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TRANSCRIPT
Expert Forum
OPTIMAL TREATMENTOF CARDIOVASCULAR DISEASES:SURGERY VS. INNOVATIVE TECHNIQUES
Final Program
July 2&3, 2012
Nobile Collegium Universitas Aromatariorum Urbis Rome, Italy
Program Director Prof. Luigi Chiariello,Rome, Italy
http://www.iccsexpertforum.it
Over the past few years, more and more innovative and less invasive techniques have been introduced for treatment of cardiovascular diseases. Some of them have received an enthusiastic acceptance, not necessarily justified by clinical results. Simultaneously surgical techniques have been further refined, reaching surprisingly excellent results even in the very old population and in complex cases.
In the last decades of last century coronary angioplasty became widespread all over the world, generating the impression that bypass surgery may have shortly disappeared. However, the results of the latest Syntax Study have failed to demonstrate the “non-inferiority” of angioplasty vs. coronary bypass surgery in large numbers of patients.
Currently, the cardiovascular scene is dominated by the introduction in clinical practice of TAVI, mitral clip, aortic endoprostheses and hybrid procedures. There is no doubt that some of these costly procedures, or their evolutions, will find a place in the routine therapeutic armamentarium for at least some selected groups of patients. In most instances, however, not only their superiority, but even their “non-inferiority”over surgical alternatives still needs to be demonstrated.
The Italian College of Cardiac Surgeons intends to invite the cardiovascular community to the ongoing Expert Forum, as a way to bring into focus the best procedures for treatment of cardiovascular diseases.
The venue of the meeting will be inside the unique scenario of the Roman Imperial Forum. I hope you will enjoy your stay in a city rich in millennial vestigia as well as contemporary attractions.
I look forward to meeting you in Rome next July.
Welcome Address
Luigi Chiariello, President
Yours sincerely,
Luigi Chiariello, President
Yours sincerely,
Mon
day,
Jul
y 2
8:45 Welcome address: L. Chiariello
Address of President Italian College Cardiologists: M. Volpe
Address of President Italian College Radiologists: G. Biti
Session 1 Options in Valvular Heart Diseases
Aortic Valve President: M. Cotrufo Chairmen: M. Toscano, M. Volpe
9:00 The real surgical risk (“score”) of AVR in the elderly and in redo cases: G. Di Giammarco
9:15 Long term results of AVR: G. Gerosa
9:30 Early and late results of TAVI: Insights from Registry data: C. Tamburino
9:45 Sutureless aortic valves: Is there a need?: T. Fischlein
10:00 Discussion: M. Chello, O. Dapunt, P. Loschiavo, R. Violini
10:30 Coffee break
Mitral Valve President: Be. Marino Chairmen: F. Fedele, A. Pellegrino, A. Penta de Peppo
11:00 Early and late results of surgical mitral valve repair: F. Alamanni
11:15 Mitral clip: present results and realistic expectations: O. Alfieri
11:30 Transcatheter ablation for persistent atrial fibrillation: E. Bertaglia
11:45 Endoscopic surgical treatment for persistent atrial fibrillation: C. Muneretto
12:00 Discussion: M. Benomar, S. Grego, P. Polisca, A. Scafuri
12:30 Round-table: Socio-economical impact of innovative techniques
Chairman: R. Napoletano Panelists: F. Bevere, D. Bianchi, L. Chiariello, F. Conti, F. Romano, E. Sansavini
13:40 Lunch
Session 2 Options in Coronary Revascularization
President: F. Donatelli Chairmen: F. Alessandrini, A. Rebuzzi, F. Romeo
15:00 SYNTAX at 4 years: is CABG still the gold standard for multivessel disease?
For the motion: D.P. Taggart
Against the motion: D. Antoniucci15:30 SYNTAX at 4 years: is CABG still the gold standard for left main disease?
For the motion: D.P. Taggart
Against the motion: F. Tomai16:00 Sutureless aorto-safenous graft anastomosis: is there a need? : C. Bassano
16.10 Discussion : C. Briguori, E. Martuscelli, F. Pizzuto, M. Portoghese
16:30 Coffee break President: G. Condorelli Chairmen: A. Boccanelli, E. Covino
17:00 Transendocardial cell therapy in the failing heart: K. Jaquet
17:15 Discussion: E. Caradonna
17:20 Debate: There is no limit for recurrent PTCA and number of stents to be implanted
For the motion: A. Colombo, C. Indolfi
Against the motion: R.Mohr, M. Rinaldi
18:00 Closure
Tues
day,
Jul
y 3
Session 3 Options in Thoracic Aorta Lesions
President: T. Gherli Chairmen: A. Ippoliti, G. Nappi
9:00 Surgery of ascending aorta: early and late results: A. Mazzucco
9:15 Stenting of the thoracic aorta: is ascending aorta off-limits?: I. Loftus
9:30 “Fresh and Frozen” elephant trunk: benefits and pitfalls: M. Shrestha
9:45 Descending thoracic aorta: TEVAR results: E. Pampana
10:00 Complications and failure of TEVAR: new surgical challenge : R. Di Bartolomeo
10:15 Type B dissection: the right timing for TEVAR: R.Chiesa
10:30 Discussion: S. Corneo, A.M. D’Armini, R. Parravicini, R. Sinatra
11:00 Coffee break
Session 4 “We can work together: the hybrid procedures” President: P. Biglioli Chairmen: G. Biti, F. Crea, G. Simonetti
11.30 Hybrid coronary and carotid revascularization (The SHARP Study): F. Versaci
11:45 Hybrid coronary revascularization vs total CABG: M. Halkos
12:00 Aortic arch surgery: total surgical replacement vs hybrid approach: J. Zeitani
12:15 Hybrid repair of Mega Aortic Syndrome: the Lupiae Technique: G. Esposito
12:30 Discussion: R. De Paulis, M. Massetti, F. Miraldi, G. Passerone, G. Ruvolo
13:00 Chairpersons: E. Bollero, M.L. Garofalo
Debate: The Hybrid operating room should become a standard in highly specialized hospitals The Technician: E. Brusoni
The Surgeon: G.Polvani
13:30 Lunch
Session 5 Options in Congenital Heart Diseases
President: G. Pongiglione Chairmen: G. Gagliardi, G. Gargiulo Aortic valve stenosis
15:00 Transcatheter treatment of congenital aortic stenosis: O. Milanesi
15:15 Aortic valve surgery in children: the lesson learned over the years: V. Hraska
15:30 Discussion: A. Carotti, F.S. Iorio
Septal defects repair15:45 Transcatheter closure: A. Donti
16:00 Mininvasive evolution of surgical treatment: G. Stellin
16:15 Discussion : A. Amodeo, S. Giannico, A. Rapacciuolo
16:30 Coffee break Pulmonary valve regurgitation in adult congenital population
President: M. Chiavarelli Chairmen: A. Carotti, Br. Marino
17.00 Transcatheter pulmonary valve insertion in failing right ventricle: A. Rapacciuolo
17.15 Surgical RVOT remodelling: C. Vosa
17.30 Discussion: G. Gargiulo, V. Hraska, G. Pongiglione, G. Stellin
17.45 Closing Remarks: L. Chiariello
Program descriptionThe resulting scientific program represents a worldwide overview of the traditional surgical approach vs. innovative technical solutions for the treatment of cardiovascular diseases, such as hybrid approach or less-invasive percutaneous therapies. While surgery continues to be the gold standard therapy for most patients, subsets of patients may benefit from less-invasive innovative therapeutic solutions.
Educational objectives- To present the current state -of-the-art of cardiac surgery- To learn the options and patients selection for TAVI and Mitral-Clip procedures- To update CABG vs. PCI results in Left Main-Multivessel Coronary Artery Disease- To learn the options and perspectives for endovascular vs. open treatment of aortic aneurysms- To discuss the current state of hybrid procedures for aortic, coronary and peripheral artery diseases- To learn the options for percutaneous vs. open surgery for treatment of congenital heart diseases
- To learn the possible advantages of a dedicated hybrid operating room- To define expanding costs of innovative techniques and their socio-economical implications
Target AudienceThis forum is designed for cardiac surgeons, cardiologists, interventional radiologists, vascular surgeons, cardiovascular anaesthesiologists, perfusionists, health care managers.
Disclosure StatementIt is policy of the Italian College of Cardiac Surgeons to ensure balance, independence, objectivity and scientific rigor in its educational activities.Commercial support from industry does not influence educational content, faculty selection and/or faculty presentations and, therefore, does not compromise the scientific integrity of the educational activity.
Faculty members participating in this educational program are required to disclose to the audience any real or apparent conflicts of interest related to the content of their presentations.
Poster Submission Posters (140 cm x 100 cm) inherent to the forum topics are welcomed. Poster’s abstract should be sent to the Scientific Committee on-line at www.iccsexpertforum.itDeadline for abstracts submission is June 7, 2012, acceptance will be notified by June 9, 2012. Abstracts (max 250 words) and posters should be in English, the title printed in capital letters, the text divided in four sections (Objective, Methods, Results, Conclusions) The abstract should be sended to [email protected]
Program Director
Luigi Chiariello, MDPhone: +39 06 20903536Fax: +39 06 20903538Mail: [email protected]
How to register Register online at: www.iccsexpertforum.itFax this form to: +39 06 20903538 +39 06 32110090E-mail information above with the program title to: [email protected]
Registration informationThere is no registration fee. Pre-registration is needed. Admission to the Forum will be limited to the first 180 requests.
Certificate of Attendance Attendance certificates will be released by the Organizing Secretariat at the end of Forum.
Official languages English and Italian – Slides and Posters must be in English.
Scientific Secretariat Paolo Nardi, MD Jacob Zeitani, MD
Organizing SecretariatEQUA srl Via del Babuino 79, 00187, RomeTel: +39 06 3236254 Fax: +39 06 32110090Website: www.equa.it E-mail: [email protected]
Graphic design
Location The Forum will be held at the Nobile Collegium, Universitas Aromatariorum Urbis in Rome, located inside the Roman Imperial Forum Via in Miranda 10, 00186 Rome
Hotel Accomodation
Hotel Capo D’Africa**** hotelcapodafrica.comVia Capo d’Africa, 54 00184 Telefono 06 772801
Hotel Fourtyseven**** fortysevenhotel.com Via Luigi Petroselli, 47 00186 Telefono 06 678 7816
Delta Colosseo**** accorhotels.com Via Labicana, 144 00184 Telefono 06770021
Hotel Palatino**** hotelpalatino.comVia Cavour, 213 00184 Telefono 06 481 4927
Hotel Cosmopolita**** hotel-cosmopolita.comVia di Sant’Eufemia, 5 00187 Telefono 06 997071
Hotel Lancelot*** lancelothotel.comVia Capo D’Africa, 47Telefono 06 70450615
Faculty
Francesco Alamanni, MD Monzino Cardiologic Center, University of Milan, Milan - Italy
Francesco Alessandrini, MD Università Cattolica del Sacro Cuore, Campobasso - Italy
Ottavio Alfieri, MD San Raffaele Hospital, Vita-Salute University, Milan - Italy
Antonio Amodeo, MD Bambino Gesù Children’s Hospital, Rome - Italy David Antoniucci, MD Carreggi University Hospital, Florence - Italy Carlo Bassano, MD Policlinico Tor Vergata University, Rome - Italy M’Hamed Benomar, MD Centre Hospitalier Universitarie, Rabat - Maroc Emanuele Bertaglia, MD Mirano Civil Hospital, Venice - Italy
Francesco Bevere, Dr, General Manager Ministry of Health, Rome - Italy Davide Bianchi, President Heart Valve Unit, Sorin Group, Saluggia - Italy
Paolo Biglioli, MD University of Milan - Italy
Giampaolo Biti, MD University of Florence, Florence - Italy
Alessandro Boccanelli, MD S. Giovanni Addolorata Hospital, Rome - Italy
Enrico Bollero, MD,General Manager Policlinico Tor Vergata Foundation, Rome - Italy Carlo Briguori, MD Clinica Mediterranea, Naples - Italy
Enrico Brusoni, Engineer Siemens Healthcare Italia, Milan - Italy Eugenio Caradonna, MD Università Cattolica del Sacro Cuore, Campobasso - Italy
Adriano Carotti, MD Bambino Gesù Children’s Hospital, Rome - Italy
Massimo Chello, MD Campus Biomedico University, Rome - Italy
Luigi Chiariello, MD Policlinico Tor Vergata University, Rome - Italy Mario Chiavarelli, MD University of Siena - Italy
Roberto Chiesa, MD San Raffaele Hospital, Vita-Salute University, Milan - Italy Antonio Colombo, MD San Raffaele Hospital Scientific Institute, Milan - Italy
Gianluigi Condorelli, MD Milano-Bicocca University, Milan - Italy
Francesco Conti, Government Affaire Manager Medtronic Italia, Milan - Italy Stefano Corneo, Engineer Bolton Medical Srl, Milan - Italy
Maurizio Cotrufo, MD 2nd University of Naples, Naples - Italy
Elvio Covino, MD Campus Biomedico University, Rome - Italy
Filippo Crea, MD Università Cattolica del Sacro Cuore, Rome - Italy Otto Dapunt, MD Cardiothoracic Surgery, Klinikum Oldenburg - Germany
Andrea M. D’Armini, MD University Hospital San Matteo, Pavia - Italy Ruggero De Paulis, MD Casa di Cura European Hospital, Rome - Italy
Roberto Di Bartolomeo, MD Policlinico S. Orsola Malpighi University of Bologna - Italy
Gabriele Di Giammarco, MD Chieti University, SS. Annunziata Hospital, Chieti - Italy
Francesco Donatelli, MD University of Milan IRCCS MultiMedica Sesto S.Giovanni, Milan - Italy
Andrea Donti, MD Policlinico S. Orsola Malpighi University of Bologna - Italy
Giampiero Esposito, MD Humanitas Gavazzeni Clinic Institute - Italy Francesco Fedele, MD Sapienza University, Policlinico Umberto I, Rome - Italy
Theodor Fishlein, MD Klinikum Nürnberg, Nuremberg - Germany Giulia Gagliardi, MD Bambino Gesù Children’s Hospital, Rome - Italy Gaetano Gargiulo, MD Policlinico S. Orsola - Malpighi University of Bologna - Italy
Maria Laura Garofalo, Dr, Managing Director Gruppo Garofalo, Rome - Italy
Gino Gerosa, MD Padua University Hospital, Padua - Italy
Tiziano Gherli, MD Parma University Hospital, Parma - Italy Salvatore Giannico, MD Bambino Gesù Childrens’ Hospital, Rome - Italy Susanna Grego, MD Policlinico Tor Vergata University, Rome - Italy Michael Halkos, MD Emory University, Atlanta, Georgia, USA
Viktor Hraska, MD University Hospital Eppendorf-Hamburg, Hamburg - Germany
Ciro Indolfi, MD Magna Graecia University, Catanzaro - Italy
Fiore S. Iorio, MD Tor Vergata University of Rome - Italy, Jedda - Saudi Arabia
Arnaldo Ippoliti, MD Policlinico Tor Vergata University, Rome - Italy Kay Jaquet, MD Asklepios Klinik St. Georg, Hamburg - Germany Ian Loftus, MD St. George’s Vascular Institute, London - UK
Paolo Loschiavo, MD Sandro Pertini Hospital, Rome - Italy Benedetto Marino, MD Sapienza University, Rome - Italy Bruno Marino, MD Sapienza University, Policlinico Umberto I, Rome - Italy Eugenio Martuscelli, MD Policlinico Tor Vergata University, Rome – Italy Massimo Massetti, MD Università Cattolica del Sacro Cuore, Rome - Italy Alessandro Mazzucco, MD University Hospital of Verona, Verona - Italy Fabio Miraldi, MD Sapienza University, Policlinico Umberto I, Rome - Italy Ornella Milanesi, MD Padua University Hospital, Padua - Italy
Raphael Mohr, MD Sourasky Medical Center, Tel Aviv - Israel Claudio Muneretto, MD University of Brescia P.le Spedali Civili, Brescia - Italy
Roberto Napoletano, Dr, Director Il Sole 24 Ore - Italy
Giannantonio Nappi, MD Monaldi University Hospital, Naples - Italy Enrico Pampana, MD Policlinico Tor Vergata University, Rome - Italy
Roberto Parravicini, MD Policlinico di Modena, University of Modena, Modena - Italy
Giancarlo Passerone, MD San Martino Hospital, University of Genoa, Genoa - Italy Antonio Pellegrino, MD Policlinico Tor Vergata University, Rome - Italy Alfonso Penta de Peppo, MD 2nd University of Naples, Naples - Italy
Francesco Pizzuto, MD Policlinico Tor Vergata University, Rome - Italy
Patrizio Polisca, MD Policlinico Tor Vergata University, Rome - Italy
Gianluca Polvani, MD Monzino Cardiologic Center, University of Milan, Milan - Italy
Giacomo Pongiglione, MD Bambino Gesù Children’s Hospital, Rome - Italy
Michele Portoghese, MD Sassari Hospital, Sassari - Italy Antonio Rapacciuolo, MD Policlinico Federico II, University of Naples, Naples - Italy Antonio Rebuzzi, MD Università Cattolica del Sacro Cuore, Rome - Italy
Mauro Rinaldi, MD Molinette University Hospital, Turin - Italy
Ferdinando Romano, MD, Public Administrator Regione Lazio, Rome - Italy
Francesco Romeo, MD Policlinico Tor Vergata University, Rome - Italy
Giovanni Ruvolo, MD Paolo Giaccone University Hospital, Palermo - Italy Ettore Sansavini, General Manager Villa Maria Private Hospitals - Italy
Antonio Scafuri, MD Policlinico Tor Vergata University, Rome - Italy
Malakh Shrestha, MD Hannover Medical School, Hannover - Germay Giovanni Simonetti, MD Policlinico Tor Vergata University, Rome - Italy
Riccardo Sinatra, MD Sapienza University, Sant’Andrea Hospital, Rome - Italy Giovanni Stellin, MD Padua University Hospital, Padua - Italy
David P. Taggart, MD John Radcliffe Hospital, Oxford - UK
Corrado Tamburino, MD University of Catania – Italy
Fabrizio Tomai, MD Casa di Cura European Hospital, Rome - Italy Michele Toscano, MD Sapienza University, Policlinico Umberto I, Rome - Italy
Francesco Versaci, MD Campobasso & Isernia Hospitals – Italy
Roberto Violini, MD San Camillo Hospital, Rome - Italy
Massimo Volpe, MD Sapienza University, Sant’Andrea Hospital, Rome - Italy Carlo Vosa, MD Policlinico Federico II, University of Naples, Naples - Italy
Jacob Zeitani, MD Policlinico Tor Vergata University, Rome - Italy