

VALVE CHALLENGING ANATOMIES

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VALVE CHALLENGING ANATOMIES

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VALVE CHALLENGING ANATOMIES

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- La condivisione e discussione di casi clinici complessi.
- L’utilizzo di CT Scan per l’analisi e commento con gli Experts.
- Take Home Message utili ai partecipanti per la messa in pratica delle procedure presentate.
Molteplici eventi nel corso dell’anno mandati in onda da uno studio TV professionale, con collegamenti di relatori da remoto e partecipazione dei discenti da casa.
Gli eventi godono del patrocinio GISE e sono supportati da Aziende di settore.
Gli eventi si terranno dalle 17.00 alle 18.30
Supported by ABBOTT
- Learn how to plan a complex TAVI procedure
- Understand the different characteristics of the principal transcatheter heart valves (THVs) and how this knowledge can help tailoring a TAVI procedure
- Discuss with experts the important details to perform a perfect TAVI procedure with a last generation intra-annular self-expanding THV
Chairs: Giuseppe Tarantini (Padova) – Francesco Saia (Bologna)
Expert Guest: Luigi Vignali (Parma)
Discussants: Nedy Brambilla (Milano) – Francesco Burzotta (Roma) – Nicola Corcione (Caserta) – Caterina Gandolfo (Palermo) – Fabio Tarantino (Forlì)
Introduction (3 min)
Giuseppe Tarantini – Francesco Saia
Current indications and challenges in TAVI 2023
Fabio Tarantino
Topic(s): clinical indications, guidelines
Case presentation
Nicola Corcione
CT scan analysis of the case and panel discussion
Francesco Saia
Topic(s): analysis of vascular access and aortic root
Panel discussion
Topic(s): valve selection and general comments
“Must know” on sizing and positioning of intra-annular self-expanding valve
Nedy Brambilla
Topic(s): focus on the valve
“Must know” technical features to improve valve deliverability
Francesco Burzotta
Topic(s): focus on the delivery system (hostile TF access, small RVD, tortuosity, sharp aortic angle,
stability during delivery)
How to deal with coronary access and intra-annular self-expandable valve
Caterina Gandolfo
Topic(s): focus on comparative data and techniques
Case Conclusion
Nicola Corcione
Topic(s): step-by-step TAVI with intra-annular self-expanding THV
Panel discussion
Topic(s): general comments & wrap-up
Conclusion and take-home messages
Giuseppe Tarantini
Supported by ABBOTT
- Understanding how to manage MitraClip procedures in challenging anatomies
- Discovering the new device features and the new guidelines in TMVr
Giuseppe Tarantini (Padova) – Francesco Saia (Bologna) – Francesco Maisano (Milano)
Discussants: Marianna Adamo (Brescia) – Fausto Castriota (Cotignola) – Carmelo Grasso (Catania) – Giulia Masiero (Padova) – Gemma Salerno (Napoli)
Introduction
Giuseppe Tarantini – Francesco Saia
Clinical insights: from indications to intervention
Marianna Adamo
Topic(s): clinical indications, guidelines
Case presentation
Giulia Masiero
Implanting techniques for outcome optimization
Giuseppe Tarantini
Topic(s): tips & tricks
Case conclusion
Giulia Masiero
Topic(s): clip selection, step-by-step MitraClip procedure
Tailoring the treatment in challenging anatomies: cases review
Fausto Castriota – 1° round
Carmelo Grasso – 2° round
Francesco Saia – 3° round
Topic(s): implantation technique in challenging anatomies, tips & tricks
New trigger points and timing for intervention
Francesco Maisano
Topic(s): treatment indications & clinical practice
Panel discussion
Topic(s): general comments & wrap-up
Supported by ABBOTT
- Understanding how to manage TriClip procedures from patient selection to implanting technique
- Discovering the new device features and the new guidelines in TTVr
Giuseppe Tarantini (Padova) – Francesco Saia (Bologna) – Francesco Maisano (Milano)
Discussants: Marianna Adamo (Brescia) – Fausto Castriota (Cotignola) – Carmelo Grasso (Catania) – Giulia Masiero (Padova) – Gemma Salerno (Napoli)
Introduction
Giuseppe Tarantini – Francesco Saia
Case presentation
Marianna Adamo
Clip-based tricuspid valve repair: clinical perspective and applications
Francesco Maisano
Topic(s): guidelines, clinical indications, controversial scenario
Echo perspective on selection and outcomes
Gemma Salerno
Topic(s): echo screening, patient selection
Case conclusion
Marianna Adamo
Topic(s): clip selection, step-by-step TriClip procedure
Panel discussion
Topic(s): clinical practice, evidence, troubleshooting
Tailoring the treatment in the tricuspid valve: cases review
Fausto Castriota – 1° round
Carmelo Grasso – 2° round
Giuseppe Tarantini – 3° round
Topic(s): implantation technique, tip & tricks
Panel discussion
Topic(s): general comments & wrap-up
Supported by Edwards
- Planning a mitral ViV procedure
- Step-by-step transeptal mitral V-i-V procedure
- Troubleshooting
Discussants: Caterina Gandolfo (Palermo) – Francesco Meucci (Firenze) – Marco Barbierato (Mestre) – Giulia Masiero (GISE Young – Padova)
Case Presenter: Antonio Giulio Bruno (Bologna)
Giuseppe Tarantini – Francesco Saia
Antonio Giulio Bruno
Pre-procedural imaging for mitral ViV
Sergio Berti
Topic(s): Analysis of echo and CT Scan, evaluation of LVOT, complex cases
Panel discussion
Topic(s): Discussing about imaging, LVOT risk, LAMPOON, valve-in-ring, valve-in MAC
CT case analysis
Francesco Saia – CT case analysis
Topic(s): CT scan analysis of the case presented
Panel discussion
Topic(s): Panelists discuss focused on the case
Antonio Giulio Bruno – Clinical case conclusion
Giuseppe Tarantini – Tips and Tricks to streamline the procedure
Topic(s): Show procedure step-by-step, troubleshooting
Panel discussion
All Panelists
Topic(s): Septal crossing and dilatation, valve alignment, double wire and other
Giuseppe Tarantini – Francesco Saia
Supported by Medtronic
- Rationale for optimization of TAVI with self-expanding-valve (SEV)
- Best implantation technique for SEV
Giuseppe Tarantini (Padova) – Francesco Saia (Bologna) – Francesco Meucci (Firenze)
Discussants: Carlo Trani (Roma) – Diego Maffeo (Brescia) – Federico De Marco (Milano) – Matteo Montorfano (Milano)
Case Presenter: Pierluigi Demola (GISE YOUNG – Firenze)
Giuseppe Tarantini – Francesco Saia
Introduction
Giuseppe Tarantini – Francesco Saia
Case introduction
Pierluigi Demola
First CT scan analysis of the case
Francesco Saia – reading CT scan with 3 mensio
Topic(s): analysis of aortic root and vascular access
Panel discussion
Topic(s): general comments about imaging, valve choice
Cusp-overlap technique
Francesco Meucci
Topic(s): show the cusp overlap technique basics and how to do it
Valve orientation, why is it important
Giuseppe Tarantini
Topic(s): coronary access after SEV implantation
Second CT scan analysis focused on COT and coronaries
Francesco Saia and all Panelists – discussion with CT scan analysis
Case conclusion
Pierluigi Demola
Topic(s): step-by-step TAVI with COT
Panel discussion
Topic(s): Complex anatomies, Troubleshooting
Supported by Edwards
- Understanding bicuspid aortic valve anatomy
- Sizing of TAVI in bicuspid anatomy
- Tips and Tricks
Giuseppe Tarantini (Padova) – Francesco Saia (Bologna) – Giuseppe Musumeci (Torino)
Discussants: Caterina Gandolfo (Palermo) – Carlo Cernetti (Treviso) – Tommaso Piva (Ancona) – Gianmarco Annibali (GISE Young – Torino)
Case Presenter: Tommaso Fabris (Padova)
Giuseppe Tarantini – Francesco Saia
Tommaso Fabris
Introduction to BAV: anatomical and operative classification
Giuseppe Musumeci
Topic(s): BAV anatomical and operative classification, key issues for procedural planning
CT scan and procedural planning of the case presented
All panelists discussion with Francesco Saia reading – CT scan of the patient
Topic(s): analysis of CT and procedural planning starting from the annulus/valve/aortic root and peripheral access, balloon sizing, coronary issues, lifetime strategy (younger patients)
Tips & Tricks for TAVI in bicuspid aortic valve
Giuseppe Tarantini
Topic(s): a systematic approach to TAVI in BAV
Tommaso Fabris – Case conclusion
Panel discussion and review of different cases
All panelists + Tommaso Fabris
Topic(s): how to approach TAVI with different BAV anatomy
Giuseppe Tarantini – Francesco Saia
Supported by Medtronic
- Technical tips & tricks for left main bifurcations treatment
- The importance of intracoronary imaging for optimizing left main revascularization
New clinical insights and perspectives
Main Speakers: Giuseppe Tarantini (Padova) – Francesco Burzotta (Roma)
Discussants: Alfredo Marchese (Bari) – Luca Nai Fovino (Padova)
Giuseppe Tarantini – Francesco Saia
Francesco Burzotta
- PHASE 1 – Case Introduction and Imaging procedural planning
- PHASE 2 – Revascularization strategy
- PHASE 3 – Learnings and Evidences in practice
- Discussion
- PHASE 1 – Case Introduction and Imaging procedural planning
- PHASE 2 – Revascularization strategy
- PHASE 3 – Learnings and Evidences in practice
- Discussion
Final Discussion and Key Learnings
Giuseppe Tarantini, Francesco Saia
Supported by Edwards
- Approach to low-risk and younger patients with TAVI
- Step-by-step TAVI planning
- How to optimize TAVI procedure
- Planning of TAV-in-TAV
Discussants: Antonio Bartorelli (Milano) – Massimo Fineschi (Siena) – Emilio Di Lorenzo (Avellino) – Fabio Magliulo (GISE Young – Napoli)
Case Presenter: Luca Nai Fovino (Padova)
Giuseppe Tarantini – Francesco Saia
Luca Nai Fovino
Panel discussion (Heart Team) – whatever aortic valve replacement (SAVR or TAVI) takes?
Topic(s): low risk, approach/prosthesis choice, coronary access, reDO TAVR
Don’t put off until tomorrow what you can do today
Giuseppe Tarantini
Francesco Saia
Topic(s): analysis of aortic root and access
Procedural planning
All panelists
Topic(s): the perfect procedure: vascular access and closure, valve implantation, adoption of safety plan, PM, valve orientation
Case conclusion
Luca Nai Fovino
Topic(s): show the procedure step-by-step
Panel discussion
Topic(s):post-procedural care, early discharge
Giuseppe Tarantini – Francesco Saia
Supported by Medtronic
- Understanding bicuspid anatomy and challenges for TAVI
- Step-by-step planning and execution of TAVI with self-expandable-valve (SEV) in bicuspid anatomy
Giuseppe Tarantini (Padova) – Francesco Saia (Bologna) – Fausto Castriota (Cotignola)
Discussants: Marianna Adamo (Brescia) – Caterina Gandolfo (Palermo) – Carlo Cernetti (Treviso) – Gennaro Sardella (Roma)
Case Presenter: Tommaso Fabris (Padova)
Introduction
Giuseppe Tarantini – Francesco Saia
Case introduction
Tommaso Fabris
Bicuspid aortic valve: from anatomy to TAVI technique
Giuseppe Tarantini
Topic(s): introduction to BAV, sizing for TAVI and implantation technique
CT scan analysis of the case
Francesco Saia – reading CT scan with 3 mensio
Topic(s): analysis of aortic root and vascular access
Panel discussion
Topic(s): general comments about imaging, valve choice
Treating BAV with self-expandable valve: case examples
Fausto Castriota
Topic(s): tips and tricks for optimal SEV implantation in bicuspid, cusp overlap technique
Case conclusion
Tommaso Fabris
Topic(s): step-by-step TAVI with SEV in bicuspid
Panel discussion
Topic(s): Guidelines, Troubleshooting
Video On demand
Eventi supportati da Edwards
Transeptal mitral valve-in-valve
26 May 2021
TAVI in bicuspid anatomy
7 July 2021
Severe Aortic Stenosis: lifetime patient-centered strategy
29 September 2021
Eventi supportati da Medtronic
What you should know and need to do for an optimal self-expanding valve implantation
8 June 2021
Left main treatment: new insights in interventional techniques and technologies
15 July 2021
Treating bicuspid patients: practical challenges and solutions
17 November 2021
Eventi supportati da Abbott
How to tailor-clip based treatments in mitral valve challenging anatomies
30 March 2022
Tricuspid Transcatheter edge-to-edge repair: from patients selection to treatment
4 May 2022
Tavi in complex scenarios: current challenges and new technologies
15 February 2023
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