Live Case Symposium of Coronary & Vascular Cases


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Live Case Symposium of Coronary & Vascular Cases

  1. 1. FINA L BR15TH ANNUAL OCH URE LIVE SYMPOSIUM OF COMPLEX JUNE 13-16, 2012 CORONARY & VASCULAR New York, New York CASES FELLOWS REGISTRATION FEES WAIVED! • Complex Coronary Intervention Unprotected Left Main, Calcified, Bifurcation, and Chronic Total Occlusion • Endovascular Intervention Iliac, Femoral, Renal and Carotid • Structural Heart Disease Intervention Valvuloplasty, Percutaneous Valve Replacement, Septal Ablation, PFO/ASD ClosureCORONARY SYMPOSIUM DIRECTORSSamin K. Sharma, MD , FACC, FSCAIAnnapoorna S. Kini, MD, MRCP, FACCCORONARY SYMPOSIUM CO-DIRECTORSPedro Moreno, MD, FACCMichael C. Kim, MD, FACCGeorge Dangas, MD, PhD, FACC, FSCAIRoxana Mehran, MD, FACC, FSCAIRobert Pyo, MDVASCULAR SYMPOSIUM DIRECTORPrakash Krishnan, MD, FACCVASCULAR SYMPOSIUM CO-DIRECTORSJ. Michael Bacharach, MD, FACC, FSCAIPeter L. Faries, MDJose Wiley, MD, FACC, FSCAINURSE / TECHNOLOGISTSYMPOSIUM DIRECTORSRobin Krinsky, RN-BC, CCRNAntonietta Tolentino, ANP-C To Register and Obtain Additional Symposium Details Visit www.cccsymposium.orgPresented by The Zena and Michael A. Wiener Cardiovascular Institute and the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health of Mount Sinai School of Medicine Sponsored by The Page and William Black Post-Graduate School of Medicine of Mount Sinai School of Medicine
  2. 2. Dear Colleague,We would like to welcome you to the Fifteenth Annual 2012Live Symposium of Complex Coronary and Vascular CasesThe field of Interventional Cardiology and Endovascular Interventions continues to evolve, with the rapid growth of available established andnew technology supplemented constantly by the results of the latest randomized trials and registries. As practicing interventionalists, we mustcontinually make changes to appropriately treat coronary, valvular, and peripheral vascular disease based on the available devices, therapy andtrial results. Recently the appropriateness of revascularization; medical therapies, PCI or CABG for any given patient has become the area of intensescrutiny. Hence, we need to participate in continuing educational activities to remain current. The issue of experience and cost-effectiveness of anew technology or technique always needs to be weighed against the established practices, before making any decision in our daily practice. That is exactly what we plan to achieve at our Complex Coronary and Vascular Cases Symposium; to present concise and current importantinformation that will update you on the latest techniques and technologies and help clarify areas of diagnostic and therapeutic controversy. Weplan to present the interventional format consistent with the guidelines for appropriateness of coronary revascularization. To further expand thefield of endovascular specialty, we have continued to have a dedicated one-day vascular symposium on June 15th, format of which will be similar tothe coronary symposium with live cases and didactic discussion.The primary focus of this course is to present a multi-device approach to complex revascularization of patients with complex coronary andcardiovascular disease. Various novel interventional devices such as transcatheter aortic-valve implantation and renal artery denervation, andnewer techniques such as retrograde CTO recanalization and dedicated bifurcation stenting will be demonstrated using live case presentations asplatform for discussion by the operators, panelists and audience. The program is complemented by unbiased commentary of live cases by world-renowned experts and discussions intended to bring out general consensus regarding the most effective appropriate strategy that you can applyimmediately in your practice.In addition, the course will present updates on the common topics of controversy wefrequently encounter in the field of interventional cardiovascular medicine. Theseupdates will supplement the live cases with an up-to-date, comprehensive review ofthe most important and controversial topics of the current year.We are committed to offer the 2012 Live Symposium as a platform for continuedinnovation in interventional cardiovascular medicine with the main interest ofachieving safe procedural outcomes and strong emphasis on the appropriateness of therevascularization choice.We look forward to seeing you at this year’s Symposium!Sincerely,Samin K. Sharma, MD, FACC, FSCAI Annapoorna S. Kini, MD, MRCP, FACC Prakash Krishnan, MD, FACCCoronary Course Director Coronary Course Director Vascular Course Director2
  3. 3. Symposium OverviewThe primary focus of this course is to present a multidevice approach to revascularizationof patients with complex coronary and cardiovascular disease. The role of physiological andanatomical assessment using fractional flow reserve (FFR), IVUS and newer imaging techniquesof near infrared spectroscopy (LipiScan) and Optical Coherence Tomography (OCT), in guidinginterventions will be highlighted. Various novel interventional devices and techniques suchas distal protection device, septal ablation, valvuloplasty, percutaneous valve replacement,thrombectomy, and complex peripheral vascular intervention will be emphasized. Technicalissues regarding treatment of emerging problems such as unprotected left main disease, DESrestenosis, bifurcation lesions, total occlusions, thrombotic lesions, carotid and peripherallesions, and adjunct pharmacotherapy will be emphasized by the faculty using live casepresentations as platforms for discussion.Appropriateness of a revascularization choice and evidence-based practice guidelineswill be discussed while simple and complex live cases are performed. Within the live caseformat, current topics will be presented to provide interventional cardiologists and vascularinterventionalists with state-of-the-art information for managing patients as the dynamic field of interventional cardiology and vascular intervention continues toevolve. Through discussion and viewing of live cases, we expect to emphasize the long-term role of interventional cardiology in managing particular lesion subsets.TARGET AUDIENCEThis course is specifically designed for:• Interventional Cardiologists who manage patients with complex, challenging anatomy for revascularization• Interventional Radiologists and Vascular Surgeons• Cardiology Fellows with an interest in Interventional Cardiology• Nurses, Technicians, and other Allied Health Care Professionals who work in Cardiac Catheterization and Vascular LaboratoriesEDUCATIONAL OBJECTIVESThe overall goal of this program is to enhance knowledge and improve understanding of various interventional techniques and devices with management ofvarious cardiac disease states.Upon completion of this program, participant should be able to:• Compare and contrast the use of appropriate devices to facilitate stent delivery and expansion in complex cases.• Assess the plan for the best interventional strategy and adjust therapy by the data provided during live case discussion and presentations.• Apply case selection and choose the appropriate interventional devices for peripheral vascular disease.• Identify and select the appropriate techniques for treatment of structural heart disease.• Demonstrate the revascularizations/Percutaneous Coronary Interventions and CABG for patients with advanced coronary artery disease.ACCREDITATIONThe Mount Sinai School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.CREDIT DESIGNATIONThe Mount Sinai School of Medicine designates this live activity for a maximum of 16.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.Credits apply to June 14-15, 2012 (Coronary Symposium and Vascular Symposium).VERIFICATION OF ATTENDANCEVerification of attendance will be provided to all professionals.SPECIAL NEEDSThe Mount Sinai School of Medicine is in full compliance with provisions of the Americans with Disabilities Act (ADA) and is accessible for individuals with specialneeds. If you would like to attend this conference and require any special needs or accommodations, please contact the Page and William Black Post-GraduateSchool of Medicine at 212-731-7950.FACULTY DISCLOSUREIt is the policy of MSSM to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME sponsored educational activities. All facultyparticipating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assistin resolving any conflict of interest that may arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussionsof unlabeled or unapproved drugs or devices. This information will be available as part of the course materials. 3
  4. 4. 2012 FacultyCORONARY SYMPOSIUM DIRECTORS Roxana Mehran, MD, FACC, FESC, FSCAI CORONARY SYMPOSIUMSamin K. Sharma, MD, FACC, FSCAI Professor of Medicine GUEST FACULTY Director of Interventional CardiovascularDirector, Clinical Interventional Cardiology Research and Clinical Trials Unit Vinay K. Bahl, MDPresident, Mount Sinai Heart Network The Mount Sinai Medical Center Professor Head, Department of CardiologyDean, International Clinical Affiliations New York, New York All India Institute of Medical Sciences New Delhi, IndiaZena Michael A. Wiener Professor of Medicine Robert Pyo, MDThe Mount Sinai Medical Center Assistant Professor of Cardiology Harinder K. Bali, MDNew York, New York Director of Cardiology The Mount Sinai Medical Center Fortis Hospital New York, New YorkAnnapoorna S. Kini, MD, MRCP, FACC Mohali, IndiaProfessor of Medicine MOUNT SINAI FACULTY: CORONARY Antonio Colombo, MD, FACC, FSCAIDirector, Cardiac Catheterization Laboratory Valentin Fuster, MD, PhD, MACC Director, Cardiac Catheterization LaboratoryDirector, Interventional Fellowship Program Director, Mount Sinai Heart EMO GVM Centro Cuore Columbus and San Raffaele HospitalThe Mount Sinai Medical Center Physician in Chief Milan, ItalyNew York, New York Professor of Medicine, Cardiology Carlo Di Mario, MD, PhD, FACC, FSCAI Jeffrey Bander, MD Professor of Clinical Cardiology Assistant Professor of Medicine, Cardiology Royal Brompton HospitalCORONARY SYMPOSIUM Usman Baber, MD London, United KingdomCO-DIRECTORS Assistant Professor of Medicine, Cardiology D. S. Gambhir, MD, FACC, FSCAIPedro Moreno, MD, FACC George Fernaine, MD, FACC, FSCAI DirectorProfessor of Medicine, Cardiology Assistant Clinical Professor of Medicine, Cardiology Kailash Hospital Heart InstituteDirector, Translational Research, Cardiac Cath Lab Noida Delhi, India Jason Kovacic, MD, PhD, FSCAIThe Mount Sinai Medical Center Assistant Professor of Medicine B K Goyal, MD, FSCAINew York, New York Director, Interventional Cardiology Atul M. Limaye, MD, MRCP Bombay Hospital and Medical ResearchMichael C. Kim, MD, FACC Assistant Professor of Medicine, Cardiology Mumbai, IndiaAssistant Professor of Medicine, Cardiology Barry A. Love, MD James B. Hermiller, MD, FACC, FSCAIDirector, Coronary Care Unit Assistant Professor of Pediatrics Director of Interventional CardiologyThe Mount Sinai Medical Center Director, Pediatric Cardiac Catheterization St. Vincent Heart Center of IndianaNew York, New York Indianapolis, Indiana Sameet Palkhiwala, MD, FACC Assistant Clinical Professor Samir Kapadia, MD, FACC, FSCAIGeorge Dangas, MD, PhD, FACC, FSCAI Director, Sones Cardiac Cath LabsProfessor of Medicine, Cardiology Javed Suleman, MD, FACC, FSCAI Cleveland ClinicDirector, Cardiovascular Innovation Associate Clinical Professor Cleveland, OhioThe Mount Sinai Medical Center Joseph M. Sweeny, MD Saibal Kar, MD, FACC, FSCAINew York, New York Assistant Professor of Medicine, Cardiology Director, Interventional Cardiac Research Cedars-Sinai Medical Center Los Angeles, California John M. Lasala, MD, PhD, FACC, FSCAI Director Interventional Cardiology Washington University School of Medicine St. Louis, Missouri Raj Makkar, MD, FACC, FSCAI Director, Interventional Cardiology and Cardiac Catheterization Laboratory Cedars-Sinai Medical Center Los Angeles, California Sameer Mehta, MD, MBA, FACC Voluntary Associate Professor of Medicine University of Miami Miami, Florida Gary S. Mintz, MD, FACC Chief Medical Officer Cardiovascular Research Foundation New York, New York4
  5. 5. 2012 FacultyDB Pahlajani, MD VASCULAR SYMPOSIUM DIRECTORSenior Physician Prakash Krishnan, MD, FACCNanavati Hospital Director, Endovascular InterventionMumbai, India Assistant Professor of MedicineAugusto D. Pichard, MD, FACC, FSCAI The Mount Sinai Medical CenterDirector, Cardiac Catheterization Laboratory New York, New YorkWashington Hospital CenterWashington, DC Andrey Espinoza, MD, FACC, FSCAI Medical Director, Cardiac Cath LabJeffrey J. Popma, MD, FACC, FSCAI VASCULAR SYMPOSIUM Hunterdon Medical CenterDirector, Interventional Cardiology Clinical Services CO-DIRECTORS Flemington, New JerseyBeth Israel Deaconess Medical Center J. Michael Bacharach, MD, FACC, FSCAI Christopher L. Gade, MD, FACC, FSCAIBoston, Massachusetts Section Head, Vascular Medicine and Assistant Professor of Medicine, CardiologyCharanjit S. Rihal, MD, MBA, FACC, FSCAI Peripheral Vascular Intervention Weill Cornell Medical College / New York PresbyterianChair, Division of Cardiovascular Disease North Central Heart Institute New York, New YorkMayo Clinic Sioux Falls, South Dakota Daniel H. Gruenstein, MD, FSCAIRochester, Minnesota Peter L. Faries, MD Director of Pediatric Interventional CardiologyAlfredo E. Rodriguez, MD, PhD, FACC, FSCAI Chief of Vascular Surgery University of Minnesota AmplatzHead Director, Cardiac Unit The Mount Sinai Medical Center Children’s HospitalCardiovascular Research Center New York, New York Minneapolis, MinnesotaBuenos Aires, Argentina Amir Kaki, MD, FACC, FSCAI Jose Wiley, MD, FACC, FSCAIMathew Samuel K, MD, FACC, FSCAI Assistant Professor of Medicine and Radiology Assistant Professor of Medicine, CardiologyDirector, Cardiac Catheterization Lab Weill Cornell Medical College / New York Presbyterian The Mount Sinai Medical Center New York, New YorkApollo Hospitals New York, New YorkChennai, India James F. McKinsey, MD, FACSSatyavan Sharma, MD, FACC, FSCAI MOUNT SINAI FACULTY: VASCULAR Chief, Division of Vascular Surgery andProfessor and Head of Cardiology Endovascular Intervention Daniel Soffer, MD, FACC, FSCAIBombay Hospital and Medical Research Centre NY Presbyterian Hospital / Columbia University Assistant Professor of MedicineMumbai, India New York, New YorkGregg W. Stone, MD, FACC, FSCAI Robert Lookstein, MD Peter L. Smith, MDProfessor of Medicine, Associate Professor of Radiology and Surgery Director, The Vascular InstituteColumbia University Medical Center Bayonne Medical CenterDirector of Cardiovascular Research Foundation Vivek Reddy, MD Bayonne, New JerseyNew York, New York Professor of Cardiology Michael J. Trepal, DPM, FACFASPaul S. Teirstein, MD, FACC, FSCAI VP for Academic Affairs and Dean Stanley Tuhrim, MDDirector of Interventional Cardiology New York College of Podiatric Medicine Professor, NeurologyScripps Clinic New York, New YorkLaJolla, California Jonathan A. Winston, MD Craig M. Walker, MD, FACCRon Waksman, MD, FACC, FSCAI Professor, Nephrology Interventional CardiologistAssociate Director, Division of Cardiology Cardiovascular Institute of the SouthWashington Hospital Center VASCULAR SYMPOSIUM Houma, LouisianaWashington, DC GUEST FACULTY Mark H. Wholey, MD, FSCAISudhir Vaishnav, MD Anvar Babaev, MD, PhD, FSCAI Director, Peripheral Vascular InterventionsInterventional Cardiologist Director, Peripheral Intervention University of Pittsburgh Medical Center ShadysideLilavati Hospital and Research Centre New York University Medical Center Pittsburgh, PennsylvaniaMumbai, India New York, New York Mark W. Burket, MD, FACC, FSCAI NURSE / TECHNOLOGIST Director of Vascular Medicine SYMPOSIUM DIRECTORS University of Toledo Medical Center Robin Krinsky, RN-BC, CCRN Toledo, Ohio Nurse Educator/Clinician The Mount Sinai Medical Center Tyrone J. Collins, MD, FACC, FSCAI New York, New York Director, Cardiac Catheterization Laboratory Antonietta Tolentino, ANP-C Ochsner Medical Center Adult Nurse Practitioner New Orleans, Louisiana The Mount Sinai Medical Center New York, New York 5
  6. 6. Special Events / Industry Workshop *All workshops are not CME AccreditedWednesday, June 13th (Workshops to be held at the Sheraton NY Hotel and Towers)Complex Cardiovascular Topics*7:00 p.m. Registration / Cocktails, Buffet Dinner Sheraton NY Hotel and Towers7:30 p.m. Emerging Stent Design and Coatings: Absorb Trial Pedro Moreno, MD7:50 p.m. Chronic Total Occlusions Recanalization: Expert CTO Trial Annapoorna S. Kini, MD8:10 p.m. Unprotected Left Main Intervention: EXCEL Trial Samin K. Sharma, MD8:30 p.m. DAPT Interruption Post DES: Xience V Meta Analysis Michael C. Kim, MD To register for the Wednesday Evening Symposium8:50 p.m. Carotid Stenting: CHOICE Trial or the Saturday Workshops, please complete and Prakash Krishnan, MD return the Registration Form, or Register Online at:9:10 p.m. Panel Discussion www.cccsymposium.org9:30 p.m. ConclusionSaturday, June 16th Cardiovascular Case Discussion*Interventional Board Review 2012* India Breakout Session 1:00 p.m. – 5:00 p.m.8:00 a.m. – 12:00 p.m. Sheraton NY Hotel and TowersSheraton NY Hotel and Towers This course is designed to update Interventional Cardiologists on how toThis course is designed to prepare interventional cardiologists and fellows for choose the appropriate revascularization methods based on physiologicthe Interventional Board by providing the updated practical clinical aspect of imaging and angiography; deciding whether to intervene or not intervene.various interventional subjects. Most of the education will be performed as The attendee will also be able to formulate evidence-based and state-of-multiple choice QA, with explanations for the correct choice as well as short the-art interventional strategies during these presentations. An expertcase presentations and discussion. Key findings of randomized trials will be faculty will present key findings of selected appropriate devices andpresented in the simple QA format. An expert faculty has been selected to techniques for stent delivery and expansion inpatients with complex cases.deliver state-of-the-art, in depth discussion of the subject. “Taking On The Tough Ones”8:00 a.m. Vascular Biology and Atherosclerosis 1:00 p.m. CAD Burden in the South Asian Population Pedro Moreno, MD Jagat Narula, MD8:30 a.m. Antiplatelet and Antithrombotic Therapy 1:20 p.m. Overview of Interventional Cardiology 2012 George Dangas, MD, PhD Samin K. Sharma, MD9:00 a.m. Vascular Access and VCD 1:45 p.m. BREAK Michael C. Kim, MD 2:00 p.m. – 4:00 p.m.9:30 a.m. Important Tips in Peripheral Arterial Disease “Disease State Overview Complex Case Presentations” Prakash Krishnan, MD Complex Coronary Cases..............Samin K. Sharma, MD, DB Pahlajani, MD Panel Case Presentations: Sumeet Sethi, MD, Anand Srinivas, MD10:00 a.m. BREAK Chronic Total Occlusions Cases...........................Annapoorna S. Kini, MD10:10 a.m. Coronary Anatomy and Physiology Panel Case Presentations: Sharad Chandra, MD, Lingaraj Nath, MD Annapoorna S. Kini, MD Bifurcation Cases...........................................................D.S. Gambhir, MD10:40 a.m. IVUS; Interpretation in Day-to-Day Practice Panel Case Presentations: Satya Gupta, MD, Uthaya Kumaran Kalaichevan, MD, Tony J. De Martini, MD Sudhir Vaishnav, MD11:10 a.m. Interventional Devices and Trials; Q A Left Main Intervention.............................................Harinder K. Bali, MD Samin K. Sharma, MD Panel Case Presentations: Pakshirajan Balaji, MD , Rajneesh Jain, MD, Bhaskar Rao, MD 4:00 p.m. – 5:00 p.m.12:00 p.m. LUNCH Managing Complications: Case Review Panel Discussion6
  7. 7. Agenda | Nurse/Technologist SymposiumWednesday, June 13th8:00 a.m. Registration / Continental Breakfast Mount Sinai Hospital, Stern Auditorium8:30 a.m. Welcome Address / Program Overview Robin Krinsky, RN-BC, MSN, CCRN8:45 a.m. Top Ten Advances of Interventional Cardiology 2011 Samin K. Sharma, MD9:15 a.m. PCI: A Look Back...A Look Ahead Antonietta Tolentino, ANP-C9:35 a.m. Multi-Modality Imaging During PCI Pedro Moreno, MD10:00 a.m. BREAK / VISIT EXHIBITS10:15 a.m. State of Peripheral Intervention Prakash Krishnan, MD10:40 a.m. Status of Radial Intervention in the USA Robin Krinsky, RN-BC, MSN, CCRN11:00 a.m. Role of Cardiac Rehabilitation Post MI/ PCI Maryann McLaughlin, MD11:25 a.m. Aggressive Risk-Factor Modification Post PCI Peggy O’Boyle, NP11:45 a.m. LUNCH AND TOUR OF THE CATH LAB1:15 p.m. STEMI Update 2012 Annapoorna S. Kini, MD1:35 p.m. Highlights in Transcatheter Aortic Valve Replacement Melissa Mattimore, ANP-BC1:55 p.m. LV Assist Devices: Emerging Role Sean Pinney, MD2:15 p.m. New Developments in Antithrombotic Therapy Tanya Sullivan, NP2:35 p.m. BREAK / VISIT EXHIBITS2:50 p.m. Pathology in Hemodynamic Recordings Michael C. Kim, MD3:05 p.m. Bridging Evidence in Interventional Cardiology Roxana Mehran, MD3:20 p.m. Prevention of Contrast Nephropathy Surekha Patel, ANP-C3:40 p.m. Radiation Safety: Avoiding Hazards of the Beam Javier Hernandez, RT (R)4:00 p.m. Closing Remarks/Conclusion/Awarding of Contact Hours Antonietta Tolentino, ANP-C4:30 p.m. WINE CHEESE RECEPTION IN EXHIBIT HALL 6.0 CEU’s will be provided for registered Nurses and Cardiovascular Professionals 7
  8. 8. Agenda | Coronary SymposiumWednesday, June 13th6:00 p.m. – PRE-REGISTRATION8:00 p.m. Sheraton NY Hotel Towers, Lower LobbyThursday, June 14th7:00 a.m. Registration / Continental Breakfast Mount Sinai Hospital, Stern Auditorium7:40 a.m. Welcome: Introduction – Top Ten Advances of Interventional Cardiology 2011 Samin K. Sharma, MD8:15 a.m. Welcome: Lessons Learned From HRP Study 2012 Valentin Fuster, MD, PhD8:45 a.m. Live Case Presentations #1, #2 and #3: Bifurcation and Calcified Lesions Moderator: George Dangas, MD, PhD Panelists: Antonio Colombo, MD, Raj Makkar, MD, Gary S. Mintz, MD, Augusto D. Pichard, MD, Alfredo E. Rodriguez, MD, Mathew Samuel K, MD10:20 a.m. DEBATE #1: DES Controversy Everolimus Eluting Stent is the Best................................................James B. Hermiller, MD Zotarolimus Eluting Stent is the Best..........................................Alfredo E. Rodriguez, MD Newer DES BVS Will Prevail............................................................Mathew Samuel K, MD BMS Will Prevail in Half.........................................................................Augusto D. Pichard, MD11:00 a.m. BREAK / VISIT EXHIBITS11:15 a.m. KEYNOTE LECTURE #1: IVUS vs. OCT for PCI Optimization..............Gary S. Mintz, MD 11:35 a.m. Live Case Presentations #4 and #5: Left Main and Bifurcation Lesions Moderator: George Dangas, MD, PhD Panelists: Harinder K. Bali, MD, Antonio Colombo, MD, Raj Makkar, MD, Sameer Mehta, MD, Gary S. Mintz, MD, Alfredo E. Rodriguez, MD12:45 p.m. LUNCH / VISIT EXHIBITS1:30 p.m. Live Case Presentations #6 and #7: Chronic Total Occlusions Moderator: Pedro Moreno, MD Panelists: Vinay K. Bahl, MD, Harinder K. Bali, MD, Jeffrey Bander, MD, John M. Lasala, MD, Sameer Mehta, MD, Augusto D. Pichard, MD, Mathew Samuel K, MD2:30 p.m. DEBATE # 2 Myocardial Regeneration: It Works..................................................................Raj Makkar, MD Myocardial Regeneration: Ineffective Expansive Research Tool...Sameer Mehta, MD DEBATE # 3 Bifurcation Lesion PCI: One Stent Strategy is the Best.................James B. Hermiller, MD Bifurcation Lesion PCI: Two Stent Strategy is Preferred..................Antonio Colombo, MD 3:10 p.m. Live Case Presentations #8, #9, and #10: Cardiovascular Cases–TPVR, BMV, HOCM Moderator: Michael C. Kim, MD Panelists: Vinay K. Bahl, MD, James B. Hermiller, MD, John M. Lasala, MD, Raj Makkar, MD, Sameer Mehta, MD, Augusto D. Pichard, MD4:15 p.m. Complex Cases / Complications Cine Review Moderator: Samin K. Sharma, MD Presenters: Harinder K. Bali, MD, Vinay K. Bahl, MD, Robert Pyo, MD5:00 p.m. Concluding Remarks...................................................................................Samin K. Sharma, MD7:00 p.m. – GALA SOCIAL EVENT – Dinner Cruise Around Manhattan10:00 p.m. (Buses Depart the Sheraton NY Hotel Towers at 6:40 p.m.)8
  9. 9. Agenda | Coronary SymposiumFriday, June 15th7:00 a.m. Continental Breakfast Mount Sinai Hospital, Stern Auditorium7:55 a.m. Welcome and Introduction Samin K. Sharma, MD8:00 a.m. DEBATE #4 Appropriateness of the Appropriate Use Criteria.................................Samin K. Sharma, MD An Inappropriate Look at Appropriate Use Criteria...............................Paul S. Teirstein, MD DEBATE #5 Minimum DAPT Duration Post DES: 1+ Year.............................................Samir K. Kapadia, MD Minimum DAPT Duration Post DES: 1 Year..................................................Michael C. Kim, MD8:40 a.m. Live Case Presentations #11, #12, and #13: Bifurcation and Calcified Lesions Moderator: Roxana Mehran, MD Panelists: Carlo Di Mario, MD, D.S. Gambhir, MD, Samir Kapadia, MD, Charanjit S. Rihal, MD, Paul S. Teirstein, MD, Ron Waksman, MD10:10 a.m. Live Case Presentation #14: CoreValve TAVR Case Satellite Transmission From: University Hospital Bonn, Germany Operator: Eberhard Grube, MD, FACC, FSCAI Moderator: Roxana Mehran, MD Panelists: Carlo Di Mario, MD, Samir Kapadia, MD, DB Pahlajani, MD, Charanjit S. Rihal, MD, Paul S. Teirstein, MD, Ron Waksman, MD10:40 a.m. KEYNOTE LECTURE #2: In Search of Vulnerable Plaque?.........................................................................Gregg W. Stone, MD11:00 a.m. BREAK / VISIT EXHIBITS11:15 a.m. Live Case Presentations #15 and #16: Left Main and Bifurcation Lesions Moderator: Roxana Mehran, MD Panelists: D.S. Gambhir, MD, B K Goyal, MD, Saibal Kar, MD, Charanjit S. Rihal, MD, Gregg W. Stone, MD, Paul S. Teirstein, MD, Sudhir Vaishnav, MD12:45 p.m. LUNCH / VISIT EXHIBITS1:30 p.m. Live Case Presentations #17 and #18: Chronic Total Occlusion Moderator: Pedro Moreno, MD, FACC Panelists: Carlo Di Mario, MD, Saibal Kar, MD, Jeffrey J. Popma, MD, Satyavan Sharma, MD, Gregg W. Stone, MD, Ron Waksman, MD2:30 p.m. DEBATE #6: Invasive Lesion Assessment Adjunct to PCI FFR is Supreme............................................................................................................Carlo Di Mario, MD IVUS is Very Useful.....................................................................................................Ron Waksman, MD NIRS is Emerging: Yellow Trial.......................................................................Annapoorna S. Kini, MD3:00 p.m. KEYNOTE LECTURE #3: Update in TAVI/TAVR Status: Emerging Indications.............................Jeffrey J. Popma, MD 3:20 p.m. Live Case Presentations #19 and #20: Cardiovascular Cases–Sapien TAVR, BMV Moderator: Michael C. Kim, MD Panelists: Carlo Di Mario, MD, B K Goyal, MD, Samir Kapadia, MD, Jeffrey J. Popma, MD, Charanjit S. Rihal, MD, Satyavan Sharma, MD, Sudhir Vaishnav, MD4:30 p.m. Complex Cases / Complications Cine Review Moderator: Samin K. Sharma, MD Presenters: Saibal Kar, MD, Charanjit S. Rihal, MD, Satyavan Sharma, MD5:00 p.m. Course Conclusion Future Directions for the 16th Symposium Samin K. Sharma, MD 9
  10. 10. Agenda | Vascular SymposiumFriday, June 15th7:30 a.m. Continental Breakfast Mount Sinai Hospital, Hatch Auditorium7:55 a.m. Welcome and Introduction Prakash Krishnan, MD8:00 a.m. Management of Asymptomatic Carotid Artery Disease: Are the Negative Views on Medical Therapy Misinformed? Stanley Turhrim, MD8:10 a.m. Proximal vs. Distal Protection During Carotid Stenting: How Do I Choose? Peter L. Faries, MD8:20 a.m. Minor Strokes After CAS and Impact of MI’s and Cranial Nerve Injuries After CEA? What’s the Sustained Clinical Effect? J. Michael Bacharach, MD8:30 a.m. The Results of CREST / ICSS / ACT1 Will Influence Treatment of Symptomatic and Asymptomatic Patients with Carotid Disease — How and in What Way? Mark H. Wholey, MD8:40 a.m. Neuro-Rescue for the Carotid Interventionalist: Approach, Advice, Tips and Tricks Tyrone J. Collins, MD8:50 a.m. Live Case Presentations: #1 and #2 Operators: Peter L. Faries, MD, Prakash Krishnan, MD, Jose Wiley, MD Moderator: J. Michael Bacharach, MD Panelists: Tyrone J. Collins, MD, Andrey Espinoza, MD, Stanley Tuhrim, MD, Mark H. Wholey, MD10:30 a.m. BREAK / VISIT EXHIBITS RENAL SYMPOSIUM10:40 a.m. Live Case Presentation #3: Renal Sympathetic Denervation Satellite Transmission From: Heart Center, Bad Krozingen, Germany Operators: Thomas Zeller, MD Moderator: J. Michael Bacharach, MD Panelists: Mark W. Burket, MD, Tyrone J. Collins, MD, George Dangas, MD, PhD, Andrey Espinoza, MD, Robert Lookstein, MD, Vivek Reddy, MD11:15 a.m. Renal Sympathetic Denervation for Hypertension: What is the Available Data, Available Devices, and Future Impact? Mark W. Burket, MD11:25 a.m. Renal Stenting is Near Death: Only Rare Niche Indications Remain Jonathan A. Winston, MD11:35 a.m. Who are the Best Candidates for Renal Stent Placement and How Can We Predict Who Will Respond? Insights from Renal Stent Trials: Role of BNP? Role of IVUS, FFR? Robert Lookstein, MD11:45 a.m. Live Case Presentation #4 Operators: Prakash Krishnan, MD, Jose Wiley, MD Moderator: J. Michael Bacharach, MD Panelists: Mark W. Burket, MD, Tyrone J. Collins, MD, Andrey Espinoza, MD, Robert Lookstein, MD, Vivek Reddy, MD12:15 p.m. LUNCH / VISIT EXHIBITS10
  11. 11. Agenda | Vascular SymposiumFriday, June 15th PERIPHERAL ARTERY SYMPOSIUM1:20 p.m. State Of-The-Art Lecture Drug Delivery Will Be The New Standard in the SFA: Current Trials, Available Technology, and Future Directions James F. McKinsey, MD1:40 p.m. Do Covered Stents Really Outperform Stents for Iliac Occlusive Disease and When Do I Use Them? Tyrone J. Collins, MD1:50 p.m. Is Catheter-Based SFA Atherectomy Archaic or Will it Avoid Extinction in Concert with the Use of Drug Coated Technology? Mark W. Burket, MD2:00 p.m. Brachiocephalic Intervention: Indications and Approach to Treatment J. Michael Bacharach, MD2:10 p.m. Transpedal Approach and Pedal Arch Reconstruction Techniques in Treating Patients with CLI Craig M. Walker, MD2:20 p.m. Live Case Presentations: #5 and #6 Operators: Prakash Krishnan, MD, Jose Wiley, MD Moderator: J. Michael Bacharach, MD Panelists: Tyrone J. Collins, MD, James F. McKinsey, MD, Craig M. Walker, MD, Mark H. Wholey, MD3:30 p.m. BREAK / VISIT EXHIBITS CONTROVERSIES, ANEURYSMS AND ULCERS Moderator: J. Michael Bacharach, MD3:40 p.m. Update on Percutaneous ASD and PFO Closure? Where Are We Heading? Daniel H. Gruenstein, MD3:50 p.m. EVAR: Should Be the Preferred Treatment for Abdominal Aneurysms Peter L. Faries, MD4:00 p.m. Endovenous Thermal Ablation: Radiofrequency vs. Lasers: Is There a Difference? Jose Wiley, MD4:10 p.m. The Work-Up, Acute Therapy, and Chronic Care of Arterial Ulcers Michael J. Trepal, DPM4:20 p.m. Pudendal Artery Interventions and Erectile Dysfunction? Anvar Babaev, MD4:30 p.m. Complex Endovascular Cases: Cine Review Moderator: Prakash Krishnan, MD Presenter: Christopher Gade, MD, Amir Kaki, MD, Peter L. Smith, MD Panelists: J. Michael Bacharach, MD, Mark W. Burket, MD, Tyrone J. Collins, MD, Andrey Espinoza, MD, Craig M. Walker, MD, Mark H. Wholey, MD5:00 p.m. Course Conclusion Future Directions for 2013 Symposium Prakash Krishnan, MD 11
  12. 12. Coronary Case StudiesComplex Distal LM and 3V CAD PCI with Impella Assist Impella RAO Caudal RAO Cranial SKSMultiple 80-90% LM/LAD/LCx Multiple LM, LAD, and LCx Final Results Post Rota and DES Final Post SKS, LAD and LCx Rota DESCalcified Lesions Calicified Lesions (Xience V X4) (Xience V X4)Retrograde Ostial LAD CTO Recanalization via RCA Collaterals100% Ostial LAD Total Occlusion; Distal 100% Ostial LAD CTO Fills Retrograde Fielder XT Wire advanced via Final Results Post LAD DES (Resolute X2)Vessel Fills via RCA Collaterals via RCA Collaterals RCA LAD Septal with CorsairComplex LM and LAD Bifurcation PCI: ROTA, Simultaneous Kissing Stents (SKS) and DES RAO Caudal RAO Cranial Rota 1.75 SKS90% LM Multiple 90% Prox-Mid LAD Complex LM and LAD/D2 Post SKS in LM and 2 Xience V DES Final Results Post (SKS LM and 2 Xienceand 70% D2 Bifurcation Lesions Bifurcation Lesions in LAD V DES in LAD) and Flextome PTCA of D212
  13. 13. Cardiovascular Cases StudiesDiffuse Extensive CAD with Severe LV Dysfunction; Rota, DES PCI with Impella Assist ImpellaSubtotal Diffuse Calcific LAD Disease Post Rota Burr (1.25mm) in LAD Post 3 Xience V DES: In Prox-Mid LAD Final Results Post Xience V DES X3Retrograde RCA CTO Recanalization via LAD Septals100 Ostial RPDA Occlusion Fills via LAD Fielder XT Guide Wire via LAD Septal to Fielder XT Guide Wire Exteriorized via Final Results Post DES Promus ElementSeptal Collaterals RPDA and then to RCA RCA Guide Cather x2 in RPDATranscatheter Aortic Valve Replacement (TAVR) for Severe Aoric StenosisBaseline Aortogram with Severe AS BAV with 22/5.5 cm Z-med II Balloon 29 mm CoreValve Implantation Post TAVR Hemodynamic; MeanInset: Baseline Hemodynamic: Mean Aortic Valvuloplasty Aortogram; No AI Gradient 8mmhg and AVA 1.7 cm2Gradient 60 mmhg, AVA 0.6 cm2 13
  14. 14. Other Case StudiesEndovascular Case Studies A Case of PlaquePatient with Critical Limb Ischemia;Successful Retrograde Cross and Intervention Regression Reduction in lipid plaque content on high dose Patent Distal Anastomosis statin as measured Patent Distal by near infrared Anterior Anastomosis Tibial spectroscopy (NIRS) Occluded Artery Popliteal Patent Artery Fem/DP BypassOccluded SFA Occluded Popliteal Artery Retrograde Filling of Native Anterior Tibial BaselineVenture Catheter to Direct Wire to Native Successful Cross Retrograde AT Wire Successful PTA Stent and PatentAnterior Tibial Antegrade Popliteal Wire SFA PoplitealAnterior Ischemia; High GradeLeft Subclavian Artery Stenosis and Intervention Follow Up after 7 Weeks LIMA Patent Successful PTCA LIMAHigh Grade Stenosis of Left Successful PTA/Stent Successful PTCA with Patent LIMASubclavian Artery14
  15. 15. New York City www.nyctourist.comWelcome to The Big Apple. Whether it’s magnificent shopping,fine dining, the theater or sightseeing, New York City has it all.With average temperatures in June around 75 degrees, there is nobetter time to visit and enjoy everything the city that never sleepshas to offer! THEATER Seeing a show on Broadway and going to the theater in NYC is one of the most popular events for New York City tourists. See hit shows such as The Lion King, Wicked, Spiderman, Chicago, Mamma Mia, Mary Poppins, Sister Act and Jersey Boys.MUSEUMS The Museum of Modern Art ArtSolomon R. Guggenheim Museum The Metropolitan Museum of ArtThe American Museum of Natural History www. metmuseum.orgwww.AMNH.orgSTATUE OF LIBERTYwww.statueofliberty.orgLocated in New York Harbor, the Statue of Liberty was a gift of internationalfriendship from France to the United States. Stroll into the lobby where you canexperience the original torch and the Statue of Liberty Exhibit, then proceed to thepromenade area for an up close view of the statue and a spectacular view of NewYork Harbor. Ferries depart Battery Park to the Statue between the hoursof 8:30 a.m. – 6:00 p.m.CENTRAL PARKwww.centralpark.comCentral Park features 843 acres of beautiful landscape filled with numerousattractions such as the Central Park Zoo and Wildlife Center and the Children’s Zoo.The park also has restaurants including the scenic Boathouse Restaurant. 15
  16. 16. 2012 Symposium SupportersThe symposium is being funded in part through educational grants from medical device and pharmaceuticalindustries. The following is a preliminary list of supporters for the 2012 symposium. We appreciate theirparticipation in this conference and their support of continuing medical education. A complete list ofcontributors and appropriate acknowledgement will be given to all supporters in the course syllabus. St. Jude Medical Terumo Medical Corporation ABIOMED, Inc. AccessClosure, Inc. / Mynx AstraZeneca Edwards Lifesciences Volcano Corporation Acist Medical Systems / Bracco B. Braun Medical Tryton Medical Angioscore, Inc. Philips Medical Systems Vascular Solution, Inc.16
  17. 17. “It was an enjoyablemeeting and a greatpleasure to see theface of CAD treatmentchanging at Mount Sinai.You must be having thelargest experience ofPCI in patients of highsyntax score using secondgeneration DES.It will be interesting to seetheir 2 or 3 year follow-up data from your group.It will be an honor to bepart of the 2012 meeting.”– Satyavan Sharma, M.D. “Please express my thanks to Prakash Krishnan, MD for having me at the meeting. It was a great meeting and I really enjoyed it.” – Mark H. Wholey, M.D.“It is always an honor tobe a part of the ComplexCoronary Faculty! It is anexceptional meeting.”– James B. Hermiller, M.D. 17
  18. 18. Registration InformationThe registration fee for this CME activity is $400.00 for physicians who are members of SCAI (Society forCardiovascular Angiography and Interventions) or ISIC (Indo-American Society of Interventional Cardiologists).The fee for physicians who are non-members of SCAI or ISIC is $600.00. A reduced registration fee of $200.00is available for Residents, Nurses, Technicians and Mount Sinai Affiliates. The registration fee for IndustryPersonnel is $400.00. Fellows registration fees are WAIVED! Your registration fee includes attendance atthe Wednesday, Thursday and Friday Sessions, course materials, continental breakfasts, refreshment breaks,lunches and a gala social event on Thursday evening. For questions regarding registration, please contactGaffney Events, or 425.844.9019.ONE-DAY REGISTRATION RATESThere are one-day registration rates available for both the Nurse / Technologist Symposium on Wednesday,June 13th and the Vascular Symposium on Friday, June 15th. The Nurse Technologist Symposium one-day rateis $75.00. The registration fee for the Vascular Symposium is $200.00 for physicians who are members of SCAI or ISIC. The one-day registration fee for physicianswho are non-members of SCAI or ISIC is $300.00. A reduced registration fee of $100.00 is available for Residents, Nurses, Technicians and Mount Sinai Affiliates.The registration fee for Industry Personnel is $200.00.EARLY BIRD DISCOUNT REGISTRATION RATES!Full Symposium Registration will be reduced by 25% if registration is received prior toFriday, May 25, 2012.REFUNDS: Cancellations will be accepted through Friday, May 25, 2012 and aresubject to a $50 cancellation fee. There will be no refund of tuition for cancellationsreceived after that date. The Post-Graduate School for Continuing Medical Education mustreceive written notification of your intent to cancel before the cancellation deadline. Norefund of tuition will be given for no-shows.SYMPOSIUM LOCATIONMount Sinai School of MedicineAnnenberg BuildingStern Auditorium100 Street Madison AvenueNew York, NY 10029NOTE: Mount Sinai School of Medicine is located approximately 3 miles from the Sheraton New York Hotel Towers. Attendees who are staying at this hotelwill be provided with complimentary round-trip transportation between the hotel and the hospital on Thursday,June 14th and Friday, June 15th. There will also be a complimentary shuttle service running every half hourbetween the hotel and Mount Sinai Hospital.HOTEL ACCOMMODATIONSSheraton New York Hotel Towers811 Seventh Avenue, 53rd StreetNew York, NY 10019Guest Telephone: 212.581.1000Guest Fax: 212.262.4410A block of rooms has been reserved at the Sheraton NY Hotel Towers for attendees of the 2012 CCC Symposium ata special reduced rate of $309.00 single or double occupancy (per night), plus tax. To receive the discounted roomrate, reservations must be confirmed by Saturday, May 19, 2012. After thatdate, reservations will be subject to space and rate availability. Please note,June is a very busy time in NYC. Hotel rooms will be scarce and your roomrate will increase if your reservations are not made prior to the cut-off date.Please contact the Reservations Department directly at 212.581.1000 or888.625.5144 to request accommodations. When making your reservation,please be sure to mention that you will be attending the Mount SinaiHospital Cardiology Symposium.You may also book your room reservations directly online by visiting our website at Sheraton New York Hotel Towers is located in midtown Manhattan. The hotel is 45 minutes from LaGuardia Airport and 60 minutes from the John F.Kennedy International Airport. Yellow Medallion Taxi service is available from LaGuardia Airport for approximately $30.00 (one way) and is available from the JFKInternational Airport for approximately $60.00 (one way). Rental car services are available at both airports. Hotel garage parking is available for $50.00 per 24 hours.18
  19. 19. Registration Form REGISTER ONLINE AT: To register for the Gaffney Events VISIT US AT OUR WEBSITE WHERE 2012 Live Symposium of Complex 27322 NE 143rd Pl. YOU WILL BE ABLE TO: Coronary Vascular Cases Duvall, WA 98019 Complete this form and return PH: 425.844.9019 • View high quality video highlights from to Gaffney Events FAX: 425.788.0668 the 2011 Symposium including lectures and case demonstrations • Join user discussion forumsFax registration form ONLY if payment is made by credit card. • View live cases via Live WebcastsCONTACT INFORMATIONName:________________________________________________________________________Institution:_______________________________________________Mailing Address: ________________________________________________________________________________________________________________City: ____________________________________________________ State: _____________________________ Zip / Postal Code: ______________________Office Phone: (_______)____________________________________________ Office Fax: (_______)____________________________________________E-mail Address (required for registration confirmation):__________________________________________________________________________________Professional Degree or Credential: o M.D. o D.O. o Ph.D. o R.N. o Other ________________________________________________________REGISTRATION FEESFULL SYMPOSIUM REGISTRATIONComplex Coronary Vascular Cases Symposium$600.00 o Physician, Non-Member of SCAI or ISIC$400.00 o Physician, Member of SCAI or ISIC$400.00 o Industry Professional$200.00 o Nurse, Tech, Mount Sinai Affiliates o Yes, I will also be attending the Cardiovascular Nurse Technologist Symposium, Wednesday, June 13 (included when paying full registration)As a Full-Registration participant,PLEASE CHOOSE THE COURSE TRACK you will attend Friday, June 15:o Coronary o Vascular (Note: You may change your course track on-site, based on space availability.) FELLOWS FEES WAIVED!One-Day Vascular Symposium Registration (Attendance at Friday, June 15 ONLY) In order to receive the Complimentary Fellows$300.00 o Physician, Non-Member of SCAI or ISIC Full-Meeting Registration, please contact$200.00 o Physician, Member of SCAI or ISIC Kate Maxwell at$200.00 o Industry Professional to obtain a fellows registration form.$100.00 o Nurse, Tech, Mount Sinai Affiliates Complimentary registration is limited and on a first-come, first-served basis.One-Day Cardiovascular Nurse/Technologist Symposium (Wednesday, June 13 ONLY)$75.00 o Nurse, Tech, Mount Sinai Affiliate, Industry ProfessionalIndustry Supported Workshop (Complimentary when paying Full-Registration)Will you be attending the following Wednesday Evening Industry Workshop: (Wednesday, June 13 – Sheraton NY Hotel Towers)Complex Cardiovascular Topics • 7:00 p.m. to 9:30 p.m. o YES o NOSaturday Workshops (to be held at the Sheraton NY Hotel Towers – Saturday, June 16)Will you be attending either of the Saturday Workshops:Interventional Board Review Course • 8:00 a.m. to 12:00 p.m. o YES o NOIndia Breakout Session • 1:00 p.m. to 5:00 p.m. o YES o NOGala EventWill you attend the Thursday Evening Gala Cruise around Manhattan? (Complimentary with Full Registration) o YES o NOWill you be bringing a guest? ($50.00 Additional fee per guest) o YES o NO Number of guests: ______METHOD OF PAYMENTo Check (made payable to The Page and William Black Post-Graduate School of Medicine). Amount: $__________________________________________________________o Credit Card: o VISA o MasterCard o American ExpressCredit Card Number: _______________________________________________________________Expiration Date: ________________________________Name as it appears on credit card: _____________________________________________________Signature: _____________________________________Office Use Only: Check No.: ________________________________________________________ Amount: $___________ Date: ___________________ 19
  20. 20. 15321 Main Street NEP.O. Box 219Duvall, WA 9801915TH ANNUAL COMPLEX CORONARY VASCULAR CASES JUNE 13-16, 2012 New York, New York Register by May 25th and save up to $150