congenital cardiology today · •evolving role of imaging: added value of fusion imaging ......
TRANSCRIPT
Dear Colleagues,
The Pediatric and Adult Interventional Cardiac Symposium 2014 – PICS~AICS 2014 will be held at the Marriott Chicago Downtown Hotel, from June 7th-10th, 2014. We hope to build on some of the successes of the last year’s meet-ing in Miami with an expansion of the taped case sessions, along with the hands-on demon-strations that were so popular last year. We have endeavored to ensure the meeting contin-ues to support open dialogue as well as visual learning, along with updates from all the rele-vant trials and societies, with real opportunities for networking and sharing global clinical and research experience. We will continue to pro-vide a professional, but relaxed atmosphere to support this fantastic learning opportunity with social gatherings to ensure friends can meet and enjoy catching up.
The live cases remain the focal point of the meeting this year. Although these have come under increased scrutiny, PICS~AICS is com-mitted to supporting the immense learning op-portunity this platform provides. Live cases will be beamed from multiple international venues
with experienced operators that will demonstrate the latest in medical device technology using approved and investigational devices/valves/stents, etc. The live cases this year will be transmitted live via satellite from Córdoba, Ri-yadh, Chicago, Columbus, Denver, London and Los Angeles.
This year’s meeting will begin on Saturday, June 7th with an “Interventional Platform” session. This will include practical perspectives from interven-tional radiologists as well as interventional neuro-surgeons ensuring that we learn from each other’s broader experiences. There will be a “Tips and Tricks” session with hands-on demon-strations from international experts on how to work with wires, stents, devices and sheaths as well as valves. This will be followed by an interac-tive taped case session with four cases for dis-cussion. This year we have ensured that the oral abstract sessions are not competing with one another so that the true scientific endeavors of our colleagues are given the platform they de-serve.
We are also providing a separate session on June 7th focused entirely on Imaging for Struc-tural Heart Disease. This field is growing expo-nentially and the contribution of imaging to ensuring optimal outcomes through appropriate patient selection for intra-procedural guidance
Pediatric & Adult Interventional Cardiac Symposium (PICS~AICS 2014), with Live Case Demonstrations - June 7th-10th, 2014; Marriott Chicago Downtown, Chicago, IL, USABy Ziyad M. Hijazi, MD; John P. Cheatham, MD; Carlos Pedra, MD; Thomas K. Jones, MD
IN THIS ISSUE
Pediatric & Adult Interventional Cardiac Symposium (PICS~AICS 2014), with Live Case Demonstrations - June 7th-10th, 2014; Marriott Chicago Downtown, Chicago, IL, USA by Ziyad M. Hijazi, MD; John P. Cheatham, MD; Carlos Pedra, MD; Thomas K. Jones, MD~ Page 1
June 7 - Saturday Session - Cardiac Imaging for Structural Heart Disease - Special One Day Symposium at PICS~AICS ~ Page 4
June 7 - PICS Saturday Session ~ Page 6
Accreditation ~ Page 6
June 8 - PICS Sunday Session ~ Page 7
June 8 - PICS Sunday Breakout Sessions ~ Pages 8 and 10
Summary Lives Cases and Operators ~ Page 10
June 9 - PICS Monday Session ~ Page 11
June 9 - PICS Monday Breakout Session ~ Page 12
June 10 - PICS Tuesday Session ~ Page 14
PICS Achievement Award 2014 ~ Page 15
PICS~AICS Registration Information ~ Page 16
Guest Faculty ~ Page 16
PICS~AICS Course Directors ~ Page 18
CONGENITAL CARDIOLOGY TODAYEditorial and Subscription Offices16 Cove Rd, Ste. 200Westerly, RI 02891 USAwww.CongenitalCardiologyToday.com
Volume 12 / Issue 3AMarch 2014SPECIAL PICS-AICS 2014 PREVIEW
C O N G E N I T A L C A R D I O L O G Y T O D A YTimely News and Information for BC/BE Congenital/Structural Cardiologists and Surgeons
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will be will be explored under the leadership of Course Director, Dr. Roberto Lang.
On Sunday, June 8th, following staggered live case demonstrations in the morning, there will be a session on Complications of Congenital Catheterization followed by a session focusing on Great Debate topics. There will be further breakout sessions for nurses and technologists and younger interventionalists who are establishing their practice, as well as Aortic and Mitral Valve Therapies, Left Atrial Appendage Occlu-sion and Complex Structural Interventions and a continuation of the special breakout for our Spanish-speaking attendees. Finally, “My Nightmare Case in the Cath Lab” will take place on Tuesday 10th, and again the audience will choose the most deserved case. This will be followed by a final session on Clinical Case Perspectives, where a team of experts will comment on a range of real-life clinical scenarios with input from the attendees.
Poster Abstracts will be displayed throughout the meeting. We will con-tinue to support younger interventionalists with the Young Leadership Program at PICS with the winner receiving faculty status and involve-ment in the meeting. We also wish to recognize those committed to re-search with The Charles S. Kleinman, MD Award in memory of our dear friend, Dr. Charlie Kleinman, who was so close to the PICS family. The winner will receive a $5,000 grant towards their research endeavor.
We look forward to welcoming you to Chicago this summer! Your participation is what makes the meeting the success that it is and we look forward to learning with and from you.
For up-to-date information, please visit the PICS~AICS website at: www.picsymposium.com.
Sincerely,
Course Directors
Ziyad M. Hijazi, MD, MPHJohn P. Cheatham, MDCarlos Pedra, MDThomas K. Jones, MD
CCT
CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014 3
The PICS Foundation in Collaboration with the Rush University Medical Center
@RushMedical (www.Twitter.com/RushMedical)
www.facebook.com/RushUniversityMedicalCenter
www.youtube.com/rushmedicalcenter
Sponsored for CME credit by Rush University Medical Center
PICS ~AICS IS SPONSORED BY
4 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
JUNE 7 - SATURDAY MORNING SESSION
Cardiac Imaging for Structural Heart DiseaseSpecial One Day Symposium at PICS~AICS
Course Directors: Ziyad M Hijazi, Roberto M. Lang
Moderators: Ziyad Hijazi, Roberto Lang, John Hibbeln
8:00-10:00 am - Introduction• Why is Imaging Essential in Structural Heart Disease:
An Interventionalist's Viewpoint – John Carroll• Evolving Role of Imaging: Added Value of Fusion Imaging
– Itzhak Kronzon• Morpho-Anathomy of the Mitral Valve – Roberto Lang• Aortic Valve and Root Morphology: Modeling in Normal
and Pathological Cases – Steve Goldstein• Cases: Without Imaging I Am Really Blind – Rebecca
Hahn, Bijoy Khandheria, Steve Goldstein, Roberto Lang
10:00-10:30 am - Coffee Break
10:30 am-1:00 pm - Transcatheter Aortic Valve Replacement: The New Standard or Last Resort in Aortic Stenosis?
• Pre procedural Assessment: Multi Modality approach, Should ICE Be Considered? – Bijoy Khandheria
• What Can CT Do Better Than Echocardiography in TAVR Patients? – Amit Patel
• Incidence and Prediction of Paravalvular Aortic Regurgitation in TAVR Patients – Steve Goldstein
• Choosing the Appropriate Approach: Transapical, Transaortic, Conduits – Vinod Thourani
• Aortic – Mitral Intervalvular Complex: Should We Consider Both Valves as a Single Unit?• Perspective of the Echocardiographer – Roberto Lang• Perspective of the Interventionalist – John Carroll
• Pre and Post Procedural Complications – Steve Goldstein• Case Presentations: Something Went Really, Really
Wrong! – Itzhak Kronzon, Ernesto Salcedo, Roberto Lang, Rebecca Hahn
1:00-2:00 pm - Lunch
JUNE 7 - SATURDAY AFTERNOON SESSION
Cardiac Imaging for Structural Heart DiseaseSpecial One Day Symposium at PICS~AICS
1:00-2:00 pm - Lunch - Breakout Session• The Emerging Use of 3D Modeling to Plan Complex
Hybrid Intervention – Evan Zahn
2:00-4:00 pm - Interventions in Mitral Valve Disease• Mitral Regurgitation: Patient Selection for Percutaneous
Mitral Valve Devices – Bijoy Khanderia• Who is Eligible for a Mitral Valve Clip: Clues From
Imaging – Rebecca Hahn• Imaging Tips for Optimal Guidance of Mitral Valve Clips:
Value of 3D TEE Imaging – Rebecca Hahn• Valve in Valve: When, Where, and How – Itzhak Kronzon• Balloon Mitral Valvuloplasty: Does Imaging Have a Role?
– John Carroll• Percutaneous Paravalvular Leaks Closure: Role of 3D
TEE Echo in Procedural Success – Ernesto Salcedo• Advantages of Different Imaging Modalities: Is There a
Place for ICE? – Ziyad M Hijazi• Cases: My Worst Nightmare Has Just Happened!
– Steve Goldstein, Itzhak Kronzon, Bijoy Khandheria, Ernesto Salcedo
4:00-4:30 pm - Coffee Break
4:30-6:00 pm - Guiding Interventions in Ischemic Heart Disease
• How Should We Assess LVAD Non-Invasively? Top 10 Practical Tips – Bijoy Khandheria
• LAA Closure Devices: Can Echocardiography Help? – Ernesto Salcedo
• 3D MV Quantification as the Road Map for Mitral Valve Repair – Roberto Lang
• Interventions in Ischemic Heart Disease: VSD Post MI and LV Pseudoaneurysm – Itzhak Kronzon
• ASD Closure Devices in Adults: Value of Different Imaging Modalities – John Carroll
• Cases, Cases and More Cases – Itzhak Kronzon, Roberto Lang, John Carroll, Ernesto Salcedo
Cardiovascular Imaging Symposium for Structural Heart Disease
ANNOUNCING THE FIRST
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Just one more way Medtronic is committed to providing innovative therapies for the lifetime management of patients with congenital heart disease.
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Melody® Transcatheter Pulmonary ValveEnsemble® Transcatheter Valve Delivery SystemIndications: The Melody TPV is indicated for use in a dysfunctional Right Ventricular out� ow Tract (RVOT) conduit (≥16mm in diameter when originally implanted) that is either regurgitant (≥ moderate) or stenotic (mean RVOT gradient ≥ 35 mm Hg)Contraindications: None known.Warnings/Precautions/Side E� ects:• DO NOT implant in the aortic or mitral position. • DO NOT use if patient’s anatomy precludes
introduction of the valve, if the venous anatomy cannot accommodate a 22-Fr size introducer, or if there is signi� cant obstruction of the central veins.
• DO NOT use if there are clinical or biological signs of infection including active endocarditis.
• Assessment of the coronary artery anatomy for the risk of coronary artery compression should be performed in all patients prior to deployment of the TPV.
• To minimize the risk of conduit rupture, do not use a balloon with a diameter greater than 110% of the nominal diameter (original implant size) of the conduit for pre-dilation of the intended site of deployment, or for deployment of the TPV.
• The potential for stent fracture should be considered in all patients who undergo TPV placement. Radiographic assessment of the stent with chest radiography or � uoroscopy should be included in the routine postoperative evaluation of patients who receive a TPV.
• If a stent fracture is detected, continued monitoring of the stent should be performed in conjunction with clinically appropriate hemodynamic assessment. In patients with stent fracture and signi� cant associated RVOT obstruction or regurgitation, reintervention should be considered in accordance with usual clinical practice.
Potential procedural complications that may result from implantation of the Melody device include: rupture of the RVOT conduit, compression of a coronary artery, perforation of a major blood vessel, embolization or migration of the device, perforation of a heart chamber, arrhythmias, allergic reaction to contrast media, cerebrovascular events (TIA, CVA), infection/sepsis, fever, hematoma, radiation-induced erythema, and pain at the catheterization site.Potential device-related adverse events that may occur following device implantation include: stent fracture resulting in recurrent obstruction, endocarditis, embolization or migration of the device, valvular dysfunction (stenosis or regurgitation), paravalvular leak, valvular thrombosis, pulmonary thromboembolism, and hemolysis.For additional information, please refer to the Instructions for Use provided with the product or call Medtronic at 1-800-328-2518 and/or consult Medtronic’s website at www.medtronic.com.
Humanitarian Device. Authorized by Federal law (USA) for use in patients with a regurgitant or stenotic Right Ventricular Out� ow Tract (RVOT) conduit (≥16mm in diameter when originally implanted). The e� ectiveness of this system for this use has not been demonstrated.
Melody and Ensemble are trademarks of Medtronic, Inc.UC201303735 EN © Medtronic, Inc. 2013; All rights reserved.
JUNE 7 - PICS SATURDAY SESSION
Moderators: John P. Cheatham, Carlos Pedra, Thomas K. Jones
8:00-10:30 am - Interventional Platform – Tips, Tricks and Application to CHD• Interventional Radiology – Bulent Arslan• Interventional Neurosurgery – Demetrius Lopes• Use of CTO Wires in CHD – JV de Giovanni• Hands-on-Demonstrations:• Sheaths – David Balzer• Transseptal – Zoltan Turi, Charles Mullins• Devices – Bharat Dalvi• Stents – Tom Forbes• Valves – Kevin Walsh
10:30-11:00 am - Coffee Break
11:00 am-1:00 pm - Taped Cases - Moderators: Neil Wilson, Damien Kenny• Taped Cases – Lee Benson; Eric Horlick; Marc Gewillig,
Carlos Pedra
12:40-1:00 pm - Discussion 1:10-2:00 pm - Lunch Breakout SessionsRoom A: Imaging for Interventions!When & How - Moderators: Girish Shirali, Craig Fleishman• 3-D Rotational Angiography in CHD – Evan M. Zahn • 3-D Multimodality Roadmapping for Congenital
Interventions – Tom Fagan • TTE to Guide Interventional Procedures in Small Neonates
– Craig Fleishman • Discussion with Q&A
Room B: Best Recent Interventional Paper I Read - Moderators: Lee Benson, John Moore• Best Recent Interventional Paper I Read – Three papers
presented by: Dan Gruenstein, Lynn Peng, Dan Levi• Discussion with Q&A
Room C: Anatomical Correlates; Moderators: Massimo Caputo, Zahid Amin• ASD Closure – Zahid Amin• LAA Occlusion – Mark Reisman• Aortic Valvuloplasty – Chris Petit • PDA Stenting From A Surgical Perspective – Massimo Caputo
2:00-3:30 pm - Oral Abstract Presentations; Moderators: John Bass, Roberto Cubeddu, Michael de Moor
3:30-4:00 pm - Break
4:00-6:00 pm - Oral Abstract Presentations; Moderators: Alex Javois, Raul Rossi, Makram Ebeid
5:00–6:00 pm - Meet the Experts: Mario Carminati, Charles Mullins, Larry Latson, Dietmar Schranz, Zahid Amin, Michael Tynan
6:00-8:00 pm - Welcome Reception / Exhibit Hall Open
6 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
Sponsored for CME Credit by Rush University Medical Center
Rush University Medical Center is accredited by the Accredita-tion Council for Continuing Medical Education to provide con-tinuing medical education for physicians.
Rush University Medical Center designates this live activity for a maximum of -35- AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Rush University (OH-390, 8/25/2014) is an approved provider of continuing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credential-ing Center’s Commission on Accreditation. Rush University des-ignates this live activity for thirty-five (35) Continuing Nursing Education credit(s).
This CNE activity is being offered without bias and with com-mercial support.
CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014 7
JUNE 8 - PICS SUNDAY SESSION
6:45-7:45 am - Continental Breakfast / Visit Exhibits Morning Session - Moderators: Ziyad M. Hijazi, John P. Cheatham, Carlos Pedra, Thomas K. Jones 8:00-8:05 am - Welcome – Ziyad M. Hijazi
8:05-8:15 am - Live Case 2013 Update – Noa Holoshitz
8:15-9:45 am - Live Cases (Córdoba, Riyadh) - Panelists: Jou-Kou Wang, Masood Sadiq, John Rhodes, Worakan Promphan, Ahmet Celebi
9:45-10:45 am - Round Table Discussion: Impediments to Device Development for Pediatric Interventional Cardiology• The Clinician’s Perspective – Dan Levi• The FDA’s Perspective – Nicole Ibrahim • Industry Perspective – Jake Goble • Discussion
10:45-11:05 am - MRI Catheterization is Better Than X-Ray: Why Aren’t You Doing It? – Robert Lederman
11:30 am-1:15 pm - Live Cases (Córdoba, Riyadh) - Panelists: Jackie Kreutzer, Shiliang Jiang, Yat Yin Lam, Teiji Akagi, John Bass
1:15-2:00 pm - Lunch Break / Visit Exhibits
Afternoon Session - Moderators: Giacomo Pongiglione, Carlos Pedra 2:00-3:45 pm - Complications of Congenital Cardiac Catheterization - Moderators: Ralf Holzer, David Nykanen• Update on the IMPACT Registry: Adverse Event Rates
and What We Have Learned So Far – Robert Vincent• Adverse Events Associated with Congenital Cardiac
Catheterizations – Results of the CCISC Registry – David Nykanen
• Adverse Event Capture Over the Pond: The UK Perspective (CCAD) – Shakeel Qureshi
• From Procedure Type to Weight, Hemodynamics, and Operator: Factors Impacting the Incidence of Adverse Event and Risk Adjustment – Lisa Bergersen
• How Do We Define Quality in Congenital Cardiac Catheterization? – Thomas Doyle
• Radiation Exposure: The ‘Unrecognized’ Complication of Cardiac Catheterization! – Ralf Holzer
• Quality Improvement in Congenital Cardiac Catheterization in ‘Real Live:’ C3PO-QI – Lisa Bergersen
• Discussion
JUNE 8 - PICS SUNDAY AFTERNOON BREAKOUT SESSIONS
2:00-3:45 pm - Breakout # 1 - Complex and New Structural Interventions - Moderators: Roberto Cubeddu, Hideshi Tomita • Expanding the Indications for Renal Denervation: Is
Technology There Yet? – Horst Sievert • New Approaches to Perforation of the Complex Interatrial
Septum – Ted Feldman• Percutaneous Tricuspid Annuloplasty – Robert Lederman • Evolving Transcatheter Interventions for HOCM – Srihari
Naidu• Complex Structural Interventions Require Collaboration
Between Congenital and Adult Interventionalists for Optimal Outcomes• Pro: John Carroll; Against: Saibal Kar
• Discussion
3:45-4:15 pm - Coffee Break / Visit Exhibits
4:15-6:00 pm - Great Debates - Moderators: Tom Jones, Neil Wilson• All Patients with Transannular Patch Repair of Tetralogy
of Fallot Should Have a Pulmonary Valve Replacement by 10 Years of Age
• Pro: Lee Benson; Con: Jamil Aboulhosn• Deficiency of the Retroaortic Septum is the Cause of
Erosion After Closure of ASD with the Amplatzer Septal Occluder
• Pro: Mark Galantowicz; Con: John Moore• Ductal Stent Implantation Should be the First Choice for
All Newborn Infants with Reduced Pulmonary Blood Flow• Pro: Evan Zahn; Con: Michel Ilbawi
• Routine Diagnostic Cardiac Catheterization Prior to Planned Staged Surgical Palliation of Single Ventricle Patients Is Not Necessary.
• Pro: Graham Derrick; Con: Henri Justino
2:00-5:30 pm - Breakout Session #2 - Nursing and Associated Professionals Breakout Session - Moderators: Sharon L. Cheatham, Kathleen Nolan• The Kicking Team !. Referring Patients for Intervention
– Nancy King• Pre-Cath Huddle - The Cardiac Catheterization Safety
Checklist – Grace Deyo• How Do You Determine the Risk for an Intervention?
– Lisa Bergersen• ECMO in the Cath Lab – Vince Olshore• Traditional Valve Therapies for CHD – Dan Gruenstein• New Valve Technology – Matt Gillespie• “Analyze This” – Interactive Session – Paul Lawrence,
Kathleen Nolan• Practical Session: Devices, Balloons, Stents, Valves,
Hemostasis Techniques, etc. – Sharon L. Cheatham, Paul Lawrence, Kathleen Nolan
8 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
JUNE 8 - PICS SUNDAY AFTERNOON BREAKOUT SESSION
4:15-6:00 pm - Breakout Session #3 - Spanish Session -Moderators: Edmundo Clarindo Oliveira, Horacio Faella, Francisco Garay• Is Fetal Valvuloplasty Effective to Achieve a Biventricular
Circulation in Fetal Aortic Stenosis and Impending HLHS? – Carlos Pedra
• Intentional Stent Fractures in Structural and Congenital Interventions – Henri Justino
• Should we Review the Guidelines for Percutaneous Pulmonary Valve Implantation? – Jose Luis Zunzunegui
• Warming up for the World Cup: Similarities Between Interventional Cardiology and Soccer – Carlos Zabal
• Debate - PM VSD Closure:• Ten Reasons for Percutaneous PM VSD Closure
– Joaquim Miro • Ten Reasons for Surgical PM VSD Closure – Jackie
Kreutzer • Rebuttal
4:00-6:00 pm - Breakout Session #4: The Left Atrial Appendage State-of-the-Art - Moderators: Ted Feldman, Saibal Kar• LAA Occlusion Taped Case – TBD• Advanced Imaging Techniques to Guide Patient
Selection: Tailoring the Device to the Anatomical Substrate – Saibal Kar
• How Will the Presence of RCT Data Influence Approach in the US? – Steve Bailey
• Defining Success Following Occlusion or Ligation and How to Deal with Residual Leaks – John Carroll
• Evolving Device Designs – Horst Sievert • Concomitant Pulmonary Vein Ablation – The
Electrophysiologists’ Perspective – Brad Knight• Debate - Transcatheter Therapy for Symptomatic
Functional Mitral Regurgitation and Atrial Fibrillation Should be an Alternative to Surgery:• Pro: Ted Feldman; Con: Pat McCarthy
• Rebuttals and Discussion
SUMMARY LIVE CASES AND OPERATORS
Sunday, June 8th
Private Hospital of Córdoba, Córdoba, Argentina (2 cases)
Alejandro Peirone, MD
KFSH&RC, Riyadh, Saudi Arabia(2 cases)
Mansour AlJufan, MD
Monday, June 9th
Rush University Medical Center, Chicago, IL, USA (2 cases)
Ziyad M. HIjazi, MD & Damien Kenny, MD
Nationwide Children’s Hospital, Columbus, OH, USA (2 cases)
John P. Cheatham, MD & Ralf Holzer, MD
Detroit Children’s Hospital, Detroit, MI, USA (2 cases)
Tom Forbes, MD & Daniel R. Turner, MD
Tuesday, June 10th
Cedars-Sinai Medical Center, Los Angeles, CA, USA (2 cases)
Evan Zahn, MD & Saibal Kar, MD
Great Ormond Street Hospital, London, UK(2 cases)
Graham Derrick, MD
University of Colorado Hospital, Aurora, CO, USA (2 cases)
John Carroll, MD
10 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
JUNE 9 - PICS MONDAY SESSION
6:30-7:45 am - Continental Breakfast / Visit Exhibits Morning Session - Moderators: William Hellenbrand, Shakeel Qureshi, John Carroll
8:00-10:15 am - Live Cases (Chicago, Detroit, Columbus) - Panelists: Horacio Faella, Jae Young Choi, Mark Galantowicz, Alex Javois, Yun-Chung Fu
10:15-10:45 am - Break/Visit Exhibits
10:45 am-1:00 pm - Live Cases (Chicago, Detroit, Columbus) -Panelists: Wei Gao, BG Alekyan, Terry D. King, Eric Horlick, Miguel Granja
1:00-2:00 pm - Lunch / Visit Exhibits 1:10-2:00 pm - Oral Abstract Finals - Moderators: Alex Javois, Makram Ebeid, Michael de Moor
Afternoon Sessions - Moderators: David Balzer , Mario Carminati
2:00-5:30 pm - Breakout Session #3 PICES; (Young Interventionalist Group) - Moderators: Brent Gordon, Jeff Delaney, Bryan Goldstein, Alex Golden • Call to Order, General Welcome – Brent Gordon• Guest Speaker Presentation and Questions/Discussion
– Larry Latson • Case Presentation 1
Break
• Case Presentation 2• New/Old Business – PICES Executive Committee • Research Update – Bryan Goldstein• Open Forum to Pitch Project Ideas and Discussion to the
Group
2:00-3:45 pm - Updates - Moderators: Lynn Peng & TBD• Self-Expanding Stents for the Dilated or Native RVOT
– Ziyad M. Hijazi• Evolving Bare Metal and Covered Stent Designs – Peter
Ewert• Worldwide Experience with the GSO for ASD Closure
– John Rhodes• Bioabsorbable Stents for Pediatric Practice: Animal
Studies and Clinical Trial Design – Damien Kenny• The Membranous VSD Occluder: Updated Worldwide
Experience – Reda Ibrahim• Dealing with Calcium – Frank Ing• Holography for Congenital Interventions – Elchanan
Bruckheimer• Discussion
4:15-6:00 pm - My Approach - Moderators: Peter Ewert, Richard Ringel• Interventional Treatment of the Patent Ductus Arteriosus
in Neonates: When Small is Too Small? – Joaquim Mirò• Interventional Treatment of Large Atrial Septal Defects:
When Large is Too Large? – Julie Vincent• Interventional Treatment of Ventricular Septal Defects
– Kevin Walsh• Interventional Palliation in the Diminutive Left Ventricle
– Dietmar Schranz• RVOT Stenting in Small Infants – JV DeGiovanni• Interventional Treatment of Complex Aortic Arch
Coarctation – Marc Gewillig• Discussion
CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014 11
JUNE 9 - PICS MONDAY BREAKOUT SESSION
2:00-4:00 pm - Breakout Session #4 - Mitral Valve Interventions - Moderators: John Carroll, Pat McCarthy• Transcatheter Mitral Interventions: Evolution and
Current State of Treatments for Mitral Stenosis, Mitral Regurgitation, Paravalvular Leaks, and Bioprosthetic Degeneration – Ted Feldman
• Case Presentation of Congenital Mitral Stenosis and Balloon Commissurotomy – Matt Gillespie
• Panel Discussion and Audience Q & A• Mitral Anatomy and Function – Mark Reisman• Echocardiographic Characterization of the Mitral Valve
for Diagnosis and Treatment – Craig Fleishman• Case Presentation of Mitral Regurgitation Treated with
MitraClip – Saibal Kar• Panel Discussion and Audience Q & A• The Future is Now for Transcatheter Mitral Interventions:
New Technical Approaches, Trial Design, and What the FDA Wants to See – Gregg Stone
• Panel Discussion and Audience Q & A• Discussion
3:45-4:15 pm - Coffee Available
4:15-6:00 pm - Breakout Session #5 - TAVR; Moderators: Ziyad M. Hijazi, Roberto Cubeddu• Evolving Techniques for Proper Sizing of TAV Prosthesis:
Understanding the AV Annulus – John Carroll• Approaches to Minimizing and Managing Para-Valvular
Regurgitation – Ted Feldman• Techniques to Reduce TAVR-Associated Vascular
Complications – Steve Bailey• TAVR from the Femoral Vein – Adam Greenbaum• DEBATE – Subject: In 5 Years the Dominant TAVR
Platform Will Be Balloon Expandable vs Self-Expandable• Balloon Expandable Technology is the Future – Zoltan
Turi • Self-Expanding Technology is the Future – Horst Sievert
• Questions and Rebuttal • Impact of TAVR on Quality of Life (Is Mortality the Right
Metric?) – Cliff Kavinsky• A Forward Look at TAVR: Expectations for Future
Decades – Martin Leon• Discussion
7:00 pm - PICS Dinner
12 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
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JUNE 10 - PICS TUESDAY SESSION
6:30-7:45 am - Continental Breakfast / Visit Exhibits
Morning Session - Moderators: Ziyad M. Hijazi, Carlos Pedra, Eric Horlick
8:00-10:15 am - Live Cases (London, Los Angeles, Denver) - Panelists: Seong-Ho Kim, Edmundo Clarindo Oliveira, Maiy El Sayed, Thomas Forbes, Nguyen Lan Hieu, Francisco Garay 10:15-10:45 am - Break
10:45 am-1:00 pm - Live Cases (London, Los Angeles, Denver) - Panelists: Julie Vincent, Masood Sadiq, Jacek Bialkowski, Tarek Momenah, Christopher Petit, Alejandro Peirone 1:00-2:00 pm - Lunch / Visit Exhibits Afternoon Session - Moderators: Ziyad M. Hijazi, John Cheatham, Carlos Pedra, Tom Jones
2:00-3:30 pm - My Nightmare Case in the Cath Lab - Moderators: Shakeel Qureshi, Eric Horlick
3:30-5:00 pm - Clinical Perspectives - Moderators: Elchanan Bruckheimer, Giacomo Pongiglione
• Panel of Experts: Kevin Walsh, Zahid Amin, Mario Carminati, Tom Forbes, Bryan Goldstein, William Hellenbrand, Reda Ibrahim• Case 1: Transcatheter Fontan Fenestration – Frank Ing• Case 2: Aortic Arch Hypoplasia – Jamil Alboulhosn• Case 3: Complex Branch Pulmonary Artery Stenosis in
a Small Infant – Felix Berger• Case 4: Transcatheter PVR in a Small Diameter Conduit
– Mario Carminati• Discussion
5:00 pm - Closing Remarks – Ziyad M. Hijazi
PICS 2015; Sep. 18-21, 2015; ARIA – Las Vegas, NV USA PICS 2016; Jan 16-19, 2016; Lowes Miami Beach, FL USA
Please visit www.PICSymposium.com for up-to-date program changes.
14 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
The 2014 PICS Award will be given on Sunday, June 8th, 2014. The Committee (Mike Tynan, Charles Mullins, Shak Qureshi and Lee Benson) chose this year someone special who dedicated his/her life to medicine and interventional therapies.
What distinguishes the PICS Award from other awards, is the amount of work that goes in choosing the winner, then in contacting their family members without their own knowledge to collect their photos and memorabilia, and the element of surprise. Please join us in Chicago and share the joy with the winner!
CCT
PICS Achievement Award 2014
PICS Achievement Award
1997 - Charles E. Mullins1998 - Michael Tynan1999 - Kurt Amplantz2000 - Lee Benson2001 - James E. Lock2002 - William E. Hellenbrand2003 - Allen J. Tower2004 - Shakeel A. Qureshi2005 - Vladmir Fontes2006 - Philipp Bonhoeffer2007 - John P. Cheatham2008 - Carlos Ruiz2009 - Mario Carminati2010 - Larry Latson2011 - Horst Sievert2012 - Horacio Faella2013 - Savitri Srivastava2014 - ???
Pioneer Award
2007 - Terry D. King2010 - Bill Cook2013 - Sharon L. Cheatham
PICS Foundation Award
2012 - Charles S. Kleinman
Boston City Award
2011 - Ziyad M. Hijazi
“The 2014 PICS Achievement Award will be given on Sunday, June 8th, 2014.”
CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014 15
1ST ANNUAL MEETINGJUNE 5-6, 2014; CHICAGO IL USAhttp://fetalcardiacsymposium.com
BASIC AND ADVANCED FETAL CARDIOLOGY SYMPOSIUM &
WORKSHOP 2014
This two-day symposium will discuss various concepts and com-mon congenital heart disease malformations encountered in the fetus with emphasis on imaging and practical tips for diagnosis. In particular, it will include sessions focusing on the following areas:
1. Fetal cardiovascular physiology and pathophysiology2. Latest guidelines in prenatal screening and red flags in the
diagnosis of fetal congenital heart disease3. Comprehensive live demonstration on performing a fetal
echocardiogram4. Practical tips in the diagnosis of commonly encountered
cardiac defects including the four-chamber and the outflow-chamber views anomalies
5. Evaluation of fetuses with borderline cardiac findings6. Diagnosis and management of fetal arrhythmia7. Updates in fetal cardiac and non-cardiac interventions8. Fetal intervention ethics9. Updates on new fetal imaging modalities10. Family counseling after diagnosis of fetal cardiac pathology
The symposium will provide the audience with the unique expe-rience of hands-on and live demonstration sessions. There will also be plenty of opportunities for the audience to discuss inter-esting cases and interact with experts in the field of fetal cardiol-ogy. The audience will have the chance to submit interesting cases to be presented during the first day of the symposium.
Course Directors: Sawsan M. Awad, MD, MSC and Karim Diab, MD, FACC, FASECourse Co-Directors: Ernerio T. Alboliras, MD, FACC, FASE; John Bokowski, PhD, RDCS, FASE; Xavier Pombar, DO; Mark Sklansky, MDInvited Faculty: Ernerio T. Alboliras, MD, FACC, FASE; Lisa Hornberger, MD; Edgar Jaeggi, MD, FRCP(C); Anthony Johnson, DO; Carlos AC Pedra, MD, PhD; Simone Fontes Pedra, MD; Mark Sklansky, MD
Watch Congenital Cardiology Today’s Live Cases OnlineSee selected past live cases from Previous PICS meetings at: www.CHDVideo.com
PICS~AICS REGISTRATION INFORMATION
Online Registration for Attendees:https://register.rcsreg.com/r2/pics2014/ga/top.html
Registration & Hotel Questions:For further information, please contact Colene Diodati at: [email protected]
Registration for Faculty and Exhibitors:For further information, please contact Kimberly Ray at: [email protected]
16 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
PICS~AICS FACULTY
Jamil Aboulhosn, MD; Teiji Akagi, MD; BG Alekyan, MD; Mansour AlJufan, MD; Wail Alkashkari, MD; Zahid Amin, MD; Bulent Arslan, MD; Steven Bailey, MD; David Balzer, MD; John Bass, MD; Lee Benson, MD; Felix Berger, MD; Lisa Bergersen, MD; Jacek Bialkowski, MD; Elchanan Bruckheimer, MD; Qi-Ling Cao, MD; Massimo Caputo, MD; Mario Carminati MD; Ahmet Celebi, MD; Sharon L. Cheatham, PhD, ACNP; Jae Young Choi MD; Roberto Cubeddu, MD; Bharat Dalvi, MD; Grace Deyo, PhD, CPCP; Thomas Doyle, MD; JV de Giovanni, MD; Michael de Moor, MD; Graham Derrick, MD; Karim Diab, MD; Makram Ebeid, MD; Maiy El Sayed, MD; Peter Ewert, MD; Horacio Faella, MD; Thomas Fagan, MD; Ted Feldman, MD; Craig Fleishman, MD; Simone Fontes-Pedra, MD; Thomas Forbes, MD; Yun-Ching Fu, MD; Mark Galantowicz, MD; Wei Gao, MD; Francisco Garay, MD; Marc Gewillig, MD; Matt Gillespie, MD; Bryan Goldstein, MD; Brent Gordon, MD; Miguel Granja, MD; Adam Greenbaum, MD; Daniel Gruenstein, MD; John Hibbeln, MD; Nguyen Hieu, MD; Noa Holoshitz, MD; Eric Horlick, MD; Reda Ibrahim, MD; Nicole Ibrahim, PhD; Michel Ilbawi, MD; Frank Ing, MD; Alex Javois, MD; Shiliang Jiang, MD; Henri Justino, MD; Saibal Kar, MD; Seong-Ho Kim, MD; Terry King, MD; Bradley Knight, MD; Jackie Kreutzer, MD; Yat Yin Lam, MD; Larry Latson, MD; Paul Lawrence, RCIS; Robert Lederman, MD; Martin Leon, MD; Dan Levi, MD; Demetrius Lopes, MD; Kiran Mallula, MD; Pat McCarthy, MD; Joaquim Miro, MD; Tarek Momenah, MD; John Moore MD; Charles Mullins, MD; Srihari Naidu, MD; Kathleen Nolan, RTR; David Nykanen, MD; Edmundo Clarindo Oliveira, MD; Vince Olshore, CCP, FPP; Alejandro Peirone, MD; Lynn Peng, MD; Christo-pher Petit, MD; Worakan Promphan, MD; Shakeel Qureshi, MD; Mark Reisman, MD; John Rhodes, MD; Richard Ringel, MD;Raymond Romero, MA; Raul Rossi, MD Masood Sadiq, MD; Dietmar Schranz,MD; Girish Shirali, MD; Horst Sievert, MD Gregg Stone, MD; Hideshi Tomita, MD; Michael Tynan, MD; Zoltan Turi, MD; Julie Vincent, MD; Robert Vincent, MD; Kevin Walsh, MD; Jou-Kou Wang, MD; Neil Wilson, MD; Carlos Zabal, MD; Evan Zahn, MD
CARDIAC IMAGING FACULTY
Steven Goldstein, MD; Rebecca Hahn, MD; Bijoy Khandheri, MD; Itzhak Kronzon, MD; Amit Patel, MD; Ernesto Salcedo, MD; Vinod Thourani, MD; John Carroll, MD; John Hibblen, MD
“Who will be 2014’s PICS~AICS Achievement Award winner?”
CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014 17
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18 CONGENITAL CARDIOLOGY TODAY ! www.CongenitalCardiologyToday.com ! Special PICS~AICS Preview - March 2014
CONGENITAL CARDIOLOGY TODAY
© 2014 by Congenital Cardiology Today (ISSN 1554-7787-print; ISSN 1554-0499-online). Published monthly. All rights reserved.
Publication Headquarters: 8100 Leaward Way, Nehalem, OR 97131 USA
Mailing Address:PO Box 444, Manzanita, OR 97130 USA
Tel: +1.301.279.2005; Fax: +1.240.465.0692
Editorial and Subscription Offices: 16 Cove Rd, Ste. 200, Westerly, RI 02891 USA
Publishing Management • Tony Carlson, Founder, President & Senior Editor
[email protected] • Richard Koulbanis, Group Publisher & Editor-in-Chief
[email protected] • John W. Moore, MD, MPH, Group Medical Editor
[email protected] • Virginia Dematatis, Assistant Editor• Caryl Cornell, Assistant Editor • Loraine Watts, Assistant Editor • Chris Carlson, Web Manager• William Flanagan, Strategic Analyst• Rob Hudgins, Designer/Special Projects Editorial Board: Teiji Akagi, MD; Zohair Al Halees, MD; Mazeni Alwi, MD; Felix Berger, MD; Fadi Bitar, MD; Jacek Bialkowski, MD; Mario Carminati, MD; Anthony C. Chang, MD, MBA; John P. Cheatham, MD; Bharat Dalvi, MD, MBBS, DM; Horacio Faella, MD; Yun-Ching Fu, MD; Felipe Heusser, MD; Ziyad M. Hijazi, MD, MPH; Ralf Holzer, MD; Marshall Jacobs, MD; R. Krishna Kumar, MD, DM, MBBS; John Lamberti, MD; Gerald Ross Marx, MD; Tarek S. Momenah, MBBS, DCH; Toshio Nakanishi, MD, PhD; Carlos A. C. Pedra, MD; Daniel Penny, MD, PhD; James C. Perry, MD; P. Syamasundar Rao, MD; Shakeel A. Qureshi, MD; Andrew Redington, MD; Carlos E. Ruiz, MD, PhD; Girish S. Shirali, MD; Horst Sievert, MD; Hideshi Tomita, MD; Gil Wernovsky, MD; Zhuoming Xu, MD, PhD; William C. L. Yip, MD; Carlos Zabal, MD FREE Subscription Congenital Cardiology Today is available free to quali-fied professionals worldwide in pediatric and congenital cardiology. International editions available in electronic PDF file only; North American edition available in print. Send an email to [email protected]. Include your name, title, organization, address, phone and email.
Contacts and Other Information For detailed information on author submission, spon-sorships, editorial, production and sales contact, cur-rent and back issues, see website or send an email to: In [email protected].
Statements or opinions expressed in Congenital Cardiology Today reflect the views of the authors and sponsors, and are not necessarily the views of Congenital Cardiology Today.
PICS COURSE DIRECTORS
Ziyad M. Hijazi, MD, MPHProfessor of Pediatrics & Internal MedicineJames A. Hunter, MD, University Chair, DirectorRush Center for Congenital & Structural Heart DiseaseRush University Medical Center, Chicago, IL USA
John P. Cheatham, MD Director, Cardiac Catheterization & Interventional TherapiesProfessor of Pediatrics & Internal MedicineNationwide Children’s Hospital, Columbus, OH USA
Carlos Pedra, MD Dante Pazzanese Instituto de CardiologiaSão Paulo, Brazil
Thomas K. Jones, MDProfessor of Pediatrics & Medicine University of WashingtonDirector of Cardiac Catheterization LaboratoriesSeattle Children’s Hospital, Seattle, WA USA
PICS COURSE CO-DIRECTORS
Damien Kenny, MDRush Center for Congenital & Structural Heart DiseaseRush University Medical Center, Chicago, IL USA
Giacomo Pongiglione, MDDirector of Pediatric Cardiology & Cardiac SurgeryOspedale Pediatrico Bambino Gesù RomeVatican City, Italy
Clifford J. Kavinsky, MD, PhDProfessor of Internal MedicineRush Center for Congenital & Structural Heart DiseaseRush University Medical Center, Chicago, IL USA
Ralf Holzer, MD Associate Professor of PediatricsNationwide Children’s HospitalColumbus, OH USA
John D. Carroll, MD Professor of Medicine DirectorCardiac and Vascular CenterDirector, Interventional CardiologyUniversity of Colorado, Aurora, CO USA
PICS DIRECTOR EMERITUS
William E. Hellenbrand, MDYale University Medical Center, New Haven, CT USA
IMAGING FACULTY DIRECTOR
Roberto Lang, MDUniversity of Chicago, Chicago, IL USA
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