7:45 a.m. – Introduction to Mechanical Circulatory Support: Current Trends and Outcomes (15 minutes)
Shashank Sinha, MD, MSc, Inova Heart & Vascular Institute, Falls Church, VA USA

Teaching/Discussion Points

1. Review current trends of temporary and durable MCS utilization
2. Review clinical outcomes, including survival and adverse events
    

8:00 a.m. – Matching the Right Device to the Right Patient at the Right Time (15 Minutes)
Douglas Horstmanshof, MD, Integris Baptist Medical Center, Oklahoma City, OK USA

Teaching/Discussion Points

1. Patient selection in durable MCS: indications and contraindications
2. Lessons learned in timely evaluation
    

8:15 a.m. – Q& A with Panel (10 Minutes)

8:25 a.m. – Surgical Implantation Overview (15 Minutes)
Ezequiel Molina, MD, Piedmont Heart Institute, Atlanta, GA USA

Teaching/Discussion Points

1. Key aspects of implantation techniques
2. Assessment of proper VAD positioning
3. Alternative surgical approaches
    

8:40 a.m. – Valvular Disease and VAD: How Much is Too Much? (15 Minutes)
Ezequiel Molina, MD, Piedmont Heart Institute, Atlanta, GA USA

Teaching/Discussion Points

1. Management of aortic valve insufficiency
2. Approach to tricuspid and mitral valve insufficiency
3. Other concomitant interventions
    

8:55 a.m. – Q&A with Panel (10 Minutes)

 

9:25 a.m. – Session Overview (20 Minutes)
Shashank Sinha, MD, MSc, Inova Heart and Vascular Institute, Falls Church, VA USA

9:45 a.m. – The Approach to IMACS 1: Short-Term Mechanical Circulatory Support for Cardiogenic Shock (15 minutes)
Manreet Kanwar, MD, Allegheny General Hospital, Pittsburgh, PA USA

Teaching/Discussion Points

1. Early recognition and phenotyping patients in cardiogenic shock
2. Decision making for temporary MCS: bridge to transplant, bridge to durable VAD, bridge to recovery or bridge to decision
    

10:00 a.m. – Percutaneous MCS Escalation and De-escalation Strategies for Cardiogenic Shock (15 Minutes)
Jaime Hernandez-Montfort, MD, MPH, MSc Baylor Scott and White Health, Austin, TX USA

Teaching/Discussion Points

1. Identifying appropriate strategies for escalation in AMI vs ADHF shock
2. Utilizing congestive hemodynamic profiles to determine optimal short-term MCS device selection
    

10:15 a.m. – Optimal Critical Care Management of the MCS Patient (15 minutes)
Varinder Randhawa, MD, PhD, University of Toronto, Toronto, ON Canada

Teaching/Discussion Points

1. Recognizing readiness to wean and de-escalation strategies
2. Complications of percutaneous MCS
    

10:30 a.m. – Assessing and Optimizing RV Function Pre-Operatively (15 minutes)
Ryan Tedford, MD, Medical University of South Carolina, Charleston, SC USA

Teaching/Discussion Points

1. Non-invasive and Invasive assessment of right ventricular function
2. Optimization of RV prior to MCS
    

10:45 a.m. – Managing the RV Post-Operatively (15 minutes)
Jonathan Grinstein, MD, University of Chicago, Chicago, IL USA

Teaching/Discussion Points

1. Assessment of RV failure in postoperative ICU patients
2. Strategies to manage RV failure postoperatively
    

11:00 a.m. – Q&A with Panel (20 Minutes)

 

1:20 p.m. – Session Overview (15 Minutes)
Ezequiel Molina, MD, Piedmont Heart Institute, Atlanta, GA USA

1:35 p.m. – Aortic Insufficiency in LVAD Recipients: Incidence, Screening, and Management (15 Minutes)
Jennifer Cowger, MD, MS, Henry Ford Hospitals, Detroit, MI USA

Teaching/Discussion Points

1. Identification of AI in MCS patients
2. Management of AI in MCS patients
    

1:50 p.m. – Arrhythmias and Pacemaker/Defibrillator Therapy in MCS (15 Minutes)
Rebecca Cogswell, MD, University of Minnesota, Minneapolis, MN USA

Teaching/Discussion Points

1. Assessment of arrhythmia in MCS patients
2. Management of arrhythmia post MCS
3. Indications for ICD and CRT-D in MCS patients
    

2:05 p.m. – Interpreting and Troubleshooting Pump Parameters (15 Minutes)
Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA

Teaching/Discussion Points

1. Review of abnormal pump parameters
2. Techniques for triage of ambulatory alarms
    

2:20 p.m. – Q&A with Panel (15 Minutes)

2:35 p.m. – Pump Speed Optimization: The Role of Imaging, Biomarkers, and Hemodynamics (15 Minutes)
Palak Shah, MD, MS, Inova Heart & Vascular Institute, Falls Church, VA USA

Teaching/Discussion Points

1. Review of commonly used MCS parameters
2. Technical aspects of ramp studies
3. How to prevent readmissions?
    

2:50 p.m. – LVAD Infections: Prevention, Diagnosis, and Management (15 Minutes)
Jennifer Cowger, MD, MS, Henry Ford Hospitals, Detroit, MI USA

Teaching/Discussion Points

1. Classification of infection in MCS patients
2. Approach to drive line care and infection management
    

3:05 p.m. – Q&A with Panel (10 minutes)

 

3:30 p.m. – Session Overview (20 Minutes)
Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA

3:50 p.m. – GI Bleeding (15 Minutes)
Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA

Teaching/Discussion Points

1. Assessment of GI bleeding in MCS patients
2. Management of GI bleeding in MCS patients
    

4:05 p.m. – Antithrombotic Therapy and Thromboembolic Complications of MCS (15 Minutes)
Palak Shah, MD, MS, Inova Heart & Vascular Institute, Falls Church, VA USA

Teaching/Discussion Points

1. Identification and management of pump thrombosis
2. Management of stroke in the MCS patient
3. Anticoagulation strategies and bridging
    

4:20 p.m. – Q&A with Panel (10 Minutes)

4:30 p.m. – Optimal Outpatient Management and Remote Monitoring of VAD Recipients (15 minutes)
Farooq Sheikh, MD, MedStar Heart and Vascular Institute, Washington, DC USA

Teaching/Discussion Points

1. Overview of essential programmatic infrastructure
2. Outline of patient assessment in the ambulatory setting
    

4:45 p.m. – The Impact of Frailty on VAD Success (15 Minutes)
Rebecca Cogswell, MD, University of Minnesota, Minneapolis, MN USA

Teaching/Discussion Points

1. Assessment of frailty in MCS
    

5:00 p.m. – Promoting and Achieving Recovery with MCS (15 Minutes)
Stavros Drakos, MD, PhD, FACC, University of Utah, Salt Lake City, UT USA

Teaching/Discussion Points

1. Recognize characteristics that portend favorable prognosis for recovery
2. Protocols and procedures to promote recovery
3. Recognition of remission vs. recovery
    

5:15 p.m. – Q&A with Panel (10 Minutes)