Cardiac Arrhythmia Center

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We are one of the highest-volume centers for complex cardiac arrhythmia procedures in the country

The Cardiac Arrhythmia Center at Montefiore Einstein Center for Heart and Vascular Care is a respected leader in the diagnoses, treatment, and research of heart rhythm conditions. Known for our excellence in the field, we are an international referral site for procedures such as catheter ablation and cardiac device implantation. We also serve as a rigorous educational facility for medical fellows, and we take great pride in training the next generation of innovative electrophysiologists.

Doing More

Atrial fibrillation is an irregular heart rate that can lead to stroke and heart disease. To treat such cases, the Cardiac Arrhythmia Center performs an extensive ablation, a procedure which destroys the cardiac tissue responsible for the abnormal heart rhythm. We target sites associated with triggers originating outside of the pulmonary veins, such as the entire posterior wall, the roof, the anterior part of the left atrium, the left atrial appendage (LAA), the coronary sinus, and the superior vena cava. When combined with pulmonary vein isolation, this procedure dramatically decreases atrial fibrillation in patients in the long term.

This technique has dramatically improved clinical outcomes and decreased the risk of complications.

The Cardiac Arrhythmia Center is one of the only centers in the world currently performing complete fluoroless catheter ablation for ventricular tachycardia, atrial fibrillation, and supraventricular tachycardia. This approach eliminates exposure to ionizing radiation.

The Cardiac Arrhythmia Center, under the direction of world-renowned Dr. Kalyanam Shivkumar, MD, PhD (UCLA),  is the only program in the Northeastern United States that performs autonomic modulation for the treatment of life-threatening ventricular arrhythmias.

This program helps to reduce the risk of stroke in patients with atrial fibrillation who have a high risk of bleeding, falls, or poor compliance to blood thinners.

Cannulating the coronary sinus and finding an adequate branch to place the LV lead presents challenges. By employing a procedure known as His bundle pacing (HBP), we can achieve near-perfect ventricular synchrony.

The Cardiac Arrhythmia Center has collaborated with Dr. Gregory Michaud (Vanderbilt University) on the development of a technique which uses low power and low irrigation rates in the posterior wall to avoid complications, such as atrial esophageal fistulae.

Diagnostic and Therapeutic Procedures

Using advanced techniques and state-of-the-art technology, our team of world-renowned cardiac electrophysiologists offers early detection of and treatment for a vast spectrum of conditions relating to cardiac arrhythmia. The procedures listed below are a selection of options available to our patients.

World-Renowned Specialists

The Cardiac Arrhythmia Center’s electrophysiologists are some of the world’s most innovative and accomplished leaders in the field of cardiology.

Research

At Montefiore Cardiac Arrhythmia Center, we know that breakthroughs in science and medicine do not come easily. Our persistent curiosity and determination allows for discoveries and innovations that benefit not only our patients, but the medical community at large. We routinely present our research findings in numerous national forums and publish our results in peer-reviewed medical journals. To learn more about our research, read more below.

Published Research

Periprocedural Stroke & Complications with Catheter Ablation

Periprocedural stroke and bleeding complications in patients undergoing catheter ablation of atrial fibrillation with different anticoagulation management: results from the Role of Coumadin in Preventing Thromboembolism in Atrial Fibrillation (AF) Patients Undergoing Catheter Ablation (COMPARE) randomized trial.

Dr. Luigi Di Biase April 2014

Ablation of Stable Ventricular Tachycardias (VTs)

Ablation of Stable VTs Versus Substrate Ablation in Ischemic Cardiomyopathy: The VISTA Randomized Multicenter Trial.

Dr. Luigi Di Biase November 2016

Left Atrial Appendage Isolation

Left Atrial Appendage Isolation in Patients With Longstanding Persistent AF Undergoing Catheter Ablation: BELIEF Trial.

Dr. Luigi Di Biase November 2016

Uninterrupted Direct Oral Anticoagulants vs. Uninterrupted Vitamin K Antagonists

Uninterrupted direct oral anticoagulants vs. uninterrupted vitamin K antagonists during catheter ablation of non-valvular atrial fibrillation: a systematic review and meta-analysis of randomized controlled trials.

Dr. Jorge Romero June 2018

How To Perform Left Atrial Appendage Electrical Isolation Using Radifrequency Ablation

How to perform left atrial appendage electrical isolation using radiofrequency ablation.

Dr. Luigi Di Biase & Dr. Jorge Romero May 2018

Apixaban in Patients at Risk of Stroke Undergoing Atrial Fibrillation Ablation

A comparison of continuous apixaban to vitamin K antagonists in atrial fibrillation patients at risk of stoke in a prospective, open, multi-centre study with blinded outcome assessment.

Dr. Luigi Di Biase March 2018

Benefit of Left Atrial Appendage Electrical Isolation

Benefit of left atrial appendage electrical isolation for persistent and long-standing persistent atrial fibrillation: a systematic review and meta-analysis.

Dr. Luigi Di Biase & Dr. Jorge Romero January 2018

Clinical Impact of Implantable Cardioverter-Defibrillator

Clinical impact of implantable cardioverter-defibrillator in primary prevention of total mortality in non-ischaemic cardiomyopathy: results from a meta-analysis of prospective randomized clinical trials.

Dr. Mario Garcia, Dr. Luigi Di Biase, Dr. Jorge Romero, Dr. Ulrich Jorde, Dr. Iliana Piña November 2017

Fellowship Programs

Patient Story

Doing more means doing what it takes. We take pride in progression and pioneering the implementation of cutting-edge treatments with state-of-the-art technology. We do more so that others can too.

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  • Contact Us

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    Center for Heart and Vascular Care

    718-904-2588

    Cardiac Arrhythmia Center

    718-920-7929

    Call Center

    1-800-MD-MONTE (800-636-6683)

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