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PDFWorkshop guide

WORKSHOPS

 

Workshops are taught in the form of four module sessions, each of which lasts two hours.

**  Module sessions take place on Sunday, 14th February and contain 8 different workshops, except for module 4, which contains 9.

*** Certificates of attendance will be send out by email after the conference!

 

 Workshop 1: 3D anatomy of the Mitral Valve – The HeartLab

 (click to enlarge)

 Chair: A. Weber

 Faculty: N. Borenstein, C. Gruner, M. Reismann, P.W. Serruys

 

 Room A13

    Target

  • Cardiologists
  • Interventional cardiologists
  • Radiologists
  • Heart failure specialists
  • Cardiac Anesthesiologists

 

    Objective

  • Understand mitral valve anatomy
  • Compare anatomy to imaging
  • Identify therapy targets

 

in collaboration with HeartLAB for the HEART-TEAM

 

    Trainers

  • N. Borenstein

  • C. Gruner

  • M. Reisman

  • P.W. Serruys

  • A. Weber

    Topics

    Wet lab demonstration of:

  • Anatomy of the mitral valve
  • Pathology of the mitral valve
  • Comparative anatomy and imaging
  • What is relevant for surgery and interventions
   
Program Duration Trainer

1. Anatomy of the Mitral Valve: Anatomical and Functional ex-vivo imaging [live demonstration of anatomical specimens]

30 min

M. Reisman,

N. Borenstein

2. Pathology of the Mitral Valve with demonstration of Pathological human specimens. Parallel echocardiographic imaging comparison

30 min

M. Reisman,

A. Weber, C. Gruner

3. Hands-on training with pig hearts specimens: 3D dissection

Echo imaging of the Mitral Valve: standard views

40 min

A. Weber, C. Gruner

4. What is relevant for surgery and interventions: Demonstration of implanted devices (surgical and percutaneous) on pig hearts specimen and simulators

20 min

A. Weber,

P.W. Serruys

 

 Workshop 2: CT scan – A fantastic Journey through the World of

 Multimodality planning and navigation Technologies (click to enlarge)

 Chair: A. Plass

 Faculty: P. Blanke, V. Jelnin, D. Leite, T.D.L. Nguyen-Kim, G. Ogrodnick, J. Rieck, C. Ruiz, T. Sheps, L. Verstraeten

 

 Room B22, B23, B35

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists
  • Radiologists

    Objective

  • Establish the Rosetta Stone of imaging to help communication
  • Understand mitral valve anatomy through imaging

 

    Topics

  • The participants will attend an interactive hands-on multi-modular workshop and experience the new opportunities of imaging tools for better preparation and performance of mitral valve treatments. The workshop will be a path with interactive stop-overs in three different rooms. Additionally a lunch symposium, a coffee break lecture and an after-workshop guest speech for deeper and advanced inside views with presentations about the overall variety of latest soft-and hardware.

  • The attendees will learn about different techniques and their handling, further they will understand the possibilities of application. This includes Heart-and Echonavigator of Philips Healthcare, 3mensio of Pie medical, Circle cardiovascular imaging and OsiriX MD of Pixmeo.

  • The lunch symposium will present the value of 3D printing and new tools for 3D holographic illustration as well as imaging for risk prediction. Companies like real view medical holography, FEOPS – insights for excellence, 3DS –Dassault systemes, PS-Medtech and Materialise will demonstrate the advantages and opportunities of their tecnologies.

  • For deeper individual discussions all companies will be available during the complete workshop-day at a mini-exhibition.

 

 

Group allocation (During each Session, the Participants will be allocated to three Groups (A, B, C) to stop-over the three imaging rooms)

Chronology

 

Room 1

B23 – 3mensio

Room 2

B22 – Circle

Room3

B35 – Philips/Osirix

1st

Group A

Group B

Group C

2nd

Group B

Group A

Group C

3rd

Group C

-

Group A, B

4th

-

Group C

Group A, B

 

Rooms

Room 1 – B23 – 3mensio (30 min)

Faculty: Thi Dan Linh Nguyen, Julian Rieck, Luc Verstraeten

  • Assessing the complexity of Mitral annulus (tracing annulus, sizing, calcification assessment)
  • Fluoroscopic projections LVOT obstruction (LVOT, virtual device, mitral-aorta angle)
  • Coronary sinus and its relationship to Mitral annulus
  • Transapical approach

 

Room 2 – B22 – Circle Cardiovascular Imaging (30 min)

Faculty: Philipp Blanke, Daniel Leite, Greg Ogrodnick

  • Planning overview and anatomical assessment (prolapses, flails, calcifications, etc)
  • Apical access route planning
  • Annulus measurement for device selection
  • LVOT assessment
  • Peri-procedure planning, including Coronary Sinus, Fluoro view and determining optima C-arm position
 

Room 3 – B35 – Philips Healthcare (40 min)

Faculty: Carlos Ruiz, Vladimir Jelnin

HeartNavigator

  • CTA import
  • Automatic segmentation + manual customizations
  • Automatic & manual measurements (annulus /LVOT/Mitral structures) + landmarking
  • Device planning + determination of working projection
  • Planning of trans-apical
  • Registration of CT to fluoro (injections or using implants)
  • Fluoro-overlay, different visualization of CT, C-arm recall

EchoNavigator

  • Basic operation: registration (auto/manual), visualization options (different view options, overlay vs side-by-side), truncation of 3D TEE image, annotations + measurements
  • Mitral planning: optimized trans-septal approach
  • Real-time imaging of anatomy + device during device placement
  • Assessment of procedure success using color Doppler + fluoroscopy
 

Room 3 – B35 – Osirix (20 min)

Faculty: T. Sheps

  • Mitral valve structures identification
  • Landmark identification
  • Procedural planning
  • How to plan a structural mitral intervention on your laptop

 

 Workshop 3: Mitral Valve and heart failure – Update (click to enlarge)

 Chair: M. Wilhelm

 Faculty: M. Enriquez-Sarano, G. Filippatos, M. Frank, F. Grigioni, M. Halbe, J. Steffel

 

 Room A3

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists
  • Radiologists
  • Heart failure specialists
  • Cardiac Anesthesiologists

 

    Objective

  • To understand the importance of interaction between device and medical therapy interaction
  • Review current medical therapy for patients with MV regurgitation (including CRT) and timing for MV interventions
  • To help decision-making
  • To support patient selection

 

    Trainers

  • M. Enriquez-Sarano
  • G. Filippatos
  • M. Frank
  • F. Grigioni
  • M. Halbe
  • J. Steffel
  • M. Wilhelm

    Topics

  • Role of medical therapy
  • Rationale of MR correction
  • MR correction and reverse remodeling
  • Other device therapies for HF  (VAD, CRT, Ventricular Remodeling treatment, HTx)
   
Program Duration Trainer

1. Introduction to the workshop

5 min

M. Wilhelm

2. Heart failure: epidemiology and classification

10 min

M. Frank

3. Natural history and prognostic impact of functional mitral regurgitation in heart failure

20 min

G. Filippatos,

F. Grigioni,

M. Enriquez-Sarano

4. ICD and CRT in heart failure with mitral regurgitation

15 min

J. Steffel

5. Mechanical circulatory support

15 min

M. Wilhelm

6. LVAD, BVAD, ECMO, CRT, Ventricular Remodeling Demonstration with simulators

25 min

M. Halbe,

M. Wilhelm

7. LVAD, BVAD, ECMO, CRT, Ventricular Remodeling hands-on training

30 min

Participants

 

 Workshop 4: Wire skills, therapy simulators

 and transseptal puncture training - The HeartLab – Simulator (click to enlarge)

 Chair: F. Maisano, L. K. von Segesser

 Faculty: R. Corti, T. Feldman, O. Franzen, F. Nietlispach, A. Vahanian, S. Windecker

 

Room U14

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists

    Objective

  • To learn and review the common steps of mitral interventions (TS puncture, LA navigation)
  • To review the material and procedural skills
  • To train on wire skills with simulators

 

in collaboration with HeartLAB for the HEART-TEAM

 

    Trainers

  • R. Corti
  • T. Feldman
  • O. Franzen
  • F. Maisano
  • F. Nietlispach
  • L.K. von Segesser
  • A. Vahanian
  • S. Windecker

    Topics

     Wet lab demonstration of:

  • Wire skills nomenclature
  • Projections for mitral interventions
  • Transseptal puncture – Left Atrial navigation – LAAo
  • Access and closure
   
Program Duration Trainer

1. Introduction and key objectives

5 min

L. K. von Segesser,

A. Vahanian

2. Review of wire and catheter nomenclature [Lecture]

15 min

F. Maisano,

F. Nietlispach

3. Wire skill simulator [Hands-on]

20 min

Participants

4. Transseptal puncture: how to do it [Lecture]

10 min

R. Corti,

A. Vahanian,

S. Windecker,

O. Franzen

5. LA navigation for mitral intervention (MitraClip simulator, Cardioband Echo beating simulator) and LAA occlusion [Lecture]

10 min

T. Feldman,

F. Maisano,

A. Vahanian

6. Access closure [Lecture]

10 min

F. Maisano,

F. Nietlispach

7. Transseptal simulator [Hands-on]

15 min

Participants

8. 3D Echocardiography beating simulator for LA navigation and LAA occlusion [Hands-on]

20 min

Participants

9. Access closure [Hands-on]

15 min

Participants

 

 Workshop 5: Intraprocedural TEE – Update – Simulator (click to enlarge)

 Chair: F. Tanner, M. Zuber

 Faculty: F.Faletra, R.Hahn, S.Stämpfli, R.S. von Bardeleben, N.Wunderlich

 

 Room C1

    Target

  • Echocardiographist
  • Cardiac surgeons
  • Interventional cardiologists
  • Anesthesiologist

    Objective

  • Basics of Echo guidance(commonly used views and nomenclature)
  • Screening and patient selection

 

    Trainers

  • F. Faletra
  • R. Hahn
  • S. Stämpfli
  • F. Tanner
  • R. S. von Bardeleben
  • N. Wunderlich
  • M. Zuber

    Topics

  • Basic of echo
  • Patient selection
  • Treatment target guidance
  • Procedural Navigation
   
Program Duration Trainer

1. Echo projections for Mitral Interventions

20 min

F. Faletra

2. Hands-on Echosimulator

20 min

S. Stämpfli

3. Step by Step guidance for MitraClip

20 min

R. Hahn,

N. Wunderlich,

R. S. von Bardeleben

4. Hands-on on MitraClip simulation software

20 min

F. Tanner

5. Step by Step guidance for Cardioband

20 min

M. Zuber

6. Hands-on Cardioband echo-simulator

20 min

M. Zuber

 

 Workshop 6: Anesthesia for MV interventions – Update (click to enlarge)

 Chair: D. Bettex

 Faculty: F. Buddeberg, T. Horisberger

 

 Room U13

    Target

  • Anesthesiologist
  • Intensivist
  • Echocardiographist
  • Interventional cardiologist
  • Cardiac surgeon

 

    Objective

  • To understand hemodynamics after mitral valve interventions
  • To improve perioperative decision-making

 

    Trainers

  • D. Bettex
  • F. Buddeberg
  • T. Horisberger

    Topics

  • Hemodynamics of the poor LV function – MitralClip versus MVR
  • Monitoring and management during Mitral interventions
  • Intraoperative TOE – Mitral valve repair (Cases discussion)
  • Associated complications
  • Case presentation
 
   
Program Duration Trainer

1. Anesthetic management of Mitral interventions

30 min

F. Buddeberg

2. Perioperative complications of Mitral interventions: lecture and case discussion

30 min

T. Horisberger

3. MVR and SAM: lecture and case discussion

30 min

F. Buddeberg

4. Intraoperative TEE and the mitral valve: case discussion

30 min

D. Bettex

 

 Workshop 7: MV surgery: repair and replacement techniques -

 The HeartLab (click to enlarge)

 Chair: S. Benussi, Chitwood

 Faculty: O. Alfieri, S. Demertzis, G. Fontana, M. Glauber, M. J. Mack, D. Reser, H. Vanermen, P. Vogt

 

 Room A11

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists
  • Radiologists
  • Heart failure specialists
  • Cardiac Anesthesiologists

 

    Objective

  • Wet-lab demonstration of surgical techniques
  • One-to-one interaction with the expert

 

in collaboration with HeartLAB for the HEART-TEAM

    Trainers

  • O. Alfieri
  • R. Chitwood
  • S. Demertzis
  • G. Fontana
  • M. Glauber
  • M. Mack
  • D. Reser
  • H. Vanermen
  • P. Vogt

    Topics 

    Wet lab demonstration of

  • Quadrangular resection
  • Edge to edge Alfieri repair
  • Chordal replacement
  • Annuloplasty
  • Replacement
  • MIC training module                   
   

Program

Duration

Trainer

Introduction and key objectives

5 min

R. Chitwood

STEP 1: Approach the Mitral Valve: Access, Exposure, Cardiac protection [Lecture and Demonstration on dummy]

10 min

D. Reser

STEP 2: Mitral Valve Analysis: Implications for repair strategy

[Lecture, Demonstration and Hands-on]

20 min

O. Alfieri

STEP 3: Leaflet resection techniques (quadrangular, triangular, sliding)

[Lecture, Demonstration and Hands-on]

20 min

O. Alfieri, P. Vogt

STEP 4: 5 rules for minimally invasive mitral valve repair

[Lecture and Demonstraton]

20 min

H. Vanermen

STEP 5: Chordal techniques [Lecture, Demonstration and Hands-on]

20 min

R. Chitwood,

S. Demertzis,

M. J. Mack

STEP 6: Ring, Sutures and Prosthesis: modern surgeon toolbox

[Lecture, Demonstration and Hands-on]

25 min

M. Glauber,

G. Fontana

 

 Workshop 8: Tricuspid Valve – The last frontier: all you need

 to know about the forgotten valve – The HeartLab (click to enlarge)

 Chair: M. Taramasso, A. Guidotti

 Faculty: E. Agricola, P. Denti, M. Enriquez-Sarano, F. Grigioni, R. Hahn, A. Latib, G. Nickenig, J. Schofer, H. Vanermen, J. G. Webb

 

 Room B1

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists
  • Radiologists
  • Heart failure specialists
  • Cardiac Anesthesiologists

 

    Objective

  • Wet-lab demonstration of surgical techniques
  • One-to-one interaction with the expert

 

in collaboration with HeartLAB for the HEART-TEAM

    Trainers

  • 4Tech
  • E. Agricola
  • P. Denti
  • M. Enriquez-Sarano
  • F. Grigioni
  • R. Hahn
  • A. Latib
  • Mitralign
  • G. Nickenig
  • J. Schofer
  • M. Taramasso
  • H. Vanermen
  • J. G. Webb

    Topics 

    Wet lab demonstration of

  • Anatomy of the tricusp
  • Tricuspid valve surgical repair techniques
  • Novel transcatether therapies on Simulators
   
Program Duration Trainer

1. Introduction and key objectives

5 min

M. Taramasso

2. The Forgotten valve: epidemiology, prognostic impact and clinical presentation of TR

15 min

M. Enriquez-Sarano,

F. Grigioni

3. Imaging of the tricuspid valve

15 min

E. Agricola, R. Hahn

4.4Tech state of the art

7 min

P. Denti, A. Latib

5. Edwards program on FTR

7 min

J. G. Webb

6. MitraClip on Tricuspid

7 min

P. Denti,

G. Nickenig

7. Mitralign state of the art

9 min

J. Schofer, A. Latib

8. Mitralign Wet Lab procedural demonstration

15 min

Mitralign

9. 4Tech tecnology bench simulation

15 min

4Tech

10. Hands-on Percutaneous Techniques – Wet lab tricuspid annuloplasty hands-on

25 min

H. Vanermen,

P. Denti,

M. Taramasso

 

 Workshop 9: Innovation room: How to develop an idea from

 concept to market (click to enlarge)

 Chair: L.K. von Segesser, E. Grube, M. Emmert, J. Zmudczynski

 Faculty: L. Biegelsen, J. Essinger, R. Geoffrion, A. Gross, W. Henggeler, F. Maisano, T. Reich, R. Robb, J. Zmudczynski

 

 Room A16

    Target

  • Cardiologists
  • Cardiac surgeons
  • Interventional cardiologists
  • Radiologists
  • Heart failure specialists
  • Cardiac Anesthesiologists

 

    Objective

  • To understand the basics and the cycle of innovation

    Trainers

L. Biegelsen

J. Essinger

R. Geoffrion

A. Gross

E. Grube

W. Henggeler

F. Maisano

T. Reich

R. Robb

L. K. von Segesser

J. Zmudczynski

    Topics

  • Innovation: from the idea to the product
  • Intellectual property
  • Design and prototyping
  • Animal models and Preclinical trial design
  • Funding your idea
  • Basics of market development and commercialization
   
Program Duration  Speaker 

Chair

-

L. von Segesser,

E. Grube

1. Inventions vs innovations: the cycle of sustainable cardiovascular innovation

10 min

F. Maisano

2. A real-world mitral story from Israel: Valtech from scratch to sales

10 min

A. Gross

3. A real-world aortic story from Switzerland: Symetis from scratch to sales

10 min

J. Essinger

4. Finding an Engineer who helps the kickstart (prototyping, planning)

10 min

T. Reich

5. How and when to protect an idea (Intellectual property)

10 min

W. Henggeler

6. Group activities (build your start-up)

20 min

Participants

7. Funding an idea: angels, banks, venture capital, strategics

20 min

R. Geoffrion

8. Crowdfunding your ideas: we need to think out of the box

10 min

J. Zmudczynski

9. The start-up I would like to buy …

10 min

R. Robb

10. The value of innovation: a view point from Wall street

10 min

L. Biegelsen

11. Panel and wrap up

-

L. von Segesser,

E. Grube

 

During the Workshops Day – Educational activities

During the coffee break and the lunch time take the chance to improve your knowledge about imaging, printing and simulation! (no registration required)

  • Join the Lunch Symposium "3D Imaging and Simulations – The future is now" from 11:15 to 12:00
  • Meet the expert:

     - during the Coffee break talking about 3D virtual reality with Manuel Schaffner (ETH)

 

 Lunch Symposium: 3D Imaging and Simulations – The future is now

 Room A16

11:15 – 11:25

3D Medical virtuality Reality – a new view to anatomy

Dr. Marc Lausberg, MBA – PS-medtech

11:25 – 11:35

The future is now – physics-based simulation opens new gates in the medical world

Matthieu De Beule – FE OPS

11:35 – 11:45

The living heart project – An initiative to transform medcial care through realsitic simulation

Marco Stevanella – 3DS

11:45 – 11:55

3D Holographic Imaging : The entry to a new world of medical perspectives

Elchanan Bruckheimer, MBBS – Realview

11:55 – 12:00

Discussion

 

 Coffee break -  Guest speech

 Room A16

14:00 – 14:10

3D Medical virtuality Reality – a new view to anatomy

Manuel Schaffner, ETH

 

 
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