7:00 – 7:30 a.m.
REGISTRATION AND MORNING COFFEE
7:30 – 7:45 a.m.
WELCOME AND OVERVIEW
Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA
7:45 – 9:05 a.m.
SESSION 1
Chair: Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA
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
- Review current trends of temporary and durable MCS utilization
- 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
- Patient selection in durable MCS: indications and contraindications
- 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
- Key aspects of implantation techniques
- Assessment of proper VAD positioning
- 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
- Management of aortic valve insufficiency
- Approach to tricuspid and mitral valve insufficiency
- Other concomitant interventions
8:55 a.m. – Q&A with Panel (10 Minutes)
9:05 – 9:25 a.m.
COFFEE BREAK
9:25 – 11:20 a.m.
SESSION 2
Chair: Shashank Sinha, MD, MSc, Inova Heart and Vascular Institute, Falls Church, Virginia
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
- Early recognition and phenotyping patients in cardiogenic shock
- 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
- Identifying appropriate strategies for escalation in AMI vs ADHF shock
- 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
- Recognizing readiness to wean and de-escalation strategies
- 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
- Non-invasive and Invasive assessment of right ventricular function
- 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
- Assessment of RV failure in postoperative ICU patients
- Strategies to manage RV failure postoperatively
11:00 a.m. – Q&A with Panel (20 Minutes)
11:20 a.m. – 1:20 p.m.
LUNCH BREAK / HANDS ON LEARNING OPPORTUNITY
1:20 – 3:15 p.m.
SESSION 3
Chair: Ezequiel Molina, MD, Piedmont Heart Institute, Atlanta, GA USA
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
- Identification of AI in MCS patients
- 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
- Assessment of arrhythmia in MCS patients
- Management of arrhythmia post MCS
- 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
- Review of abnormal pump parameters
- 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
- Review of commonly used MCS parameters
- Technical aspects of ramp studies
- 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
- Classification of infection in MCS patients
- Approach to drive line care and infection management
3:05 p.m. – Q&A with Panel (10 minutes)
3:15 – 3:30 p.m.
COFFEE BREAK
3:30 – 5:35 p.m.
SESSION 4
Chair: Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA
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
- Assessment of GI bleeding in MCS patients
- 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
- Identification and management of pump thrombosis
- Management of stroke in the MCS patient
- 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
- Overview of essential programmatic infrastructure
- 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
- 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
- Recognize characteristics that portend favorable prognosis for recovery
- Protocols and procedures to promote recovery
- Recognition of remission vs. recovery
5:15 p.m. – Q&A with Panel (10 Minutes)
5:25 – 5:35 p.m.
SUMMARY / EVALUATION
Jennifer Cook, MD, University of Cincinnati, Cincinnati, OH USA
5:35 p.m.
ADJOURN