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Practical Case-Based
Workshops
Choose from a series
of practical workshops featuring new device
applications and techniques designed to
directly enhance client practice and patient
outcomes.
Sunday, 1:00
pm - 6:00 pm
Cardiac CT and
MR Imaging: Reading Sessions With the
Experts
Computerized tomography and magnetic
resonance imaging have revolutionized
the noninvasive diagnosis of patients
with ischemic and structural heart disease.
Multislice CT imaging represents the first
outpatient test capable of accurately
delineating the coronary arteries. Coupled
with calcium scoring, CT imaging provides
powerful prognostic information that can
guide treatment decisions. Both CT and
MR imaging, with and without contrast,
are able to accurately diagnose myocardial,
valvular, and structural cardiac conditions,
which include dilated and Hypertrophic
cardiomyopathy; aortic and mitral stenosis
and insufficiency; patent foramen ovale
and cardiac tumors; pericardial constriction
and effusion; aortic dissection; and much
more. This workshop, led by many of the
world’s expert cardiologists and
radiologists, offers an in-depth review
of basic coronary and cardiac anatomy
as revealed by CT and MR imaging, and
incorporates a case-based approach through
which the attendees learn to accurately
diagnose the most common pathologic conditions
detectable by noninvasive imaging.
Transradial
Access and Intervention: An Edited Case
Instructional Series
This practical session focuses
on the indications, advantages, and shortcomings
of transradial angioplasty technique as
well as the technical details (“tips
and tricks”) of this method. A careful
walk-through of this procedure is followed
with case examples and special attention
to sheath size limit; special catheters
required; pharmacology; hemodynamic support;
acute MI; chronic total occlusion; and
other high-risk cases.
Edited “live”
cases on tape illustrate the basic and
advanced approach to transradial angiography
and intervention, including recognition
of anatomic variants and management of
complications. A simulated case illustrating
transradial access technique will be demonstrated.
Femoral Closure
Devices and Complication Management
This workshop provides attendees
with a comprehensive review of the issues
and techniques involved in femoral artery
access and closure. Topics include core
concepts and techniques, complications,
and current device options. State-of-the-art
presentations provide practical skills
and techniques that physicians can apply
to their own practices. Instructional
tabletop demonstrations allow the attendee
to gain first-hand experience with approved
closure devices.
Radiation Safety
in Interventional Fluoroscopy
This course is intended to partially
satisfy the requirements in the ACC/AHA/HRS/SCAI
Clinical Competence Statement (CCS) published
in December 2004. It focuses on patient
and staff radiation safety elements of
the syllabus. Potential malpractice issues
are reviewed. The course is intended for
physicians seeking primary or refresher
training in radiation safety as applied
to fluoroscopic guided interventional
procedures (additional training in X-ray
physics and technology is required to
fulfill the remaining portions of the
CCS initial training curriculum).
Intravascular
Ultrasound and Physiology Workshop: A
Case-Based Review
This workshop presents a clinical,
problem-oriented, case-based approach
to the use of intravascular ultrasound
(IVUS) and invasive physiology (Doppler
FloWire and Pressure Wire) in the cath
lab. “Basic” presentations
discuss optimization of IVUS and physiologic
studies, recognition of artifacts, and
reporting results. “Clinical”
presentations focus on common problems
such as assessment and treatment of left
main disease, intermediate lesions, and
unusual lesion morphology; optimization
of drug-eluting stents and assessment
of drug-eluting stent failures; and evaluation
of interventional complications. Cases
are discussed by a world-class panel of
experts who present consensus recommendations.
Chronic Total
Occlusions: Basic and Advanced Techniques
Chronic total occlusions represent
the “last” technical frontier
of coronary intervention. A specialized
set of technical skills, and knowledge
of advanced guide wires and devices, is
required to optimize the likelihood of
procedural success of CTOs. The workshop
includes a case-based review of the indications,
clinical outcomes, and technical details
of chronic total occlusion procedures.
Emphasis is given to recent advancements
in the field and analysis of the decision-making
process regarding appropriate utilization
of multiple wires; anchor balloons; IVUS-guidance;
the retrograde collateral approach; STAR
techniques; the role of new devices; and
more.
Transcatheter
Closure of Congenital Defects: Focus on
PFO and ASD
Percutaneous treatment of congenital
heart disease in the adult has emerged
as a rapidly growing subspecialty within
interventional cardiology. The treatment
of patent foramen ovale to prevent recurrent
stroke in patients without atherosclerotic
or other cardiac etiologies has become
accepted in select situations. Adult patients
with atrial septal defect, ventricular
septal defect, patent ductus arteriosus,
and aortic coarctation are also presenting
more frequently to the adult cardiologist
and can usually be managed with minimally
invasive catheter-based techniques. This
workshop focuses on the indications for,
and techniques to percutaneously close,
patent foramen ovale and atrial septal
defect with emphasis on clinical presentations
and noninvasive evaluation; basic and
advanced techniques; adjunct pharmacotherapy;
device alternatives; and acute and chronic
complications. Teaching is primarily case-based
with appropriate didactic lectures. The
attendee will become comfortable with
the currently available devices though
hands-on tabletop demonstrations and practice
sessions.
Septal Ablation
for Hypertrophic Obstructive Cardiomyopathy
Alcohol septal ablation of the
Hypertrophic septum results in high rates
of symptomatic relief in patients with
severe Hypertrophic obstructive cardiomyopathy
(HOCM). As a result, most cases of HOCM
can be managed percutaneously in the cath
lab, rather than surgically. This workshop
reviews the genetic basis of HOCM as well
as its clinical spectrum. Considerable
time is spent on proper patient selection
for alcohol septal ablation. The technique
of alcohol septal ablation with all its
nuances and tricks is presented in detail
including hemodynamic assessment; echocardiographic
guidance; and complication avoidance,
recognition, and management. Alternative
therapies to alcohol septal ablation are
also reviewed. Finally, the follow-up
results of alcohol septal ablation are
presented along with representative case
presentations and audience participation.
Bifurcation
and Left Main Stenting: An Advanced Operator’s
Workshop
As many as one-third of lesions
treated today with drug-eluting stents
involve a coronary bifurcation. Unprotected
left main coronary intervention is currently
appropriate for patients at high risk
for surgery and is being evaluated as
an alternative to bypass in good operative
candidates in randomized trials. This
advanced operator’s workshop is
dedicated to the review and discussion
of complex cases focused on bifurcation
and left main disease. Specifically, bifurcation
and left main classification systems are
reviewed.
Techniques of percutaneously
approaching these two lesion subtypes
are reviewed in detail, step-by-step,
and include provisional stenting; T-stenting;
crush and reverse crush stenting; V-stenting
(simultaneous kissing stents); the culotte
technique; and more. Emphasis is placed
on basic and advanced tips and tricks;
adjunct pharmacology; specific stent selection;
complication avoidance, recognition, and
management; and long-term results. The
appropriate indications for left main
intervention are discussed. The format
is interactive with ample time for review
of cases and discussion of questions from
the audience.
Carotid Stenting:
Basic and Advanced Techniques
This workshop is designed to
review both the basic aspects of patient
and device selection, and to explore some
of the more advanced technique considerations
in carotid stenting. A special focus is
placed on risk stratification strategies
for better patient selection for carotid
revascularization. This workshop will
be useful to physicians considering carotid
stent training, as well as those who have
already embarked on a carotid stent program.
Didactic sessions include necessary elements
of the procedure as well as key preparatory
components. An emphasis is placed on identifying
high-risk patients and coronary anatomy;
complication avoidance, recognition, and
management; and optimizing both acute
and long-term results. Case reviews are
emphasized.
Peripheral Vascular Disease A to Z: Clinical Syndromes, Diagnostic Testing, and Management Strategies
A growing recognition of the
importance of vascular medicine and the
sustained results of endovascular therapy
for peripheral vascular disease is evident.
In this environment, the vascular interventionalist,
cardiologist, or primary care giver must
be competent with techniques of noninvasive
evaluation and the imaging alternatives
to diagnose and follow these patients.
This workshop is designed to integrate
all facets of peripheral vascular disease
from clinical symptoms to diagnosis, intervention,
and long-term follow-up. Experts in diagnosis,
endovascular therapy, and surveillance
work together in a case-based format to
highlight current strategies for basic
and advanced disease syndromes.
Aortic Aneurysms: Recognition and Treatment
Endografts are becoming the therapy
of choice for most patients with disease
of the abdominal and thoracic aorta. This
workshop utilizes case studies using aortic
endografts to treat diseases such as infrarenal
aortic aneurysms; aortoiliac occlusive
disease; thoracic dissections; and thoracic
and abdominal aortic aneurysms. Participants
review endograft case studies and techniques,
participate in device demonstrations,
and explore current issues in the management
of endoleaks and endograft repair. Each
segment of the aortic disease workshop
is followed by a panel discussion and
case presentations. Currently approved
endografts will be available at tabletop
displays for hands-on demonstrations.
Tough Calls
in the Cath Lab: Advanced Hemodynamics
and Angiography
Understanding the basics and
nuances of angiography and hemodynamic
measures in the cardiac catheterization
laboratory represents essential core competence
for the interventional cardiologist. This
workshop provides a concise primer on
invasive assessment for diagnosis, treatment
decisions, intraprocedural evaluation,
and decision-making for diseases associated
with hemodynamic abnormalities. Pericardial
and myocardial diseases will be reviewed
in detail, and a detailed evaluation of
valvular heart disease and the results
of valvular interventions will be discussed.
Basic and advanced concepts of coronary
blood flow will be reviewed in relation
to both anatomic rarities as well as flow-related
abnormalities. The format is case-based
and interactive with ample time for discussion
of questions from the audience.
Note:
Hands-on demonstrations at Practical
Case-Based Workshop sessions will be conducted
by TCT faculty that have been selected
by the TCT organizers to provide technical
training to TCT attendees. In conjunction
with ACCME guidelines and in accordance
with the educational mission of TCT, faculty
assigned to demonstrate these technologies
will do so without the influence of commercial
supporters.
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