Navigating the Maze (18th Edition) – October 27-28, 2023

27 October, 2023 - Barcelona, Spain

We are thrilled to bring the highly-anticipated 18ᵗʰ edition of Navigating the Maze once again to Barcelona, Spain, on Friday, October 27 and Saturday, October 28, 2023. This year’s program will be led by an international multidisciplinary faculty and will cover all aspects of surgical AF ablation management, Hybrid AFᵀᴹ Therapies, and LAA exclusion.

This 1.5-day event international atrial fibrillation program is for physicians interested in concomitant ablation and minimally invasive Hybrid AFᵀᴹ Therapies. From patient selection to the latest clinical evidence, this dynamic program presents techniques and outcomes for catheter and surgical ablations. The faculty of leading experts will highlight specific cardiac surgery and minimally invasive Hybrid therapies for AF patients through live surgeries and engaging presentations.

Participants who cannot travel to Barcelona will have the opportunity to watch the video recordings on-demand after the event

Link to virtual platform:

Download the Save the Date flyer here


Cardiac surgeons and electrophysiologists who want to implement an AF program and want to optimize their current ablation strategy.

Program Director
Dr. Manuel Castella

Program supported by an international multidisciplinary faculty

Hospital Clínic de Barcelona
Carrer Villarroel 170
08036 Barcelona, Spain

Hotel bookings will be allocated on an individual basis and you will receive a reservation confirmation by email. Please check your travel details tab in your AF Connect dashboard for your details.

Friday, October 27, 19:00-22:00 at Terraza Miramar, Ctra. de Miramar, 40, 08038 Barcelona
Buses depart from the reception of Olivia Balmes and Barcelona Center hotels at 19:00 and return to hotel at 22:00

Day 1

8:30 am - 9:00 am

How Much AF Begets HF — Andreu Porta-Sánchez, MD, Hospital Clínic, Barcelona, Spain

9:00 am - 9:30 am

Update on AF and Neurological Events: Stroke, Dementia, Cognitive Impairment — David Z. Rose, MD, University of South Florida, Department of Neurology, Tampa, USA

9:30 am - 10:00 am

Clinical Evidence: From PVI to MAZE IV. Review of Current Surgical Options — Ralph Damiano, MD, Washington University School of Medicine, St. Louis, USA

10:00 am - 10:20 am


10:20 am - 10:35 am

Video Case: MAZE IV — Nicolas Doll, MD, Schüchtermann Klinik, Bad Rothenfelde, Germany

10:35 am - 10:50 am

Video Case: Minimal Invasive AF Concomitant Ablation — Ralph Damiano, MD, Washington University School of Medicine, St. Louis, USA

10:50 am - 11:10 am

Incidence and Management of Post Maze IV Recurrences — Kevin Makati, MD, Tampa Cardiac Specialists, Lutz, USA

11:10 am - 12:15 am

Case-Based Roundtable — Faculty: Andreu Porta-Sánchez, Kevin Makati, Nicolas Doll, Manuel Castella, Ralph Damiano, David Z. Rose


12:15 am - 1:15 pm


1:15 pm - 1:45 pm

Epicardial-Endocardial Dissociation — Natasja de Groot, MD, Erasmus University Medical Center, Rotterdam, the Netherlands

1:45 pm - 2:15 pm

Electrophysiology Evolution of the Maze-Cox Principles — Kevin Makati, MD, Tampa Cardiac Specialists, Lutz, USA

2:15 pm - 2:45 pm

The Hybrid Options: Anatomical Versus Electrophysiological Approaches — James Cox, MD, Northwestern University Medical Center, Chicago, USA

2:45 pm - 3:05 pm

New Evidence for Hybrid AF Ablation — Nicolas Doll, MD, Schüchtermann Kliniken, Bad Rothenfelde, Germany

3:05 pm - 3:20 pm


3:20 pm - 3:35 pm

New Thoracoscopic Approach for a Box Lesion — Timo Weimar, MD, Cardiac Surgeon, Stuttgart, Germany

3:35 pm - 3:55 pm

Hybrid AF Ablation and Quality of Life Outcomes — Bart van Putte, MD, St. Antonius Hospital, Nieuwegein, the Netherlands

3:55 pm - 4:05 pm

Video Case: Hybrid Convergent + LAA Exclusion From Left Side — Konstantinos Zannis, MD, Institut Mutualiste Montsouris, Paris, France

4:05 pm - 4:20 pm

Anticipating Complications in Hybrid AF™ Therapies — Bart Maesen, MD, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands

4:30 pm - 5:30 pm

Case-Based Roundtable — Faculty: James Cox, Kevin Makati, Nicolas Doll, Bart van Putte, Timo Weimar, Manuel Castella, Natasja de Groot, Konstantinos Zannis, Bart Maesen

7:00 pm - 10:00 pm

Dinner (Buses depart at the reception of Olivia Balmes and Barcelona Center hotels at 7:00 pm)

Day 2

9:00 am - 9:30 am

Clinical Management of Stroke and Bleeding Scoring Systems — Harry Crijns, MD, Cardiovascular Research Institute Maastricht (CARIM) , MUMC+, Maastricht, the Netherlands

9:30 am - 9:55 am

Insights From a Heart-Brain Team. Clinical Practice on Secondary Stroke Prevention — David Z. Rose, MD, University of South Florida, Department of Neurology, Tampa, USA

9:55 am - 10:10 am

LAA and Hypertension: Where Are We? — Randall Lee, MD, University of California, San Francisco, USA

10:10 am - 10:35 am

Excluding the Appendage: Evidence in ALL Surgical Patients — Richard Whitlock, MD, McMaster University Medical School, Hamilton, Canada

10:35 am - 10:50 am


10:50 am - 11:05 am

The Rationale of a Thoracoscopic LAA Closure Program — Piotr Suwalski, MD, Central Teaching Hospital of the Ministry of the Interior, Warsaw, Poland

11:05 am - 11:25 am

Video Cases: Exclusion of LAA in Minimal Surgery — Daniel Pereda, MD, Hospital Clínic, Barcelona, Spain

11:30 am - 12:30 am

Case-Based Roundtable — Faculty: Randall Lee, David Z. Rose, Daniel Pereda, Manuel Castella, Harry Crijns, Richard Whitlock