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Course Information

Agenda

Friday, September 22, 2023
All times in Eastern Time

8:00 am
Welcome and Introduction
Activity Directors

Session I: Inside the Aorta
Moderator: Sagar Kalahasti, MD and David Murdock, MD

8:05 am
Proximal Aortic (Valve, Root, Ascending) Morphology and Development Impacts Pathology
Justin Tretter, MD
8:15 am
Pathophysiology and Etiology of Dissection
Carmela Tan, MD
8:25 am
Updates from the Lab on Pathophysiology of Aortopathy
Suneel Apte, PhD
8:35 am
Potential Applications of Advanced Cardiovascular Imaging for Aortic Care
Christopher Nguyen, PhD

Session II: What Happened Before?
Moderator: Deirdre Mattina, MD and Sara Thorne, MD

8:45 am
Connective Tissue Disorders and Risk of Dissection: Which genetic variants require unique recommendations? [earlier intervention, more extensive workup or repair, etc?]
David Murdock, MD
8:55 am
Clinical Genetic Care and Screening Family Members with Bloodwork at CCF’s Aorta Center
Christine Rigelsky, MS
9:05 am
What can we do to slow progress in the genetically vulnerable patient?
Kenneth Zahka, MD
9:15 am
How do we counsel at risk patients contemplating pregnancy?
Sara Thorne, MD
9:25 am
LIVE-IN-A-BOX Video Presentation – David Procedure in Young Patient
Juan P. Umana, MD
9:35 pm
Break

Session III: The Moment of Reckoning
Moderator: Venu Menon, MD and Siddharth Prakash, MD

9:45 am
ThinkAorta, Ritter Rules and Educating Teams in the ED
Brian Baskin, MD
9:55 am
Critical Care Transport Teams: Creating an Autolaunch™ Program
Abigail Brown, DNP, MBA, ACNP
10:05 am
Expediting Care: Ins & Outs of Virtual Image Sharing
Paul Schoenhagen, MD

Session IV: When the Patient Arrives
Moderators: Christine Jellis, MD, PhD and Sean Crawford, MD

10:15 am
Creating a Cardio-Aortic Triage Unit: Bringing the Team Together
Venu Menon MD
10:25 am
The Economics of Intensive Care: Primer from a PharmD
Michael Militello, PharmD, RPh,BCPS
10:35 am
The Evolving Specialty of Cardiovascular Intensive Care
Ran Lee, MD
10:45 am
Refining order sets, acquisition protocols and reporting templates
Michael Bolen, MD
10:55 am
Why don't we have a biomarker in acute aortic dissection?
Jennifer Chung, MD
11:05 am
Role of Bedside Echocardiography in Acute Aortic Syndrome
Jay Ramchand, MD, PhD
11:15 am
Evolving Understanding of IMH, Differentiating it from Dissection, and Does it Matter?
Alan Braverman, MD
11:25 am
Break / Lunch

Session VI: Prepping the Field: Insights from the Ground Crew
Moderator: Lee Kirksey, MD and Aleem Mirza, MD

11:55 am
Mobilizing the OR Team: Being available for emergencies cross training OR nursing teams for vascular, cardiac, and transcatheter procedures
Kim Karl and Iliana Santiago, MSN, RN
12:05 pm
Developing a Dedicated Vascular Radiology Tech Team and Equipment Supply
Bryan Kolar, RT (R)(VI)
12:15 pm
Building the Modern Hybrid OR
Aleem Mirza, MD
12:25 pm
Consideration during diagnostic catheterization in patients with complex thoracic aortic disease
Grant Reed, MD
12:35 pm
What do we need study from a patient’s & patient’s family perspective?
Catherine Fowler, Meredith Ford O’Neal, Adam Haniff, MD
12:55 pm
Panel Discussion: Increasing #AorticAwareness – Creating Online Presence for Patient & Provider Education
Aortic Dissection Collaborative, John Ritter Foundation for Aortic Health, The Marfan Foundation
1:20 pm
The Impact Over 20 Years
Amy Yasbeck Ritter
1:30 pm
Break

Session VII: Treating Acute Ascending Dissection
Moderator: Faisal Bakaeen, MD and Puja Kachroo, MD

Starter
1:40 pm
Patient is S/P CABG and Arrives at Midnight Operate now vs operate in the AM, do we cath first …
Anthony Estrera, MD
1:50 pm
Iatrogenic Dissection Post Cath and TAVR
Amar Krishnaswamy, MD
2:00 pm
Cannulation Strategy: Type A Presents with Brain Malperfusion
Marijan Koprivanac, MD
2:20 pm
Prepping the OR for Rapid Induction & Possible Instability, CT Anesthesia Consideration
Marta Kelava, MD
2:30 pm
Type A Presents with Limb and/or Mesenteric Malperfusion, Timing and Strategy
Xiaoying Lou, MD
Middle Relief
2:40 pm
Limited vs Extended Repair for Type A – when and how
Maral Ouzounian, MD
2:50 pm
Managing the Aortic Root, When to Resuspend, When to Replace and Biologic vs Mechanical
Anthony Estrera, MD
3:00 pm
Concomitant CABG: Risk and Impact
Faisal Bakaeen, MD
3:10 pm
Break

Session VII (continued): Treating Acute Ascending Dissection
Moderator: Tony Estrera and Ed Soltesz

Closer
3:20 pm
Post Pump Ventricular Dysfunction: How common is it and what’s the role for MCS?
Edward Soltesz, MD, MPH
3:40 pm
Intraoperative Coagulopathy: What’s the best strategy?
Oscar Tovar Camargo, MD
Extra-Innings
3:50 pm
The Role for Ascending Stent Grafting in Acute Ascending Dissection
Patrick Vargo, MD
4:00 pm
Post-op Considerations in the ICU: Rewarming, Neuro Assessment, Vent Management, Renal Assessment, and Managing Pain
Penelope Rampersad, MD
4:10 pm
Closing Comments
4:15 pm
Adjourn Day 1

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Saturday, September 23, 2023
All times in Eastern Time

Session VIII: Treating Acute Distal / Type B Dissection
Moderator: Francis Caputo, MD and Luis Sanchez, MD

Hyperacute and Acute Phase (symptomatic)
9:20 am
Acute Dissection with Descending Rupture (8 minute presentations and 2 minute discussion)

  • TEVAR is Best
    Ali Khalifeh, MD
  • Open Repair Still has a Role
    Puja Kachroo, MD

9:30 am
Endo Options for Mesenteric and limb Ischemia
Sean Crawford, MD
10:35 am
Should we consider early FET for Type B too?
Adam Daly, MD
SubAcute Phase
10:45 am
Medical Tx: What should that first follow-up visit include? When, who to see and what testing?
Sagar Kalahasti, MD
10:55 am
Early TEVAR: Clinically Stable Type B Dissection, Rationale for Subacute TEVAR
Ravi Ambani, MD
11:05 am
If TEVAR, do we cover the whole thoracic aorta or cover the tear plus bare stenting?
Luis Sanchez, MD
11:15 am
Managing the Spinal Cord Risk: Drains, perfusion pressure, role for adjuncts?
Sean Crawford, MD
11:25 am
Break / Lunch
11:55 am
Fireside Chat: History of Thoracic Aortic Surgery in Cleveland and the US
Keynote: Bruce W. Lytle, MD Moderator: Eric E. Roselli, MD

Session IX: We Survived to the Chronic Phase - Now What?
Moderator: Milind Desai, MD and Alan Braverman, MD

12:40 pm
Risk of PTSD and Acute Heart Disease: Are dissection patients at risk? How do we screen them?
Karen Hurley, PhD
12:50 pm
What is the fate of the untreated aorta – Lifelong Imaging Follow-up and what about family members?
Siddarth Prakash, MD
1:00 pm
What we know and don’t know about strenuous activity and risk
Tamanna Singh, MD
1:10 pm
When is it time to operate (again)? Should we lower the size threshold in dissection? And how much growth is too rapid?
Sagar Kalahasti, MD
1:20 pm
What is the best anti-hypertensive regimen in the chronic phase?
Pulkit Chaudhury, MD
1:30 pm
How can improved understanding of biomechanics guide our treatment decisions?
Jennifer Chung

Session XI: World Series of Operative Decision Making
Moderators: Eric E. Roselli, MD and Maral Ouzounian, MD

1:40 pm
Residual Type A with Arch Dissection and Descending Aneurysm: Best treatment is:
  1. Redo Sternotomy and Frozen Elephant Trunk Followed by TEVAR
    Eric Roselli, MD
  2. Total Endo with a single or multiple Branched Arch Device
    Luis Sanchez, MD
2:00 pm
Type B Dissection with Descending Aneurysm

  • TEVAR with Carotid-Subclavian Bypass vs Branched device (TBE)
    David Laczynski, MD
  • Role for TEVAR Extension with Bare Stenting and False Lumen Adjuncts Patrick Vargo, MD
2:20 pm
Type B Dissection with Thoracoabdominal Aneurysm
  1. Segmental artery embolization: why, how, and outcomes
    Kong Teng Tan, MD
  2. Endo TEVAR Extension with Branched Device
    Aleem Mirza, MD
  3. Ultra Hybrid Open Completion Repair
    Francis Caputo, MD
2:50 pm
Closing Comments
3:00 pm
Adjourn

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NON-CME Satellite
Saturday, September 23, 2023
All times in Eastern Time

7:30 am
Device Pipeline Presentations and Panel Discussion (Non-CME)
Introduction by Moderators: Eric E. Roselli, MD and Nicole Byram

  • 7:35am - Artivion: Candace Howell
  • 7:45am - Cook Medical: Jarin Kratzberg
  • 7:55am - Medtronic: Dustin Thompson
  • 8:05am - Terumo Aortic: Scott Rush
  • 8:15am - W. L. Gore: Olsen Horton


8:25 am
Break
9:15 am
Welcome and Introduction
Activity Directors

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