33rd ADVANCED ECHO CONFERENCE

T he J e ff re y M. C a r l to n H e a r t & Vascu lar In st it u t e Presen t s:
33 rd ADVANCED ECHO
CONFERENCE
SEPTEMBER 25 – 27, 2016
The Waterfront Beach Resort
21100 Pacific Coast Highway
Huntington Beach, CA
PROGRAM DIRECTORS
Pravin M. Shah, MD, MACC
Natesa G. Pandian, MD, FACC
Co-sponsored by:
In cooperation with:
GENERAL INFORMATION
VENUE AND ACCOMMODATIONS
Credit Designation
Location
Hoag Memorial Hospital Presbyterian
designates this live educational activity for
a maximum of 20.25 AMA PRA Category
1 CreditsTM. Physicians should claim credit
commensurate with the extent of their
participation in the activity. This credit can
apply to the CMA Certification of Continuing
Medical Education.
Program will be held at the Waterfront Beach
Resort, a Hilton Hotel, located at 21100
Pacific Coast Highway in Huntington Beach,
California. The hotel phone number is
714-845-8000. Daily parking charges are $12
(valet). Overnight parking for hotel guests is
$25 (valet).
Accreditation
Room rates start at $229 per room, based
upon availability. Reservations can be secured
with a credit card by calling 800-822-7873.
Ask for the Hoag Advanced Echo Conference
preferred rate.
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Overnight Room Accommodations
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Hoag Memorial Hospital
Presbyterian is accredited by the
Institute for the Medical Quality/
California Medical Association
(IMQ/CMA) to provide continuing
medical education for physicians.
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ACKNOWLEDGEMENT
The 33rd Advanced Echo Conference is
offered in cooperation with the American
Society of Echocardiography.
At the time of printing, a complete list
of industry exhibitors was not available.
Appropriate acknowledgement will be given
to all exhibitors at the time of the program.
CONFERENCE CANCELLATIONS
Written cancellation will be accepted until
September 16, 2016. No refunds will be given
for no-shows.
In the unlikely event the program is cancelled,
a full refund of the registration fee will be
given, but program hosts are not responsible
for any travel or hotel costs you may incur.
OVERVIEW
CONFERENCE OVERVIEW
Join your colleagues for an interactive, casebased learning of the latest in echocardiography
today. This program will explore the role of real
time 3-D echo and other advanced imaging
modalities in cardiac diagnosis, in percutaneous
interventions for valve and other disorders, and
in intraoperative echocardiography. Clinical
applications of imaging techniques such as
speckle tracking strain imaging will be dealt
with pointing out both strengths and pitfalls.
Application of echocardiography in clinical
problems such as myocardial disorders, heart
failure management and other common and
rare diseases will be discussed with illustrative
patient examples. Participants will also receive a
comprehensive review of the current state-of-theart applications of echocardiography in valvular
heart disease.
OBJECTIVES
•Identify technical aspects of obtaining optimal 3D
echo images
•Understand the role of speckle tracking in clinical
disorders and its drawbacks
•Comprehend the application 3D Echo and 2D
Echo in evaluating and guiding surgery
•Understand the accurate approach to define valve
pathology and hemodynamics
•Understand the utility of 3D Echo and 2D Echo in
choosing and guiding percutaneous valve therapy
•Learn the value of various echo modalities in the
assessment of heart failure patients
•Distinguish various dilated and infiltrative
cardiomyopathies
•Understand the utility of echo imaging in
pericardial and aortic diseases
WHO SHOULD ATTEND
This program is intended for cardiologists, cardiac
anesthesiologists, sonographers, intensivists
and cardiothoracic surgeons.
PROGRAM DIRECTORS
Pravin M. Shah, MD, MACC
Medical Director,
Nancy & Bill Thompson Heart Valve Center
Director, Noninvasive Imaging,
Jeffrey M. Carlton Heart & Vascular Institute
Natesa G. Pandian, MD, FACC
Director, Cardiovascular Ultrasound Research
Professor of Medicine
Tufts Medical Center,
Boston, MA
INVITED FACULTY
Itzhak Kronzon MD, FACC
Director, Cardiac Imaging
Lenox Hill Hospital - Northwell Health
New York, NY
Steven J. Lester, MD, FACC
Consultant Cardiologist, Mayo Clinic
Associate Medical Director, Mayo Clinic Ventures
Associate Chair of Medicine, Innovation
Associate Professor of Medicine, Mayo Clinic
Scottsdale, AZ
H. Joachim Nesser, MD, FACC, FESC
Senior Staff Cardiologist
St. Elizabethinen Hospital
Linz, Austria
Aidan R. Raney, MD, FACC
Director, Structural Heart Disease
St. Joseph Heritage Medical Group
Orange, CA
Robert J. Siegel, MD, FACC
Director, Cardiac Noninvasive Laboratory
Professor of Medicine
Cedars Sinai Hospital
Los Angeles, CA
Lissa Sugeng, MD, MPH
Director, Echocardiography Laboratory
Co-Director, Yale Valve Center
Associate Professor of Medicine
Yale University Medical Center
New Haven, CT
Padmini Vardarajan, MD, FACC
Professor of Medicine
Loma Linda University Medical Center
Loma Linda, CA
JEFFREY M. CARLTON HEART & VASCULAR
INSITUTE FACULTY
Jorge M. Castellanos, MD, FACC
Interventional Cardiology
Anthony D. Caffarelli, MD, FACC
Co-Director, Cardiovascular and Thoracic Surgery
Joseph M. Riggio, MD
Director, Cardiovascular Anesthesiology
PROGRAM AGENDA
2:20 – 2:40 pm
Bicuspid Aortic Valve and Root – It is a Different
Beast
Robert J. Siegel, MD, FACC
DAY 1 - SUNDAY, SEPTEMBER 25, 2016
9:00 – 9:45 am | Registration, Exhibits and Breakfast
9:45 – 10:00 am
Welcome
Introductions and Program Format
Pravin M. Shah, MD, MACC
10:00 – 11:20 am
New Technologies and New Applications
Moderator: Pravin M. Shah, MD, MACC
Speckle Tracking and Strain –
Proven Utility or Just Potential?
Steven J. Lester, MD, FACC
Real-time 3DE and 3D Flow Imaging: Techniques,
Knobology and Applications
Lissa Sugeng, MD, MPH, FACC
Solid Modeling by 3D Printing: Potential Applications
Natesa G. Pandian, MD, FACC
11:20 – 11:40 am | Break and Exhibits
11:40 am – 1:00 pm
More on Techniques, New and Old
Moderator: Natesa G. Pandian, MD, FACC
Fusion Imaging
H. Joachim Nesser, MD, FACC, FESC
Good Old CW Doppler – Profiles of Clinical Value
Pravin M. Shah, MD, MACC
M-Mode Vignettes
Itzhak Kronzon, MD, FACC
1:00 – 2:00 pm | Lunch and Exhibits
2:00 – 2:20 pm
Aortic Valve Disease
Moderator: Pravin M. Shah, MD, MACC
Evaluation of Aortic Stenosis: Is Echo/Doppler
Quantification Using Continuity Equation a Settled
Science?
Pravin M. Shah, MD, MACC
2:40 – 3:00 pm
3D Evaluation of Aortic Valve and Aortic Root for
TAVR Considerations
Lissa Sugeng, MD, MPH, FACC
3:00 – 3:30 pm
Practical Approach to TAVR – What is needed,
How To Do It?
Anthony D. Caffarelli, MD, FACC and
Jorge M. Castellanos, MD, FACC
3:30 – 3:50 pm | Break and Exhibits
3:50 – 4:50 pm
Complex Issues in Aortic Stenosis – Not Always Easy!
Moderator: Natesa G. Pandian, MD, FACC
Cases: SAVR or TAVR: How to Decide?, Low
Gradient, Preserved EF, AS and MV Disease,
Asymptomatic Severe AS, AS and Subaortic
Obstruction, Low Gradient, Low Flow Aortic
Stenosis, Normal Flow, Low Gradient
AS and AR, When to do Aortic Valve Repair,
Uncommon Causes for AS
Case Presenters and Discussants:
Pravin M. Shah, MD, MACC
Natesa G. Pandian, MD, FACC
Steven J. Lester, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Joseph M. Riggio, MD
Anthony D. Caffarelli, MD, FACC
4:50 – 6:00 pm
Challenging Cases in Valve Disease
Pravin M. Shah, MD, MACC
Natesa G. Pandian, MD, FACC
Steven J. Lester, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Joseph M. Riggio, MD
Anthony D. Caffarelli, MD, FACC
Aidan R. Raney, MD, FACC
6:00 pm | Adjournment
11:30 am – 12:30 pm
Mitral Stenosis, and Tricuspid and Pulmonic Valve
Disease - Issues in Echo Assessment
of Pathology, Severity, and Management
Moderator: Steven J. Lester, MD, FACC
DAY 2 - MONDAY, SEPTEMBER 26, 2016
7:00 – 8:00 am | Registration, Exhibits and Breakfast
8:00 – 8:40 am
Issues in Valvular Regurgitation
Moderator: Natesa G. Pandian, MD, FACC
Cases: Tricuspid Regurgitation Assessment,
Asymptomatic Severe TR, Primary TR, Functional TR,
TR – Repair or Replacement, Pulmonary Regurgitation
in an Adult, Mixed Lesions, Complex Regurgitation
Cases, Valve Disease Related to Unusual Disorders
Case Presenters and Discussants:
Itzhak Kronzon, MD, FACC
Steven J. Lester, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Robert J. Siegel, MD, FACC
Lissa Sugeng, MD, MPH, FACC
Anthony D. Caffarelli, MD, FACC
Mitral Valve Pathology/2D/3D Echo Correlations
Pravin M. Shah, MD, MACC
12:30 – 1:30 pm | Lunch and Exhibits
Severity Assessment of Mitral and Aortic Regurgitation –
Clinically Relevant Approach
Steven J. Lester, MD, FACC
1:30 – 2:30 pm
Transcutaneous Therapy of Valvular and Other
Lesions – Good and Bad Events,
Echo for Guidance and Rescue
Moderator: Anthony D. Caffarelli, MD, FACC
8:40 – 9:40 am
Cases: Challenging Scenarios in Regurgitation
Rheumatic MR, Degenerative MR Secondary to
Prolapse/Flail Valve, Degenerative MR Secondary
to Fibrocalcific Disorder, Asymptomatic Severe MR,
Functional MR Secondary to LV Dilation/Dysfunction,
Functional MR with Normal LV Size and Function,
Anatomy Behind AR, Asymptomatic Severe AR, Aortic
Valve Repair
Case Presenters and Discussants:
Anthony D. Caffarelli, MD, FACC
Itzhak Kronzon, MD, FACC
Steven J. Lester, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Robert J. Siegel, MD, FACC
Lissa Sugeng, MD, MPH, FACC
9:40 – 10:10 am
Mitral Valve Pathology: Repair, Replace or Leave it
Alone?
Pravin M. Shah, MD, MACC
Cases: Balloon Valvuloplasty, TAVR, Mitral Clips, Valve
in Valve, Melody Valve, ASD/PFO/VSD Closure, Closure
of Paravalvular Leak, LA Appendage Closure
Case Presenters and Discussants:
Itzhak Kronzon, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Robert J. Siegel, MD, FACC
Anthony D. Caffarelli, MD, FACC
Natesa G. Pandian, MD, FACC
Jorge M. Castellanos, MD, FACC
Aidan R. Raney, MD, FACC
2:30 – 3:30 pm
Prosthetic Valves, Endocarditis and Unusual Valve
Disorders
Moderator: Lissa Sugeng, MD, MPH, FACC
10:10 – 10:40 am | Break and Exhibits
Cases: Echo Features of Prosthetic Valves and
Prosthetic Valve Dysfunction, Clot, Pannus, Obstruction
and Regurgitation, Patient-Prosthesis Mismatch,
Endocarditis, Radiation-induced Valve Disease, Valve
Disease in Systemic Disorders, Drug-induced Valve
Disease
10:40 – 11:10 am
Mitral Valve Clip and Other Transcutaneous Mitral
Valve Therapy - Case Selection, Methods, Echo
Guidance and Patient Examples
Robert J. Siegel, MD, FACC
Case Presenters and Discussants:
Itzhak Kronzon, MD, FACC
Steven J. Lester, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Robert J. Siegel, MD, FACC
Anthony D. Caffarelli, MD, FACC
11:10 – 11:30 am
Case Studies – Early and Late Outcomes
Jorge M. Castellanos, MD, FACC
3:30 – 3:50 pm | Break and Exhibits
3:50 – 4:50 pm
Echo in Myocardial Infarction (Cases 81-84)
H. Joachim Nesser, MD, FACC, FESC
Stress Echo Vignettes (Cases 85-88)
Steven J. Lester, MD, FACC
Diastolic Dysfunction: What Echo/Doppler Parameters
Work and What don’t?
Pravin M. Shah, MD, MACC
4:50 – 6:30 pm
Echo in Heart Failure : What Information is Clinically
Relevant for Diagnosis, Prognosis and Management?
Moderator: Steven Lester, MD, FACC
Cases: Subclinical LV Dysfunction, Diastolic
Dysfunction, New descriptors of ventricular function,
Myocarditis, Ischemic Cardiomyopathy, Nonischemic Cardiomyopathy, Isolated Right Heart
Disease, Hypertrophic Cardiomyopathy, Sarcoidosis,
Amyloidosis, Connective Tissue Disorders, Systemic
Disorders, Cardio-oncology, Noncompaction CMP,
Arrhythmogenic CMP
Case Presenters and Discussants:
Steven J. Lester, MD, FACC
Natesa G. Pandian, MD, FACC
Itzhak Kronzon, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Lissa Sugeng, MD, MPH, FACC
6:30 pm | Adjourn
8:30 – 8:50 am
Surgical Solutions to Aortic Disorders
Anthony D. Caffarelli, MD, FACC
8:50 – 9:20 am
Pericardial Disorders
Cases: Cardiac Tamponade, Guidance for
Pericardiocentesis, Hiding Hematomas, Atypical
Tamponade, Constrictive Pericarditis, Pericardial Cysts
and Tumors
Robert J. Siegel, MD, FACC
9:20 – 10:10 am
Adult Congenital Heart Disease – A Review of Cases
Natesa G. Pandian, MD, FACC
10:10 – 10:30 am | Break and Exhibits
10:30 – 11:40 am
Echo in Intensive Scenarios – ER, ICU, CCU, and OR
Moderator: Lissa Sugeng, MD, MPH, FACC
Cases: Acute Chest Pain, Acute EKG change, Acute
Dyspnea, Unremitting Hypoxia, Hypotension, Shock,
Back Pain, Stroke – Unmasking of the Cause,
Treatment Guidance
Case Presenters and Discussants:
Natesa G. Pandian, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Anthony D. Caffarelli, MD, FACC
11:40 am – 12:30 pm
Unwelcome Guests – Cardiac Masses
Moderator: Pravin M. Shah, MD, MACC
Tumors, Tumor Mimics, Clots, Vegetations, Foreign
Bodies
Case Presenters and Discussants:
Itzhak Kronzon, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Padmini Vardarajan, MD, FACC
12:30 – 1:00 pm
Fascinating Rapid-Fire Cases
DAY 3 - TUESDAY, SEPTEMBER 27, 2016
7:00 – 8:00 am | Registration, Exhibits and Breakfast
8:00 – 8:30 am
Aorta – Problems with the Big Tube
Moderator: Robert Siegel, MD, FACC
Cases: How Big is Big, Dissection, Intramural
Hematoma, Penetrating Ulcers, Aneurysm,
Coarctation, Endovascular Procedures
Itzhak Kronzon, MD, FACC
Case Presenters and Discussants:
Pravin M. Shah, MD, MACC
Natesa G. Pandian, MD, FACC
H. Joachim Nesser, MD, FACC, FESC
Robert J. Siegel, MD, FACC
Padmini Vardarajan, MD, FACC
1:00 pm | Program Adjourns