Cardioneuroablation in Italy: specialist evaluation in Milan and Lecce
Dr. Carlo Gigante evaluates international patients with vasovagal syncope, cardioinhibitory syncope, functional bradyarrhythmias and pacemaker alternatives. In-person consultations in Milan and Lecce, with remote preliminary review available.
Dedicated specialisation
Dr. Gigante's clinical focus is entirely centred on cardioneuroablation, vasovagal syncope, cardioinhibitory syncope and functional bradyarrhythmias — conditions that are frequently under-evaluated in general cardiology settings.
Advanced procedural approach
The use of extracardiac vagal stimulation during cardioneuroablation allows functional mapping and real-time endpoint verification — a level of procedural refinement not available at every centre.
Structured international pathway
Remote preliminary review of medical records, coordinated in-person evaluation and structured follow-up communication with referring physicians make the pathway accessible from abroad.
Evaluation in Milan and Lecce
Milan (IRCCS Galeazzi – Sant'Ambrogio) is easily reachable by international travellers via Malpensa and Linate airports. Lecce is served by direct flights from several European cities.
Second opinion service
Patients who have already received a diagnosis of sick sinus syndrome, AV block or vasovagal syncope and want an independent specialist review are welcome. A written opinion can be provided remotely.
Communication in English
Clinical communication with international patients and referring physicians is available in English. Written reports can be provided in Italian and English.
What Dr. Gigante evaluates for international patients
The evaluation pathway is designed for patients with specific conditions where cardioneuroablation or advanced arrhythmology assessment may be relevant.
Vasovagal syncope (recurrent)
Patients with recurrent unexplained blackouts, especially when cardioinhibitory or mixed mechanisms are documented or suspected. Loop recorder data is particularly useful.
Cardioinhibitory syncope
Patients with documented cardiac pauses or asystole during syncope episodes. Cardioneuroablation may be discussed as an alternative to pacemaker implantation in selected cases.
Functional bradyarrhythmias
Vagally mediated sick sinus syndrome, functional AV block and vagal bradycardia in younger patients where a structural cause has been excluded.
Pacemaker alternative evaluation
Younger patients considering alternatives to permanent pacemaker implantation, or seeking a second opinion before accepting a device-based therapy.
The four steps to your evaluation in Italy
The process is designed to minimise unnecessary travel while ensuring a thorough and well-prepared in-person consultation.
Send your records
Email ECG, Holter, tilt test, loop recorder data and a clinical summary to dr@carlogigante.com. Include a description of your symptoms and current medications.
Remote review
Dr. Gigante reviews your documentation and provides an initial assessment of whether an in-person evaluation is indicated and what it should include.
In-person consultation
The specialist visit takes place in Milan or Lecce. It includes a full clinical assessment, discussion of diagnostic findings and therapeutic options, including cardioneuroablation if indicated.
Follow-up coordination
A written report is provided after the visit. If a procedure is planned, follow-up is coordinated with your referring cardiologist at home, with direct communication available.
Documents to prepare
How to reach Dr. Gigante
For international enquiries, email is the preferred first contact. Include a brief description of your condition and attach your most relevant documents.
FAQ for international patients
Is a remote second opinion available?
Yes — send your records and Dr. Gigante will provide a written assessment before you book travel.
Which location is best for international travellers?
Milan is the most accessible hub, with two major international airports (Malpensa and Linate). Lecce has direct connections from several European cities.
Are reports available in English?
Yes. Written reports can be provided in both Italian and English upon request.
How long does the evaluation take?
The initial in-person consultation typically takes 60–90 minutes. Any further tests or procedures are planned separately.
Clinic locations in Milan and Lecce
Dr. Gigante sees patients at selected accredited facilities in Milan and Lecce. The most suitable location is agreed based on patient preference and availability.
Le valutazioni per indicazione alla cardioneuroablazione, al pacemaker e le consulenze aritmologiche si svolgono a Milano e a Lecce, su appuntamento. È possibile concordare il luogo più comodo in base alla provenienza.
Prenota una valutazione →
Request your cardioneuroablation evaluation in Italy
Send your medical records to dr@carlogigante.com to start the process. A preliminary remote review is available before your visit to Milan or Lecce.