Limited-Attendance Hands-On Course
Maximum 20 participants per course
SYNC-HEART 2026
Limited-Attendance Advanced Hands-On Courses
(Duration: 3 hours
Participants: Maximum 20)
1️ Translational Cardiac Anatomy for Electrophyssiologists From Specimens to Strategy
(CT-ICE-3D Mapping)
Course Directors:
Jose Angel Cabrera
Alejandro Jimenez Restrepo
Duration: 3 hours
Participants: Maximum 20
2️ Leadless Pacemaker Simulation & Hands-On Implantation Course From Patient Selection to Safe Deployment
Course Directors:
Fethi Kılıçaslan
Fatih Mehmet Uçar
Format: High-fidelity simulator training + step-by-step implantation + complication manage- ment workshops
Course Objectives
- Identify appropriate candidates for leadless pacing
- Master femoral venous access and delivery system navigation
- Optimize right ventricular septal positioning
- Recognize electrical parameters for ideal device performance
- Prevent and manage procedural complications
Program Structure
Part 1
Clinical Indications & Patient Selection (30 min)
- Who benefits most from leadless pacing?
- Infection risk reduction and vascular access limitations
- Current guideline recommendations and real-world outcomes
Part 2
Anatomy & Device Technology (40 min)
- Right ventricular anatomy for optimal implantation
- Delivery sheath handling and positioning strategies
- Fixation mechanisms and stability testing
Part 3
Simulator-Based Implantation Training (70 min)
- Femoral venous access techniques
- Device advancement and positioning
- Deployment and tug testing
- Electrical parameter assessment
Part 4
Complications & Bail-Out Strategies (40 min)
- Cardiac perforation and tamponade management
- High pacing thresholds and sensing issues
- Device retrieval techniques
- Vascular access complications
3️ Physiological Pacing Masterclass
Course Directors:
Enes Elvin Gül
Serkan Çay
Left Bundle Branch Area Pacing (LBBAP) in Daily Practice
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
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