
Format: Hands-on + case-based discussion + live imaging review

Course Objectives

  • Understand interatrial septal anatomy and its variations
  • Master safe transseptal puncture techniques in complex anatomies
  • Integrate fluoroscopy, TEE, and pressure monitoring
  • Avoid and manage complications

Program

Part 1
Anatomy & Strategy (30 min)
  • Interatrial septum: true septum vs. false septum
  • Septal variants in AF, redo procedures, and structural heart disease
  • Transseptal planning based on procedure type
Part 2
Imaging-Guided Transseptal Puncture (45 min)
  • Fluoroscopy-guided vs TEE-guided puncture
  • Optimal needle positioning and sheath orientation
  • Pressure waveform interpretation
Part 3
Hands-On Training (75 min)
  • Simulator-based transseptal puncture
  • TEE-guided septal visualization
  • Step-by-step puncture techniques
  • Troubleshooting challenging cases
Part 4
Complications & Bail-Out Strategies (30 min)
  • Aortic puncture
  • Pericardial effusion
  • Thickened or aneurysmal septum

3️ Physiological Pacing Masterclass

Course Directors:

Enes Elvin Gül
Serkan Çay

Left Bundle Branch Area Pacing (LBBAP) in Daily Practice

Duration: 3 hours
Participants: Max. 20
Format: Interactive lectures + hands-on lead implantation + ECG analysis

Course Objectives

  • Understand the principles of physiological pacing
  • Identify appropriate candidates for LBB area pacing
  • Master septal lead implantation techniques
  • Recognize ECG and electrogram criteria of true LBB capture – Alexsandro Fagundes (Brazil)
  • Manage complications and optimize long-term outcomes

Program

Part 1
Why Physiological Pacing? (30 min)
  • Electrical dyssynchrony with conventional RV pacing
  • Impact of pacing-induced cardiomyopathy
  • Why LBB area pacing has become the preferred physiological strategy
  • Current guideline and real-world perspectives
Part 2
Anatomy & Targeting the LBB Area (40 min)
  • Septal anatomy and conduction system orientation
  • Fluoroscopic landmarks and depth control
  • Understanding the LBB capture zone
  • Tools and delivery systems
Part 3
Implantation Technique: Step-by-Step (50 min)
  • Mapping and site selection
  • Lead advancement and fixation technique
  • ECG markers of LBB area capture
  • Distinguishing LBB capture vs septal myocardial pacing
  • Managing thresholds and sensing
Part 4
Hands-On Session (60 min)
  • Simulator-based LBBAP lead implantation
  • Fluoroscopy-guided septal targeting
  • Real ECG and intracardiac electrogram interpretation
  • Troubleshooting difficult implants
Part 5
Complications, Optimization & Follow-Up (20 min)
  • Septal perforation and lead instability
  • Threshold rise and loss of capture
  • Programming strategies
  • Follow-up and long-term performance

4️ Intracardiac Echocardiography (ICE) Course

Course Directors:

Mansour Razminia

Seeing More – Treating Safer

Duration: 3 hours
Participants: Max. 20
Format: Live image review + hands-on catheter manipulation + case discussion

Course Objectives

  • Learn systematic ICE examination
  • Master catheter manipulation and orientation
  • Use ICE to guide complex EP and structural procedures
  • Improve safety and procedural efficiency

Program

Part 1
ICE Fundamentals (30 min)
  • ICE catheter types and controls
  • Image planes and orientation
  • Standard views for EP procedures
Part 2
ICE-Guided EP Procedures (45 min)
  • Transseptal puncture guidance
  • Pulmonary vein anatomy
  • Left atrial and appendage imaging
  • Pericardial effusion detection
Part 3
Hands-On ICE Navigation (75 min)
  • Catheter manipulation in cardiac chambers
  • Achieving and maintaining optimal views
  • Live interpretation of real cases
Part 4
Advanced Applications (30 min)
  • ICE in physiological pacing
  • ICE in complex ablation and structural interventions
  • Future perspectives

Course Features (Common to All Courses)

  • Limited to 20 participants
  • High faculty-to-participant ratio
  • Hands-on simulators & real case materials
  • Certificate of attendance
  • Designed for experienced EP physicians and fellows