Workshop 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!
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Chair: A. Weber
Faculty: N. Borenstein, C. Gruner, M. Reismann, P.W. Serruys
Room A13
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Target
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Cardiologists
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Interventional cardiologists
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Radiologists
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Heart failure specialists
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Cardiac Anesthesiologists
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Objective
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Understand mitral valve anatomy
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Compare anatomy to imaging
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Identify therapy targets
in collaboration with HeartLAB for the HEART-TEAM
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Trainers
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N. Borenstein
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C. Gruner
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M. Reisman
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P.W. Serruys
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A. Weber
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Topics
Wet lab demonstration of:
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Anatomy of the mitral valve
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Pathology of the mitral valve
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Comparative anatomy and imaging
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What is relevant for surgery and interventions
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Program |
Duration |
Trainer |
1. Anatomy of the Mitral Valve: Anatomical and Functional ex-vivo imaging [live demonstration of anatomical specimens]
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30 min
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M. Reisman,
N. Borenstein
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2. Pathology of the Mitral Valve with demonstration of Pathological human specimens. Parallel echocardiographic imaging comparison
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30 min
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M. Reisman,
A. Weber, C. Gruner
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3. Hands-on training with pig hearts specimens: 3D dissection
Echo imaging of the Mitral Valve: standard views
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40 min
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A. Weber, C. Gruner
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4. What is relevant for surgery and interventions: Demonstration of implanted devices (surgical and percutaneous) on pig hearts specimen and simulators
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20 min
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A. Weber,
P.W. Serruys
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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
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Radiologists
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Objective
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Establish the Rosetta Stone of imaging to help communication
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Understand mitral valve anatomy through imaging
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Topics
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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.
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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.
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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.
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For deeper individual discussions all companies will be available during the complete workshop-day at a mini-exhibition.
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Group allocation (During each Session, the Participants will be allocated to three Groups (A, B, C) to stop-over the three imaging rooms)
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Chronology
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Room 1
B23 – 3mensio
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Room 2
B22 – Circle
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Room3
B35 – Philips/Osirix
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1st
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Group A
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Group B
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Group C
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2nd
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Group B
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Group A
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Group C
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3rd
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Group C
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Group A, B
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4th
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Group C
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Group A, B
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Rooms
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Room 1 – B23 – 3mensio (30 min)
Faculty: Thi Dan Linh Nguyen, Julian Rieck, Luc Verstraeten
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Assessing the complexity of Mitral annulus (tracing annulus, sizing, calcification assessment)
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Fluoroscopic projections LVOT obstruction (LVOT, virtual device, mitral-aorta angle)
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Coronary sinus and its relationship to Mitral annulus
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Transapical approach
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Room 2 – B22 – Circle Cardiovascular Imaging (30 min)
Faculty: Philipp Blanke, Daniel Leite, Greg Ogrodnick
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Planning overview and anatomical assessment (prolapses, flails, calcifications, etc)
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Apical access route planning
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Annulus measurement for device selection
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LVOT assessment
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Peri-procedure planning, including Coronary Sinus, Fluoro view and determining optima C-arm position
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Room 3 – B35 – Philips Healthcare (40 min)
Faculty: Carlos Ruiz, Vladimir Jelnin
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HeartNavigator
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CTA import
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Automatic segmentation + manual customizations
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Automatic & manual measurements (annulus /LVOT/Mitral structures) + landmarking
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Device planning + determination of working projection
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Planning of trans-apical
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Registration of CT to fluoro (injections or using implants)
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Fluoro-overlay, different visualization of CT, C-arm recall
EchoNavigator
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Basic operation: registration (auto/manual), visualization options (different view options, overlay vs side-by-side), truncation of 3D TEE image, annotations + measurements
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Mitral planning: optimized trans-septal approach
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Real-time imaging of anatomy + device during device placement
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Assessment of procedure success using color Doppler + fluoroscopy
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Room 3 – B35 – Osirix (20 min)
Faculty: T. Sheps
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Mitral valve structures identification
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Landmark identification
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Procedural planning
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How to plan a structural mitral intervention on your laptop
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Chair: M. Wilhelm
Faculty: M. Enriquez-Sarano, G. Filippatos, M. Frank, F. Grigioni, M. Halbe, J. Steffel
Room A3
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Radiologists
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Heart failure specialists
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Cardiac Anesthesiologists
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Objective
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To understand the importance of interaction between device and medical therapy interaction
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Review current medical therapy for patients with MV regurgitation (including CRT) and timing for MV interventions
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To help decision-making
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To support patient selection
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Trainers
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M. Enriquez-Sarano
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G. Filippatos
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M. Frank
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F. Grigioni
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M. Halbe
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J. Steffel
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M. Wilhelm
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Topics
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Role of medical therapy
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Rationale of MR correction
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MR correction and reverse remodeling
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Other device therapies for HF (VAD, CRT, Ventricular Remodeling treatment, HTx)
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Program |
Duration |
Trainer |
1. Introduction to the workshop
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5 min
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M. Wilhelm
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2. Heart failure: epidemiology and classification
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10 min
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M. Frank
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3. Natural history and prognostic impact of functional mitral regurgitation in heart failure
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20 min
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G. Filippatos,
F. Grigioni,
M. Enriquez-Sarano
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4. ICD and CRT in heart failure with mitral regurgitation
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15 min
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J. Steffel
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5. Mechanical circulatory support
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15 min
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M. Wilhelm
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6. LVAD, BVAD, ECMO, CRT, Ventricular Remodeling Demonstration with simulators
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25 min
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M. Halbe,
M. Wilhelm
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7. LVAD, BVAD, ECMO, CRT, Ventricular Remodeling hands-on training
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30 min
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Participants
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Chair: F. Maisano, L. K. von Segesser
Faculty: R. Corti, T. Feldman, O. Franzen, F. Nietlispach, A. Vahanian, S. Windecker
Room U14
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Objective
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To learn and review the common steps of mitral interventions (TS puncture, LA navigation)
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To review the material and procedural skills
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To train on wire skills with simulators
in collaboration with HeartLAB for the HEART-TEAM
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Trainers
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R. Corti
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T. Feldman
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O. Franzen
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F. Maisano
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F. Nietlispach
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L.K. von Segesser
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A. Vahanian
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S. Windecker
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Topics
Wet lab demonstration of:
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Wire skills nomenclature
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Projections for mitral interventions
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Transseptal puncture – Left Atrial navigation – LAAo
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Access and closure
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Program |
Duration |
Trainer |
1. Introduction and key objectives
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5 min
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L. K. von Segesser,
A. Vahanian
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2. Review of wire and catheter nomenclature [Lecture]
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15 min
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F. Maisano,
F. Nietlispach
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3. Wire skill simulator [Hands-on]
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20 min
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Participants
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4. Transseptal puncture: how to do it [Lecture]
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10 min
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R. Corti,
A. Vahanian,
S. Windecker,
O. Franzen
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5. LA navigation for mitral intervention (MitraClip simulator, Cardioband Echo beating simulator) and LAA occlusion [Lecture]
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10 min
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T. Feldman,
F. Maisano,
A. Vahanian
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6. Access closure [Lecture]
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10 min
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F. Maisano,
F. Nietlispach
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7. Transseptal simulator [Hands-on]
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15 min
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Participants
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8. 3D Echocardiography beating simulator for LA navigation and LAA occlusion [Hands-on]
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20 min
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Participants
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9. Access closure [Hands-on]
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15 min
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Participants
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Chair: F. Tanner, M. Zuber
Faculty: F.Faletra, R.Hahn, S.Stämpfli, R.S. von Bardeleben, N.Wunderlich
Room C1
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Target
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Echocardiographist
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Cardiac surgeons
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Interventional cardiologists
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Anesthesiologist
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Objective
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Basics of Echo guidance(commonly used views and nomenclature)
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Screening and patient selection
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Trainers
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F. Faletra
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R. Hahn
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S. Stämpfli
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F. Tanner
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R. S. von Bardeleben
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N. Wunderlich
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M. Zuber
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Topics
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Basic of echo
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Patient selection
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Treatment target guidance
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Procedural Navigation
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Program |
Duration |
Trainer |
1. Echo projections for Mitral Interventions
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20 min
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F. Faletra
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2. Hands-on Echosimulator
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20 min
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S. Stämpfli
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3. Step by Step guidance for MitraClip
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20 min
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R. Hahn,
N. Wunderlich,
R. S. von Bardeleben
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4. Hands-on on MitraClip simulation software
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20 min
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F. Tanner
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5. Step by Step guidance for Cardioband
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20 min
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M. Zuber
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6. Hands-on Cardioband echo-simulator
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20 min
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M. Zuber
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Chair: D. Bettex
Faculty: F. Buddeberg, T. Horisberger
Room U13
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Target
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Anesthesiologist
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Intensivist
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Echocardiographist
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Interventional cardiologist
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Cardiac surgeon
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Objective
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To understand hemodynamics after mitral valve interventions
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To improve perioperative decision-making
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Trainers
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D. Bettex
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F. Buddeberg
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T. Horisberger
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Topics
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Hemodynamics of the poor LV function – MitralClip versus MVR
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Monitoring and management during Mitral interventions
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Intraoperative TOE – Mitral valve repair (Cases discussion)
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Associated complications
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Case presentation
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Program |
Duration |
Trainer |
1. Anesthetic management of Mitral interventions
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30 min
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F. Buddeberg
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2. Perioperative complications of Mitral interventions: lecture and case discussion
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30 min
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T. Horisberger
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3. MVR and SAM: lecture and case discussion
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30 min
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F. Buddeberg
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4. Intraoperative TEE and the mitral valve: case discussion
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30 min
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D. Bettex
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Chair: S. Benussi, Chitwood
Faculty: O. Alfieri, S. Demertzis, G. Fontana, M. Glauber, M. J. Mack, D. Reser, H. Vanermen, P. Vogt
Room A11
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Radiologists
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Heart failure specialists
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Cardiac Anesthesiologists
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Objective
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Wet-lab demonstration of surgical techniques
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One-to-one interaction with the expert
in collaboration with HeartLAB for the HEART-TEAM
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Trainers
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O. Alfieri
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R. Chitwood
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S. Demertzis
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G. Fontana
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M. Glauber
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M. Mack
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D. Reser
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H. Vanermen
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P. Vogt
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Topics
Wet lab demonstration of
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Quadrangular resection
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Edge to edge Alfieri repair
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Chordal replacement
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Annuloplasty
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Replacement
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MIC training module
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Program
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Duration
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Trainer
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Introduction and key objectives
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5 min
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R. Chitwood
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STEP 1: Approach the Mitral Valve: Access, Exposure, Cardiac protection [Lecture and Demonstration on dummy]
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10 min
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D. Reser
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STEP 2: Mitral Valve Analysis: Implications for repair strategy
[Lecture, Demonstration and Hands-on]
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20 min
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O. Alfieri
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STEP 3: Leaflet resection techniques (quadrangular, triangular, sliding)
[Lecture, Demonstration and Hands-on]
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20 min
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O. Alfieri, P. Vogt
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STEP 4: 5 rules for minimally invasive mitral valve repair
[Lecture and Demonstraton]
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20 min
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H. Vanermen
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STEP 5: Chordal techniques [Lecture, Demonstration and Hands-on]
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20 min
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R. Chitwood,
S. Demertzis,
M. J. Mack
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STEP 6: Ring, Sutures and Prosthesis: modern surgeon toolbox
[Lecture, Demonstration and Hands-on]
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25 min
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M. Glauber,
G. Fontana
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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
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Radiologists
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Heart failure specialists
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Cardiac Anesthesiologists
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Objective
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Wet-lab demonstration of surgical techniques
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One-to-one interaction with the expert
in collaboration with HeartLAB for the HEART-TEAM
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Trainers
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4Tech
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E. Agricola
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P. Denti
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M. Enriquez-Sarano
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F. Grigioni
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R. Hahn
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A. Latib
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Mitralign
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G. Nickenig
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J. Schofer
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M. Taramasso
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H. Vanermen
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J. G. Webb
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Topics
Wet lab demonstration of
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Anatomy of the tricusp
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Tricuspid valve surgical repair techniques
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Novel transcatether therapies on Simulators
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Program |
Duration |
Trainer |
1. Introduction and key objectives
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5 min
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M. Taramasso
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2. The Forgotten valve: epidemiology, prognostic impact and clinical presentation of TR
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15 min
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M. Enriquez-Sarano,
F. Grigioni
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3. Imaging of the tricuspid valve
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15 min
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E. Agricola, R. Hahn
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4.4Tech state of the art
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7 min
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P. Denti, A. Latib
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5. Edwards program on FTR
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7 min
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J. G. Webb
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6. MitraClip on Tricuspid
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7 min
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P. Denti,
G. Nickenig
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7. Mitralign state of the art
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9 min
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J. Schofer, A. Latib
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8. Mitralign Wet Lab procedural demonstration
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15 min
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Mitralign
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9. 4Tech tecnology bench simulation
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15 min
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4Tech
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10. Hands-on Percutaneous Techniques – Wet lab tricuspid annuloplasty hands-on
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25 min
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H. Vanermen,
P. Denti,
M. Taramasso
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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
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Target
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Cardiologists
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Cardiac surgeons
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Interventional cardiologists
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Radiologists
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Heart failure specialists
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Cardiac Anesthesiologists
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Objective
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To understand the basics and the cycle of innovation
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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
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Topics
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Innovation: from the idea to the product
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Intellectual property
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Design and prototyping
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Animal models and Preclinical trial design
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Funding your idea
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Basics of market development and commercialization
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Program |
Duration |
Speaker |
Chair
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L. von Segesser,
E. Grube
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1. Inventions vs innovations: the cycle of sustainable cardiovascular innovation
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10 min
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F. Maisano
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2. A real-world mitral story from Israel: Valtech from scratch to sales
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10 min
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A. Gross
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3. A real-world aortic story from Switzerland: Symetis from scratch to sales
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10 min
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J. Essinger
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4. Finding an Engineer who helps the kickstart (prototyping, planning)
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10 min
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T. Reich
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5. How and when to protect an idea (Intellectual property)
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10 min
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W. Henggeler
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6. Group activities (build your start-up)
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20 min
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Participants
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7. Funding an idea: angels, banks, venture capital, strategics
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20 min
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R. Geoffrion
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8. Crowdfunding your ideas: we need to think out of the box
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10 min
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J. Zmudczynski
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9. The start-up I would like to buy …
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10 min
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R. Robb
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10. The value of innovation: a view point from Wall street
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10 min
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L. Biegelsen
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11. Panel and wrap up
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L. von Segesser,
E. Grube
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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)
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Join the Lunch Symposium "3D Imaging and Simulations – The future is now" from 11:15 to 12:00
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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
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11:15 – 11:25
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3D Medical virtuality Reality – a new view to anatomy
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Dr. Marc Lausberg, MBA – PS-medtech
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11:25 – 11:35
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The future is now – physics-based simulation opens new gates in the medical world
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Matthieu De Beule – FE OPS
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11:35 – 11:45
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The living heart project – An initiative to transform medcial care through realsitic simulation
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Marco Stevanella – 3DS
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11:45 – 11:55
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3D Holographic Imaging : The entry to a new world of medical perspectives
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Elchanan Bruckheimer, MBBS – Realview
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11:55 – 12:00
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Discussion |
Coffee break - Guest speech
Room A16
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14:00 – 14:10
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3D Medical virtuality Reality – a new view to anatomy
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Manuel Schaffner, ETH
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