TVT - Agenda - CRFcrf.org/pdf/meetings/tvt/2015/agenda_tvt.pdfTVT - Agenda Last updated June 3, ......

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TVT - Agenda Last updated June 3, 2015 at 7:00 pm The agenda listed below may not be upto date as our website. Please refer to our conference website for the latest agenda details. Wednesday, June 03, 2015 Opening Reception: Wine and “Director’s Choice” Taped Cases Accreditation: Wednesday, June 03 6:00 PM - 8:30 PM Room: Main Arena, International North, 2nd Floor Reception 6:00 PM - 7:00 PM Director’s Choice Taped Cases 7:00 PM - 8:30 PM Moderators: Martin B. Leon, Mark Reisman, Gregg W. Stone Discussants: Francesco Maisano, Nicolo Piazza, Joachim Schofer 7:00 PM Welcome and Introduction Martin B. Leon, Francesco Maisano, Nicolo Piazza, Mark Reisman, Gregg W. Stone 7:05 PM Double Transcatheter Valve Replacement for a Failing Mitral and Tricuspid Annuloplasty Ring Using a Single Right Lateral Minithoracotomy Approach Nicolo Piazza 7:15 PM Roundtable Discussion With Q&A 7:25 PM Transcatheter Mitral Annuloplasty: Another Step Towards Surgical Standards (Cardioband Case) Francesco Maisano 7:35 PM Roundtable Discussion With Q&A 7:45 PM Transcatheter Annuloplasty for Severe TR Using a Suture-Based Plication Device Joachim Schofer 7:55 PM Roundtable Discussion With Q&A 8:05 PM - 8:30 PM Director's Choice: Challenging Case Presentation 8:05 PM CoreValve Evolut R Implantation to Treat Severe LVOT Obstruction Following Mitral Valve-in-Ring Challenging Case Presenter: Maurizio Taramasso, MD 8:15 PM Roundtable Discussion With Q&A 8:25 PM Closing Remarks Thursday, June 04, 2015 TAVR Day I - Thursday June 04, 2015 Accreditation: CME Thursday, June 04 7:55 AM - 2:30 PM Room: Main Arena, International North, 2nd Floor Session I. Guidelines and Clinical Indications 7:55 AM - 10:00 AM Moderators: Robert O. Bonow, Martin B. Leon Digital Moderator: Jean-Michel Paradis Discussants: Alain G. Cribier, Markus Kasel, Axel Linke, Raj Makkar, Neil E. Moat, Nicolo Piazza, Philippe Pibarot, Allan Schwartz 7:55 AM Welcome Message Directors: Martin B. Leon, Francesco Maisano, Nicolo Piazza, Mark Reisman, Gregg W. Stone 8:00 AM TAVR 2015: A Breakthrough Technology “Goes Viral” – Issues and Controversies Martin B. Leon

Transcript of TVT - Agenda - CRFcrf.org/pdf/meetings/tvt/2015/agenda_tvt.pdfTVT - Agenda Last updated June 3, ......

TVT - AgendaLast updated June 3, 2015 at 7:00 pmThe agenda listed below may not be upto date as our website. Please refer to our conference website for the latest agenda details.

Wednesday, June 03, 2015

Opening Reception: Wine and “Director’s Choice” Taped Cases

Accreditation:

Wednesday, June 03 6:00 PM - 8:30 PM Room: Main Arena, International North, 2nd Floor

Reception

6:00 PM - 7:00 PM

Director’s Choice Taped Cases

7:00 PM - 8:30 PM

Moderators: Martin B. Leon, Mark Reisman, Gregg W. Stone

Discussants: Francesco Maisano, Nicolo Piazza, Joachim Schofer

7:00 PM Welcome and Introduction Martin B. Leon, Francesco Maisano, Nicolo Piazza, Mark Reisman, Gregg W. Stone

7:05 PM Double Transcatheter Valve Replacement for a Failing Mitral and Tricuspid Annuloplasty Ring Using a Single Right Lateral Minithoracotomy Approach Nicolo Piazza

7:15 PM Roundtable Discussion With Q&A

7:25 PM Transcatheter Mitral Annuloplasty: Another Step Towards Surgical Standards (Cardioband Case) Francesco Maisano

7:35 PM Roundtable Discussion With Q&A

7:45 PM Transcatheter Annuloplasty for Severe TR Using a Suture-Based Plication Device Joachim Schofer

7:55 PM Roundtable Discussion With Q&A

8:05 PM - 8:30 PM

Director's Choice: Challenging Case Presentation

8:05 PM CoreValve Evolut R Implantation to Treat Severe LVOT Obstruction Following Mitral Valve-in-Ring Challenging Case Presenter: Maurizio Taramasso, MD

8:15 PM Roundtable Discussion With Q&A

8:25 PM Closing Remarks

Thursday, June 04, 2015

TAVR Day I - Thursday June 04, 2015

Accreditation: CME

Thursday, June 04 7:55 AM - 2:30 PM Room: Main Arena, International North, 2nd Floor

Session I. Guidelines and Clinical Indications

7:55 AM - 10:00 AM

Moderators: Robert O. Bonow, Martin B. Leon

Digital Moderator: Jean-Michel Paradis

Discussants: Alain G. Cribier, Markus Kasel, Axel Linke, Raj Makkar, Neil E. Moat, Nicolo Piazza, Philippe Pibarot, Allan Schwartz

7:55 AM Welcome Message Directors: Martin B. Leon, Francesco Maisano, Nicolo Piazza, Mark Reisman, Gregg W. Stone

8:00 AM TAVR 2015: A Breakthrough Technology “Goes Viral” – Issues and Controversies Martin B. Leon

8:15 AM Making the Case for TAVR Expansion to Lower-Risk Patients! Nicolo Piazza

8:25 AM - 8:45 AM

Based on the Clinical Data, Should the TAVR Clinical Use Guidelines Be Modified?

8:25 AM US Perspectives Robert O. Bonow

8:32 AM EU Perspectives Alec S. Vahanian

8:39 AM Discussion

8:45 AM - 10:00 AM

Bioskills I and Live Cases

Live Case Moderators: Robert O. Bonow, Martin B. LeonLive Case Discussants: Alain G. Cribier, Adam B. Greenbaum, Markus Kasel, Axel Linke, Raj Makkar, Neil E. Moat, Nicolo Piazza, Philippe Pibarot, Allan Schwartz

8:45 AM Aortic Bioskills I Mark Reisman

9:00 AM Live Case 1: University Heart Center Hamburg (Hamburg, Germany)- Transsubclavian (or Transfemoral) TAVR Symetis Accurate Neo with CerebralProtection (Claret) Live Case Operators: Leonard Couradi, MD, Ulrich Schafer, Hendrik Treede, MD

9:30 AM Live Case 2: Columbia University/NewYork-Presbyterian Hospital (New York, NY) Live Case Operators: Isaac George, Rebecca T. Hahn, Susheel Kodali, Tamim Nazif, Torsten P. Vahl

Session II. Surgeons' Perspectives and TAVR Platforms10:00 AM - 12:00 PM

Moderators: A. Pieter Kappetein, Alec S. Vahanian

Digital Moderator: Jeffrey W. Moses

Discussants: Ganesh Manoharan, Ian T. Meredith, Ardawan J. Rastan, Michael J. Reardon, Newell Robinson, Didier Tchetche, Thomas Walther

10:00 AM - 10:20 AM

A Surgeon’s Roundtable on TAVR in 2015: “The Four Questions”

Moderator: Mathew WilliamsDiscussants: A. Pieter Kappetein, Neil E. Moat, Michael J. Reardon, Newell Robinson, Thomas Walther

10:00 AM Question 1. Appropriate Clinical Indications?

10:05 AM Question 2. Surgeon’s Role in the Heart Team and TAVR Procedures?

10:10 AM Question 3. Transfemoral vs Nontransfemoral Access

10:15 AM Question 4. The Future of Conventional AVR in the TAVR Era?

10:20 AM - 10:45 AM

Selecting the Optimal TAVR Platform

10:20 AM Advantages of Balloon-Expandable TAVR Systems Alain G. Cribier

10:30 AM Advantages of Self-Expanding TAVR Systems Ian T. Meredith

10:40 AM Discussion

10:45 AM - 12:00 PM

Bioskills II and Live Cases

Live Case Moderators: A. Pieter Kappetein, Alec S. VahanianDigital Moderator: Jeffrey W. MosesLive Case Discussants: Ganesh Manoharan, Ian T. Meredith, Ardawan J. Rastan, Michael J. Reardon, Newell Robinson, Didier Tchetche, Thomas Walther

10:45 AM Aortic Bioskills II Mark Reisman

11:00 AM Live Case 3: University Heart Center Hamburg (Hamburg, Germany) - Transapical Mitral Valve-in-Ring Boston Lotus with Cerebral Protection (Claret)Live Case Operators: Leonard Couradi, MD, Ulrich Schafer, Hendrik Treede, MD

11:30 AM Live Case 4: St. Paul's Hospital (Vancouver, Canada)

Live Case Guest Operator: Eberhard Grube

Live Case Operators: Anson Cheung, MD, John G. Webb, Jian Ye

Lunch12:00 PM - 1:45 PM

Session III: Special TAVR Hot Topic: Subclinical Bioprosthetic Valve Leaflet Abnormalities: Early Imaging Observations1:45 PM - 2:30 PM

Moderators: Robert O. Bonow, Alec S. VahanianDiscussants: A. Pieter Kappetein, Jonathon A. Leipsic, Martin B. Leon, Raj Makkar, Neil E. Moat, Nicolo Piazza, Philippe Pibarot, Lars Sondergaard, Mathew Williams

1:45 PM Aerial Perspectives – Setting the Stage Martin B. Leon

1:50 PM Observations from the SAVORY Registry from Denmark Lars Sondergaard

2:00 PM Observations from the PORTICO IDE Study and the RESOLVE Registry from Cedars-Sinai Raj Makkar

2:10 PM Imaging Perspectives on High-Resolution CT Studies Jonathon A. Leipsic

2:15 PM Animated Discussion and Consensus Moderators: Robert O. Bonow, Alec S. Vahanian

Mitral Day I - Thursday June 04, 2015

Accreditation: CME

Thursday, June 04 2:30 PM - 6:00 PM Room: Main Arena, International North, 2nd Floor

Mitral Session I. The Standard of Care2:30 PM - 3:30 PM

Moderators: Gregg W. Stone, Alec S. VahanianDigital Moderator: Wesley R. PedersenDiscussants: Michael Argenziano, Robert O. Bonow, David L. Brown, Franz X. Kleber, Charanjit Rihal, Allan Schwartz

2:30 PM Just How Good Are Guideline-Directed Medical Therapy and CRT for Secondary MR? Robert O. Bonow

2:45 PM Indications, Timing, and Risk Assessment for Surgery for Primary and Secondary MR Allan Schwartz

3:00 PM Implications From the Recent CTSN Trials of Mitral Valve Repair and Replacement for the Surgical Standard and Mitral Device Development Michael Argenziano

3:15 PM Audience Poll 1: Does medical therapy and CRT improve prognosis in secondary MR?

3:16 PM Audience Poll 2: What proportion of patients with secondary MR benefit from mitral valve surgery?

3:17 PM Audience Poll 3: Which transcatheter device do you think is most likely to improve the prognosis of patients with secondary MR?

3:18 PM Roundtable Discussion With Audience Q&A

Mitral Session II. Mitral Bioskills 1 and Live Case3:30 PM - 4:30 PM

Live Case Moderators: Francesco Maisano, Mark ReismanDigital Moderator: Steven L. GoldbergLive Case Discussants: John D. Carroll, William A. Gray, Wesley R. Pedersen, Charanjit Rihal, Horst Sievert, Lars Sondergaard, Steven J. Yakubov

3:30 PM Mitral Bioskills 1 Mark Reisman

3:45 PM Live Case 1: St. Paul's Hospital (Vancouver, Canada) – Transcatheter Valve Repair (MitraClip) Live Case Guest Operator: Saibal Kar

Live Case Operators: Anson Cheung, MD, John G. Webb, Jian Ye

Mitral Session III. The MitraClip and Transcatheter Annuloplasty

4:30 PM - 6:00 PM

Moderators: Ted E. Feldman, Francesco Maisano

Digital Moderator: Brian K. Whisenant

Discussants: Stephan Baldus, Carlo Di Mario, Steven L. Goldberg, William A. Gray, Maurice E. Sarano, Horst Sievert

4:30 PM Echocardiographic Evaluation of MR Severity Before and After the MitraClip: An Integrated Approach Robert J. Siegel

4:45 PM MitraClip Efficacy and Durability: Insights From Imaging and Hemodynamic Studies Paul A. Grayburn

5:00 PM What Are the Anatomic Limitations of the MitraClip? Predictors of Success and Complications Ted E. Feldman

5:15 PM A Worldwide View of the MitraClip: Utilization and Results From Registries Stephan Baldus

5:30 PM Indirect and Direct Transcatheter Mitral Annuloplasty: Overview and Critical Assessment Joachim Schofer

5:45 PM Roundtable Discussion With Audience Q&A

How to Mitral Breakout: Mitral Imaging I – Echo Basics

Accreditation: CME

Thursday, June 04 8:30 AM - 10:00 AM Room: Williford C, Third Floor

Mitral Imaging I: Echo Basics

8:30 AM - 10:00 AM

Moderators: Paul A. Grayburn, Maurice E. Sarano

Discussant: Robert J. Siegel

8:30 AM Normal Mitral Valve Anatomy and Function: Defining the Complex Substrate Robert J. Siegel

8:38 AM Morphologic Classification: The Role of 2-D and 3-D Echocardiography Robert J. Siegel

8:46 AM Quantifying Mitral Regurgitation: Are Primary and Secondary Diseases Different? Paul A. Grayburn

8:56 AM Secondary Mitral Regurgitation: How Should We Treat? (Case Presentation) Case Presenter: James B. Hermiller Jr

9:01 AM Discussion

9:11 AM Preoperative Assessment for Surgical Mitral Repair or Replacement Maurice E. Sarano

9:19 AM Preprocedural Assessment for MitraClip: Simple to Complex Samir R. Kapadia

9:27 AM How Should We Assess the Mitral Valve Following Surgical Intervention? Maurice E. Sarano

9:35 AM How Should We Assess the Mitral Valve Following Percutaneous Repair? Case Presenter: Robert J. Siegel

9:45 AM MitraClip With Residual MR: Is It a Success? (Case Presentation) Paul A. Grayburn

9:50 AM Discussion

MitraClip I: Worldwide Data and New Insights

Accreditation: CME

Thursday, June 04 8:30 AM - 10:00 AM Room: Williford A, Third Floor

MitraClip I: Worldwide Data and New Insights8:30 AM - 10:00 AM

Moderators: Antonio Colombo, Gregg W. StoneDiscussants: John D. Carroll, Josep Rodés-Cabau, Steven J. Yakubov

8:30 AM EVEREST II 5-Year Report: Beyond the Top-Line Results Ted E. Feldman

8:40 AM EVEREST REALISM High-Risk Cohort Howard C. Herrmann

8:48 AM EVEREST REALISM Non–High-Risk Cohort Howard C. Herrmann

8:56 AM New Insights From the TRAMI Registry Karl-Heinz Kuck

9:06 AM The European Sentinel Registry Carlo Di Mario

9:16 AM ACCESS EU Update Francesco Maisano

9:26 AM New Insights From the GRASP Registry Francesco Maisano

9:34 AM ASD After MitraClip: How Big a Problem? Georg Nickenig

9:42 AM Novel Indications for MitraClip Karl-Heinz Kuck

9:50 AM Discussion

Mitral Bioskills Deep Dive: Mitral Anatomy for the MitraClip

Accreditation: CME

Thursday, June 04 8:30 AM - 10:00 AM Room: Williford B, Third Floor

Mitral Bioskills Deep Dive: Mitral Anatomy for the MitraClip8:30 AM - 10:00 AM

Moderators: Brian K. Whisenant, Ralph Stephan von BardelebenDiscussants: Gorav Ailawadi, David L. Brown, Maurice Buchbinder, William A. Gray

8:30 AM Primer on Mitral Anatomy for the MitraClip: Are There Limitations to Treatment? Samir R. Kapadia

8:40 AM How Far to “Push It” in Complex MitraClip Cases G. Burkhard Mackensen

8:50 AM MitraClip for Commissural Regurgitation and Clefts Francesco Maisano

9:00 AM Severe LV Dysfunction/Secondary MR: When Is Low Too Low to Treat? Robert J. Siegel

9:10 AM Alfieri Stitch and MitraClip Therapy: Should We Expect the Same Results? Ted E. Feldman

9:20 AM Balancing Inflow Gradients vs MR Reduction: Lessons From Experience (MitraClip) Brian K. Whisenant

9:30 AM Assessing MitraClip Success: Color Flow, Pulmonary Vein Flow, LA Pressure, Cardiac Output, and More Ralph Stephan von Bardeleben

9:40 AM Two Interactive Complex MitraClip Cases James B. Hermiller Jr

9:50 AM Roundtable Discussion With Audience Q&A

New Mitral Technology I: Direct and Indirect Annuloplasty/Ventriculoplasty Devices

Accreditation: CME

Thursday, June 04 8:30 AM - 10:00 AM Room: Waldorf, Third Floor

New Mitral Technology I: Direct and Indirect Annuloplasty/Ventriculoplasty Devices

8:30 AM - 10:00 AM

Moderators: Wesley R. Pedersen, Joachim Schofer

Discussants: Howard C. Herrmann, Ian T. Meredith, Alec S. Vahanian

8:30 AM - 8:50 AM

Session I. Indirect Mitral Annuloplasty

8:30 AM Coronary Sinoplasty With the Carillon Device: REDUCE FMR and CLINCH Trials

Steven L. Goldberg

8:40 AM Carrillon Case With Long-term Follow-up Case Presenter: Joachim Schofer

8:45 AM Roundtable Discussion With Q&A

8:50 AM - 9:40 AM

Session II. Direct Annuloplasty

8:50 AM Cardioband: Procedure, Insights From CT Planning, and CE Mark Trial Results

Alec S. Vahanian

9:02 AM Cardioband Case With Long-term Follow-up Case Presenter: Alec S. Vahanian

9:09 AM Mitralign Procedure and CE Mark Trial Results

Joachim Schofer

9:21 AM Mitralign Case With Long-term Follow-up Case Presenter: Georg Nickenig

9:28 AM Roundtable Discussion With Q&A

9:40 AM - 10:00 AM

Session III. Ventriculoplasty

9:40 AM Guided Delivery Systems Update Franz X. Kleber

9:50 AM Guided Delivery Systems Case With Long-term Follow-up Case Presenter: Franz X. Kleber

9:55 AM Roundtable Discussion With Q&A

How to Mitral Breakout: Mitral Imaging II – Advanced Imaging (Echo, CT, and MR)

Accreditation: CME

Thursday, June 04 10:30 AM - 12:00 PM Room: Williford C, Third Floor

Mitral Imaging II: Advanced Imaging (Echo, CT, and MR)

10:30 AM - 12:00 PM

Moderators: Philipp Blanke, Jonathon A. Leipsic

Discussants: Samir R. Kapadia, Robert R. Moss, Maurice E. Sarano

10:30 AM Imaging Needs Across the Spectrum of Transcatheter Mitral Valve Procedures Samir R. Kapadia

10:40 AM Practical Approach to Mitral Valve Anatomy and Role for Fluoroscopic Guidance Nicolo Piazza

10:50 AM CT Data Acquisition and Analysis for Mitral Valve Disease Jonathon A. Leipsic

11:00 AM CT Insights for Transcatheter Mitral Valve Repair and Replacement Philipp Blanke

11:10 AM Roundtable Discussion With Audience Q&A

11:18 AM Pre- and Periprocedural Echo Assessment for Transcatheter MV Repair and Replacement Robert R. Moss

11:28 AM Roundtable Discussion With Audience Q&A

11:33 AM Value of 3-D Printing in the Evaluation Before TMVR Jonathon A. Leipsic

11:41 AM Roundtable Discussion With Audience Q&A

11:44 AM Case in a Box: CT and Echo for Transcatheter MV Replacement Philipp Blanke

11:54 AM Roundtable Discussion With Audience Q&A

MitraClip II: Procedural Guidance and Tips and Tricks

Accreditation: CME

Thursday, June 04 10:30 AM - 12:00 PM Room: Williford A, Third Floor

MitraClip II: Procedural Guidance and Tips and Tricks10:30 AM - 12:00 PM

Moderators: Gorav Ailawadi, Brij Maini

Discussants: William A. Gray, Francesco Maisano, Jason H. Rogers, Ralph Stephan von Bardeleben

10:30 AM Orientation to the Mitral Valve and Clip Delivery System Steering Jason H. Rogers

10:40 AM Arm Orientation and the Grasp William A. Gray

10:50 AM Advanced Steering Maneuvers Brij Maini

11:00 AM Having Patience With Leaflet Insertion Evaluation G. Burkhard Mackensen

11:10 AM Multiple Clips: Balancing Stenosis Versus Regurgitation James B. Hermiller Jr

11:20 AM Zip and Clip Maneuver Francesco Maisano

11:30 AM How to Avoid and Manage MitraClip Complications Ralph Stephan von Bardeleben

11:40 AM Two Interactive Complex MitraClip Cases Antonio Colombo

11:50 AM Roundtable Discussion With Audience Q&A

New Mitral Technology II: Transcatheter Mitral Valve Replacement

Accreditation: CME

Thursday, June 04 10:30 AM - 12:00 PM Room: Waldorf, Third Floor

New Mitral Technology II: Transcatheter Mitral Valve Replacement10:30 AM - 12:00 PM

Moderators: Nicolo Piazza, Gregg W. StoneDiscussants: Michael Argenziano, Vinayak Bapat, Philipp Blanke, Ted E. Feldman, Mayra Guerrero, Lars Sondergaard

10:30 AM Is There a Future Role for Transcatheter Mitral Valve Replacement? A Surgeon’s Perspective Steven F. Bolling

10:37 AM Anatomical and Technological Challenges for TMVR Technology Michael Argenziano

10:44 AM Mitral Imaging Essentials for TMVR Philipp Blanke

10:51 AM Sapien in Native Mitral Stenosis: Feasibility and Registry Results Mayra Guerrero

10:59 AM FIM and Update: Tiara Shmuel Banai

11:07 AM FIM and Update: Fortis Vinayak Bapat

11:15 AM FIM and Update: CardiaQ Arshad Quadri

11:23 AM FIM and Update: Tendyne Neil E. Moat

11:31 AM MValve Update Maurice Buchbinder

11:37 AM Cephea Update Juan F. Granada

11:43 AM Sinomedical Science Technology Patrick W. Serruys

11:49 AM Roundtable Discussion With Q&A

Challenging Cases I: TAVR New Indications

Accreditation: CME

Thursday, June 04 2:30 PM - 4:00 PM Room: Williford A, Third Floor

Challenging TAVR Cases I: TAVR New Indications2:30 PM - 4:00 PM

Moderators: Vinayak Bapat, Maurice E. SaranoDiscussants: Shmuel Banai, Pedro Martinez-Clark, Fabian Nietlispach

2:30 PM Intraoperative Mitral "Valve in Valve" Using Transcatheter Heart Valve in the Setting of Critical Bioprosthetic Mitral Valve Stenosis and Overwhelming Left AtrialThrombus Burden Challenging Case Presenter: Mohammad Al Madani, MD

2:37 PM Discussion

2:40 PM Complete Endovascular Approach for Treatment of DeBakey Type II Aortic Dissection and Concomitant Aortic Valve Stenosis Challenging Case Presenter: Manuel Wilbring, MD

2:47 PM Discussion

2:50 PM Fracturing the Ring of Small Mitroflow Bioprostheses by High-pressure Balloon Predilatation in Transcatheter Aortic Valve-in-Valve Implantation Challenging Case Presenter: Evald Høj Christiansen, MD,PhD

2:57 PM Discussion

3:00 PM Transcatheter Aortic Valve Replacement for Severe Aortic Regurgitation Secondary to Flailed Bioprosthetic Valve Leaflet: A Case of Valve-in-Valve-in-Valve Challenging Case Presenter: Binita Shah, MD

3:07 PM Discussion

3:10 PM Combined TAVI and Transventricular Mitral Commissurotomy Procedure Challenging Case Presenter: Andreas Holzamer, MD

3:17 PM Discussion

3:20 PM Transcatheter Aortic Valve Replacement for the Treatment of Left-Ventricular-Assist-Device–Associated Aortic Insufficiency Challenging Case Presenter: Isida Byku, MD

3:27 PM Discussion

3:30 PM A Challenging Case of Edwards Sapien XT Transcatheter Aortic Valve Implantation in the Pulmonary Position in a 62-Year-Old Male With a History of Tetralogy ofFallot Repair Challenging Case Presenter: Ari Chanda, MD

3:37 PM Discussion

3:40 PM First Report of Simultaneous Endovascular Aortic Aneurysm Repair and Transcatheter Aortic Valve Replacement With the Repositionable Lotus Valve System Challenging Case Presenter: Liam McCormick, MBBS

3:47 PM Discussion

3:50 PM Transapical Transcatheter Valve-in-Ring Implantation for Failed Mitral Valve Repair in Absence of Radiopaque Markers Challenging Case Presenter: Manuel Wilbring, MD

3:57 PM Discussion

Complex TAVR Case Management I

Accreditation: CME

Thursday, June 04 2:30 PM - 4:00 PM Room: Williford B, Third Floor

Complex Case Management I2:30 PM - 4:00 PM

Moderators: Samir R. Kapadia, Patrick W. SerruysDiscussants: Markus Kasel, Thierry Lefevre, George A Petrossian, Philippe Pibarot

2:30 PM Case Presentation: The Small Valve (Native or Bioprosthetic) and TAVR Case Presenter: David L. Brown

2:35 PM Thoughtful Commentary: The Small Valve (Native or Bioprosthetic) and TAVR Philippe Pibarot

2:45 PM Case Presentation: Bicuspid Aortic Valve Disease and TAVR Case Presenter: Joachim Schofer

2:50 PM Thoughtful Commentary: Bicuspid Aortic Valve Disease and TAVR Thierry Lefevre

3:00 PM Case Presentation: Simple or Complex CAD With AS and TAVR Case Presenter: Jean-Michel Paradis

3:05 PM Thoughtful Commentary: Simple or Complex CAD With AS and TAVR Georg Nickenig

3:15 PM Case Presentation: Severe LVOT Calcification and TAVR Case Presenter: Hasan Jilaihawi

3:20 PM Thoughtful Commentary: Severe LVOT Calcification and TAVR Markus Kasel

3:30 PM Case Presentation: Isolated AR and TAVR Case Presenter: Christopher R. Thompson

3:35 PM Thoughtful Commentary: Isolated AR and TAVR Thomas Walther

3:45 PM Case Presentation: Severe LV Dysfunction and TAVR

Case Presenter: Marco Barbanti

3:50 PM Thoughtful Commentary: Severe LV Dysfunction and TAVR Samir R. Kapadia

How to TAVR Session I: Vascular Access and Closure – Transfemoral and Alternative Sites

Accreditation:

Thursday, June 04 2:30 PM - 4:00 PM Room: Williford C, Third Floor

Transfemoral Access

2:30 PM - 3:08 PM

Moderators: Raj Makkar, Mathew Williams

Discussants: Hemal Gada, Thomas G. Gleason, Adam B. Greenbaum, Philippe Généreux, A. Pieter Kappetein, Michael J. Reardon, Thomas Walther

2:30 PM Are Transfemoral TAVR Access Site Complications Decreasing? Raj Makkar

2:38 PM What Is the Optimal Vascular Access Screening Method? Now and in the Future Hemal Gada

2:46 PM Percutaneous Closure Technique: Step by Step Philippe Généreux

2:54 PM Be Prepared! Management of Major Vascular Complications Mathew Williams

3:02 PM Discussion

Alternative Access

3:08 PM - 3:45 PM

Moderators: Raj Makkar, Mathew Williams

Discussants: Hemal Gada, Thomas G. Gleason, Adam B. Greenbaum, Philippe Généreux, A. Pieter Kappetein, Michael J. Reardon, Thomas Walther

3:08 PM Transapical TAVR: Optimal Technique and Complication Management Thomas Walther

3:16 PM Direct Aortic TAVR: Optimal Technique and Complication Management Michael J. Reardon

3:22 PM Subclavian-Axillary TAVR: Optimal Technique and Complication Management

A. Pieter Kappetein

3:30 PM Transcaval TAVR: Technique, Rationale, and Complications Adam B. Greenbaum

3:38 PM Discussion

Access Controversies

3:45 PM - 4:00 PM

Moderators: Raj Makkar, Mathew Williams

Discussants: Hemal Gada, Thomas G. Gleason, Adam B. Greenbaum, Philippe Généreux, A. Pieter Kappetein, Michael J. Reardon, Thomas Walther

3:45 PM Transapical vs Direct Aortic TAVR: Lessons From the PARTNER Trial Vasilis Babaliaros

3:50 PM Direct Aortic vs Subclavian-Axillary TAVR: Lessons From the CoreValve Pivotal Trial Thomas G. Gleason

3:55 PM Discussion

New TAVR Technology I

Accreditation: CME

Thursday, June 04 2:30 PM - 4:00 PM Room: Waldorf, Third Floor

New TAVR Technology I2:30 PM - 4:00 PM

Moderators: Martin B. Leon, Ian T. Meredith

Discussants: Antonio Colombo, Alain G. Cribier, Ted E. Feldman, Jeffrey J. Popma, E. Murat Tuzcu

2:30 PM - 2:55 PM

SAPIEN XT and SAPIEN 3

2:30 PM Technology Essentials, Implantation Guidelines, and SAPIEN 3 Clinical Trial Results Martin B. Leon

2:45 PM Case Examples and Discussion Case Presenter: Vasilis Babaliaros

2:55 PM - 3:20 PM

CoreValve Classic and EVOLUT R

2:55 PM Technology Essentials, Implantation Guidelines, and EVOLUT R Clinical Trial Results Jeffrey J. Popma

3:10 PM Case Examples and Discussion Case Presenter: Mathew Williams

3:20 PM - 3:40 PM

LOTUS

3:20 PM Technology Essentials, Implantation Guidelines, and Clinical Trial Results

Ian T. Meredith

3:30 PM Case Examples and Discussion Ted E. Feldman, Michael J. Reardon

3:40 PM - 4:00 PM

DIRECT FLOW

3:40 PM Technology Essentials, Implantation Guidelines, and Clinical Trial Results

E. Murat Tuzcu

3:50 PM Case Examples and Discussion Case Presenters: Antonio Colombo, Charles J. Davidson

Challenging Cases II: TAVR Commercial

Accreditation: CME

Thursday, June 04 4:30 PM - 6:00 PM Room: Williford A, Third Floor

Challenging Cases II: TAVR Commercial4:30 PM - 6:00 PM

Moderators: Josep Rodés-Cabau, Didier Tchetche

Discussants: Hemal Gada, Adam B. Greenbaum, Axel Linke, Jean-Michel Paradis

4:30 PM Middle Cerebral Artery Occlusion During TAVI Procedure Successfully Treated by Immediate Mechanical Thrombectomy Challenging Case Presenter: Patrick Ohlmann, MD, PhD

4:37 PM Discussion

4:40 PM Replacing the Valve Was the "Easy" Part Challenging Case Presenter: Michael S Kim, MD

4:47 PM Discussion

4:50 PM CoreValve Implantation for Simultaneous Treatment of Severe Bioprosthetic Aortic Stenosis and Paravalvular Leak Challenging Case Presenter: Arzhang Fallahi, MD

4:57 PM Discussion

5:00 PM Saved by a Snare and a Sapien Challenging Case Presenter: Jonathan M. White

5:07 PM Discussion

5:10 PM Multidevice Treatment of Severe Aortic Stenosis and Left Main Coronary Artery Disease in a Patient Referred for TAVR Challenging Case Presenter: Kishore J. Harjai, MD.

5:17 PM Discussion

5:20 PM Conscious Sedation TAVR Gone Wild! Challenging Case Presenter: Gilbert Tang, MD,MS, MBA

5:27 PM Discussion

5:30 PM Percutaneous Retrieval of a SAPIEN XT Valve Acutely Dislodged Into the Left Ventricle Challenging Case Presenter: Tanveer Khan, MD

5:37 PM Discussion

5:40 PM Third Time's the Charm: Sapien XT TAVR Malposition, Migration, and Treatment Challenging Case Presenter: Konstantinos P Koulogiannis, MD

5:47 PM Discussion

5:50 PM Use of an Edwards SAPIEN Transcatheter Heart Valve for Closing a Left Ventricular Outflow Tract Pseudoaneurysm Challenging Case Presenter: Guilherme Vianna Silva, M

5:57 PM Discussion

Complex TAVR Case Management II

Accreditation: CME

Thursday, June 04 4:30 PM - 6:00 PM Room: Williford B, Third Floor

Complex Case Management II4:30 PM - 6:00 PM

Moderators: Howard C. Herrmann, Alec S. Vahanian

Discussants: Vinayak Bapat, David J. Cohen, Ian T. Meredith, Fabian Nietlispach, Jeffrey J. Popma, Allan Schwartz, E. Murat Tuzcu

4:30 PM Case Presentation: LAA Occlusion and TAVR Case Presenter: Brij Maini

4:35 PM Thoughtful Commentary: LAA Occlusion and TAVR Fabian Nietlispach

4:45 PM Case Presentation: Severe Frailty With AS and TAVR Case Presenter: Sandra Lauck

4:50 PM Thoughtful Commentary: Severe Frailty With AS and TAVR Jeffrey J. Popma

5:00 PM Case Presentation: Severe Renal Disease and TAVR Case Presenter: Philippe Généreux

5:05 PM Thoughtful Commentary: Severe Renal Disease and TAVR E. Murat Tuzcu

5:15 PM Case Presentation: Severe Asymptomatic AS and TAVR Case Presenter: Vasilis Babaliaros

5:20 PM Thoughtful Commentary: Severe Asymptomatic AS and TAVR Allan Schwartz

5:30 PM Case Presentation: Bioprosthetic Aortic Valve Failure and TAVR Case Presenter: Jonathan M. White

5:35 PM Thoughtful Commentary: Bioprosthetic Aortic Valve Failure and TAVR

Vinayak Bapat

5:45 PM Case Presentation: AS With Extreme Comorbidities (the Futile Patient) Case Presenter: Augusto D. Pichard

5:50 PM Thoughtful Commentary: AS With Extreme Comorbidities (the Futile Patient) David J. Cohen

How to TAVR Session II: Procedural Trends – Adoption of the Minimalist Approach

Accreditation: CME

Thursday, June 04 4:30 PM - 6:00 PM Room: Williford C, Third Floor

Procedural Trends: Adoption of the Minimalist Approach

4:30 PM - 6:00 PM

Moderators: Alain G. Cribier, Ganesh Manoharan, David A. WoodDiscussants: Vinayak Bapat, Antonio Colombo, Sandra Lauck, Francesco Maisano, Georg Nickenig, Nicolo Piazza, Augusto D. Pichard

4:30 PM - 5:25 PM

Minimalist Strategies

4:30 PM "Minimalist” Lessons From the First TAVI Program: A Journey From the Initial Cases to Sustained Success Alain G. Cribier

4:38 PM The Majority of TAVR Cases Can Be Safely Performed in the Cath Lab Without General Anesthetic or Periprocedural TEE in 2015 Ganesh Manoharan

4:46 PM Discussion

4:51 PM Contemporary Minimalist TAVR: More or Less Cost-Effective? What Are the Unmet Economic Needs? David J. Cohen

4:59 PM The North American 3M TAVR Study: Evaluating the Efficacy, Feasibility, and Safety of Next-Day Discharge Home in Patients Undergoing ElectiveTransfemoral TAVR David A. Wood

5:07 PM The Vancouver Postprocedural Clinical Pathway for Safe Next-Day Discharge Home Sandra Lauck

5:12 PM Reduced or No Predilatation Before TAVR Should Be Part of the Minimalist Approach Georg Nickenig

5:20 PM Discussion

5:25 PM - 6:00 PM

Controversial Viewpoints

5:25 PM Should the Minimalist Approach Change for Intermediate- and Low-Risk TAVR Patients? Vinayak Bapat

5:30 PM The Contrary Viewpoint: Optimal Outcomes With Selective/Frequent TEE Trumps the Minimalist Strategy Martin B. Leon

5:35 PM The Extreme Minimalist Approach: Ad Hoc TAVR Antonio Colombo

5:40 PM A Surgeon’s Perspective: Will the IMPLANTING TEAM Change for Intermediate- and Low-Risk Transfemoral TAVR Patients? Francesco Maisano

5:45 PM An Interventionalist’s Perspective: Will the HEART TEAM Change With a Default Transfemoral TAVR Strategy for Most Patients? Nicolo Piazza

5:50 PM Discussion

New TAVR Technology II

Accreditation: CME

Thursday, June 04 4:30 PM - 6:00 PM Room: Waldorf, Third Floor

New TAVR Technology II4:30 PM - 6:00 PM

Moderators: Raj Makkar, Michael J. Reardon

Discussants: Markus Kasel, Thierry Lefevre, Neil E. Moat, Helge Möllmann, Steven J. Yakubov, Nicolas M. van Mieghem

4:30 PM - 4:50 PM

Symetis ACURATE

4:30 PM Technology Essentials, Implantation Guidelines, and Clinical Trial Results Helge Möllmann

4:40 PM Case Examples and Discussion Thomas Walther

4:50 PM - 5:10 PM

JenaValve

4:50 PM Technology Essentials, Implantation Guidelines, and Clinical Trial Results (AS and AR) Stephan Baldus

5:00 PM Case Examples and Discussion Case Presenter: Ardawan J. Rastan

5:10 PM - 5:30 PM

Portico

5:10 PM Technology Essentials, Implantation Guidelines, and Clinical Trial Results Ganesh Manoharan

5:20 PM Case Examples and Discussion Case Presenter: Raj Makkar

5:30 PM Roundtable Discussion I: What Are the Principal Attributes of an “Optimal” TAVR System?

5:45 PM Roundtable Discussion II: Multidevice Anatomy and Patient-Specific TAVR – How Many Different TAVR Systems Are Needed?

Satellite Lunch: MitraClip: A User’s Guide. Sponsored by the Cardiovascular Research Foundation. Supported through an educational grantfrom Abbott Vascular.

Accreditation: CME

Thursday, June 04 12:30 PM - 1:45 PM Room: Waldorf, Third Floor

Registration12:30 PM - 12:45 PM

MitraClip: A User’s Guide, Sponsored by the Cardiovascular Research Foundation Supported through an educational grant from AbbottVascular12:45 PM - 1:45 PM

Chair: Mark Reisman

Discussants: Ted E. Feldman, William A. Gray, Thomas K. Jones, G. Burkhard Mackensen, Francesco Maisano, Jason H. Rogers, Brian K. Whisenant, Mathew Williams

12:45 PM Welcome and Introductions Ted E. Feldman

12:46 PM The Perfect MitraClip Case: Step-by-Step Jason H. Rogers

12:53 PM Top Five Ways to Keep the MitraClip Procedure to Less Than 90 Minutes From Stick to Clip Brian K. Whisenant

1:00 PM Transseptal: How a Bad Transseptal Can Lead to a Difficult Case

Mathew Williams

1:07 PM Therapy at the Extremes: Complex MitraClip Cases Mark Reisman

1:14 PM Assessing the Regurgitant Jet Before MitraClip Release: When to Move and When to Stay G. Burkhard Mackensen

1:21 PM Caught in the Chords: What to Do and What NOT to Do! William A. Gray

1:28 PM Residual Flow Across the Septum: When Should I Close the ASD? Thomas K. Jones

1:35 PM My Most Complex MitraClip Case Francesco Maisano

1:42 PM Discussion and Conclusion

1:45 PM Adjourn

Satellite Lunch: Transcatheter Valve Replacement: Contemporary Data and Future Directions. Sponsored by the Cardiovascular ResearchFoundation. Supported through an educational grant from Medtronic, Inc.

Accreditation: CME

Thursday, June 04 12:30 PM - 1:45 PM Room: Williford C, Third Floor

Registration12:30 PM - 12:45 PM

Transcatheter Valve Replacement: Contemporary Data and Future Directions12:45 PM - 1:45 PM

Chairs: Nicolo Piazza, Michael J. ReardonDiscussants: Steven F. Bolling, John D. Carroll, John P. Cheatham, MD, Jeffrey J. Popma, Didier Tchetche, Alec S. Vahanian

12:45 PM Welcome and Introductions Chairs: Nicolo Piazza, Michael J. Reardon

12:47 PM Current Status of High-risk Self-Expanding TAVR Jeffrey J. Popma

12:54 PM What is Known About Low and Intermediate Surgical Risk Patients for Transcatheter Aortic Valve Replacement Didier Tchetche

1:01 PM Five-year Future Outlook of Transcatheter Aortic Valve Replacement on Patient Selection and Devices Michael J. Reardon

1:08 PM Outcomes of Surgical Mitral Valve Replacement and Repair in High Surgical Risk Patient Subsets (Octogenarians and Left Ventricular Dysfunction) Nicolo Piazza

1:15 PM Techniques and Resources Needed to Establish a Transcatheter Mitral Valve Program Alec S. Vahanian

1:20 PM 10 Dogmas of Surgical Mitral Valve Repair and Replacement: Are they Applicable to Transcatheter Mitral Valve Therapies? Steven F. Bolling

1:27 PM Expanding Indications of Transcatheter Pulmonary Valve Replacement John P. Cheatham, MD

1:33 PM Transcatheter Tricuspid Valve Repair: Available Techniques and Patient Selection Criteria Alec S. Vahanian

1:40 PM Panel Discussion

Friday, June 05, 2015

Mitral Day II - Friday June 05, 2015

Accreditation: CME

Friday, June 05 8:00 AM - 11:15 AM Room: Main Arena, International North, 2nd Floor

Mitral Session IV. Randomized Trials

8:00 AM - 8:45 AM

Moderators: Paul A. Grayburn, Nicole IbrahimDigital Moderator: David L. BrownDiscussants: Ted E. Feldman, A. Pieter Kappetein, Saibal Kar, Wesley R. Pedersen, Gregg W. Stone, Ralph Stephan von Bardeleben

8:00 AM EVEREST II at 5 Years: Lessons Learned and Implications for Future Trials Ted E. Feldman

8:15 AM A Template for Transcatheter Mitral Randomized Trials: Essentials From the Mitral VARC Initiative Gregg W. Stone

8:30 AM Roundtable Discussion With Audience Q&A

Mitral Session V. Live Case

8:45 AM - 9:30 AM

Live Case Moderators: Jason H. Rogers, Joachim SchoferDigital Moderator: Steven J. YakubovLive Case Discussants: David L. Brown, Maurice Buchbinder, Steven L. Goldberg, William A. Gray, A. Pieter Kappetein, Patrick W. Serruys

8:45 AM Live Case 2: St. Vincent's Heart Center of Indiana (Indianapolis, Indiana) – MitraClip Live Case Operators: Greg Elsner, MD, Dave Heimonsohn, MD, James B. Hermiller Jr, Sina Moainie, MD, Andrew Sampson, MD

Mitral Session VI. Bioskills 2

9:30 AM - 9:45 AM

Moderators: Rebecca T. Hahn, Mark ReismanDiscussants: Paul A. Grayburn, Maurice E. Sarano, Robert J. Siegel, Steven J. Yakubov

9:30 AM Mitral Bioskills 2 Mark Reisman

Mitral Session VII. TMVR: Taped Cases From St. Paul’s Hospital

9:45 AM - 10:30 AM

Moderators: John G. Webb, Ralph Stephan von BardelebenDigital Moderator: Gregg W. StoneDiscussants: Shmuel Banai, Steven F. Bolling, Maurice Buchbinder, Howard C. Herrmann, Karl-Heinz Kuck, Georg Nickenig

9:45 AM CardiAQ Taped Case Case Presenter: Arshad Quadri

10:00 AM Edwards Fortis and Neovasc Tiara taped cases Case Presenter: John G. Webb

10:15 AM Tendyne Taped Case Case Presenter: David Muller, MD

Mitral Session VIII. TMVR Challenges and Results

10:30 AM - 11:15 AM

Moderators: Steven F. Bolling, Francesco MaisanoDigital Moderator: Georg NickenigDiscussants: Shmuel Banai, Philipp Blanke, Isaac George, Martin B. Leon, Gregg W. Stone, John G. Webb

10:30 AM Updated (and Surprising) Outcomes From the Global Mitral Valve-in-Valve and Valve-in-Ring Registry Danny Dvir

10:45 AM Transcatheter Mitral Valve Replacement: Spectrum of Devices and Early Clinical Outcomes Jason H. Rogers

11:00 AM Roundtable Discussion With Audience Q&A

TAVR Day II - Friday June 05, 2015

Accreditation: CME

Friday, June 05 11:15 AM - 6:00 PM Room: Main Arena, International North, 2nd Floor

Session I: Aortic Bioskills III and Live Case11:15 AM - 12:00 PM

Live Case Moderators: Martin B. Leon, Patrick W. SerruysDigital Moderator: Jonathan M. WhiteLive Case Discussants: Vasilis Babaliaros, Vinayak Bapat, John D. Carroll, Charles J. Davidson, Ted E. Feldman, Isaac George, Helge Möllmann, Alec S. Vahanian

11:15 AM Aortic Bioskills III James McCabe

11:30 AM Live Case 6: St. Paul's Hospital (Vancouver, Canada) Live Case Operators: Anson Cheung, MD, David A. Wood, Jian Ye

Lunch12:00 PM - 1:45 PM

Session II: Aortic Bioskills IV and Live Cases1:45 PM - 3:00 PM

Live Case Moderators: Nicolo Piazza, Jeffrey J. PopmaDigital Moderator: Torsten P. VahlLive Case Discussants: Marco Barbanti, Philippe Généreux, Rebecca T. Hahn, Jeffrey W. Moses, Tamim Nazif, Georg Nickenig, Fabian Nietlispach, Nicolas M. van Mieghem

1:45 PM Aortic Bioskills IV Danny Dvir

2:00 PM Live Case 7: St. Vincent’s Heart Center of Indiana (Indianapolis, IN) Live Case Operators: Greg Elsner, MD, Dave Heimonsohn, MD, James B. Hermiller Jr, Sina Moainie, MD, Andrew Sampson, MD

2:30 PM Live Case 8: St. Paul's Hospital (Vancouver, Canada) Live Case Operators: Anson Cheung, MD, David A. Wood, Jian Ye

Session III. TAVR Procedural Controversies3:00 PM - 4:30 PM

Moderators: Antonio Colombo, Eberhard GrubeDigital Moderator: Mayra GuerreroDiscussants: Helene Eltchaninoff, Hasan Jilaihawi, Karl-Heinz Kuck, Robert Manka, Tamim Nazif, Philippe Pibarot, Augusto D. Pichard

3:00 PM - 3:28 PM

1. TEE and General Anesthesia Are NOT REQUIRED for TAVR

3:00 PM The Minimalist Approach = My Standard Practice Ganesh Manoharan

3:10 PM Defending Selective TEE: The “Oh My God” Scenarios Rebecca T. Hahn

3:20 PM Animated Discussion Provocateur: Raj Makkar

3:28 PM - 4:04 PM

2. Paravalvular Regurgitation and Valve Sizing Dilemmas

3:28 PM PVR After TAVR Controversies: Clinical Relevance, Diagnostic Considerations, and Postdilation Strategies Susheel Kodali

3:38 PM Angiography Is Adequate for Valve Sizing Decisions and PVR Assessment Markus Kasel

3:46 PM CTA Is the “Gold Standard” for TAVR Valve Sizing Jonathon A. Leipsic

3:54 PM Animated Discussion Provocateur: Jeffrey J. Popma

4:04 PM - 4:30 PM

3. Are Strokes Still an Issue After TAVR?

4:04 PM The Evolution of Stokes After TAVR: Frequency, Etiology, Clinical Importance, Prevention, and Management Nicolas M. van Mieghem

4:14 PM Cerebral Protection Devices Are Still Meaningful and Necessary

Eberhard Grube

4:22 PM Animated Discussion Provocateur: William A. Gray

Session IV. The Latest Clinical Data4:30 PM - 6:00 PM

Moderators: Martin B. Leon, Patrick W. SerruysDigital Moderator: Didier TchetcheDiscussants: Raj Makkar, Neil E. Moat, Jeffrey W. Moses, Jeffrey J. Popma, Lars Sondergaard, Mathew Williams

4:30 PM - 4:58 PM

Follow-up Vignettes From EU TAVR Registries

4:30 PM ADVANCE

Nicolo Piazza

4:35 PM UK Registry Neil E. Moat

4:40 PM FRANCE 2

Helene Eltchaninoff

4:45 PM GARY Helge Möllmann

4:50 PM Discussion: Lessons Learned From the Registries Moderator: Lars Sondergaard

4:58 PM - 5:20 PM

New Clinical Indications

4:58 PM Bioprosthetic Valve Failure (Valve-in-Valve)

Danny Dvir

5:06 PM Bicuspid Aortic Valve Disease Mathew Williams

5:14 PM Discussion Moderator: Georg Nickenig

5:20 PM - 6:00 PM

Updates From the Randomized TAVR Trials and TVT

5:20 PM PARTNER 5-Year Follow-up

Martin B. Leon

5:28 PM CoreValve US 2-Year Follow-up Michael J. Reardon

5:36 PM NOTION in All-Comers Lars Sondergaard

5:44 PM Insights From the US TVT Registry John D. Carroll

5:52 PM Discussion Moderator: Patrick W. Serruys

Complex TAVR Case Management III

Accreditation: CME

Friday, June 05 8:30 AM - 10:00 AM Room: Williford C, Third Floor

Complex Case Management III8:30 AM - 10:00 AM

Moderators: Neil E. Moat, Allan SchwartzDiscussants: Marco Barbanti, Thierry Lefevre, Axel Linke, Philippe Pibarot, Michael J. Reardon, Nicolas M. van Mieghem

8:30 AM Case Presentation: Moderate AS With CHF and TAVR

Case Presenter: Hemal Gada

8:35 AM Thoughtful Commentary: Moderate AS With CHF and TAVR Nicolas M. van Mieghem

8:45 AM Case Presentation: Low Flow – Low Gradient AS and TAVR

Case Presenter: Torsten P. Vahl

8:50 AM Thoughtful Commentary: Low Flow – Low Gradient AS and TAVR Philippe Pibarot

9:00 AM Case Presentation: Severe Lung Disease and TAVR Case Presenter: Vasilis Babaliaros

9:05 AM Thoughtful Commentary: Severe Lung Disease and TAVR Alec S. Vahanian

9:15 AM Case Presentation: MR and TAVR Case Presenter: Isaac George

9:20 AM Thoughtful Commentary: MR and TAVR Marco Barbanti

9:30 AM Case Presentation: Poor Femoral (Alternative) Access and TAVR Case Presenter: Mayra Guerrero

9:35 AM Thoughtful Commentary: Poor Femoral (Alternative) Access and TAVR Michael J. Reardon

9:45 AM Case Presentation: Management of Paravalvular Leaks During or After TAVR Case Presenter: Jean-Michel Paradis

9:50 AM Thoughtful Commentary: Management of Paravalvular Leaks After TAVR Thierry Lefevre

Deep Dive TAVR Session I: TAVR and TMVR in Bioprosthetic Valve Failure

Accreditation: CME

Friday, June 05 8:30 AM - 10:00 AM Room: Williford A, Third Floor

Aortic Valve-in-Valve8:30 AM - 9:20 AM

Moderators: Vinayak Bapat, Danny DvirDiscussants: Eberhard Grube, Raj Makkar, Tamim Nazif, Nicolo Piazza, Alec S. Vahanian, John G. Webb

8:30 AM Anatomy of Aortic Surgical Valves and Using the Valve-in-Valve App Nicolo Piazza

8:38 AM - 9:00 AM

Approaches and Techniques for Aortic Valve-in-Valve Therapy

8:38 AM Using the Self-Expanding CoreValve Eberhard Grube

8:46 AM Using the Balloon-Expandable SAPIEN John G. Webb

8:54 AM Discussion

9:00 AM Important Lessons From the Global Valve-in-Valve (VIVID) Registry Danny Dvir

9:08 AM Coronary Obstruction During Aortic Valve-in-Valve Therapy: Predictors and Prevention Raj Makkar

9:16 AM Discussion

Mitral Valve-in-Valve

9:20 AM - 10:00 AM

Moderators: Vinayak Bapat, Danny Dvir

Discussants: Eberhard Grube, Raj Makkar, Nicolo Piazza, Newell Robinson, Alec S. Vahanian, John G. Webb

9:20 AM Anatomy and Preoperative Planning for Mitral Valve-in-Valve/Ring Procedures, and How to Use the Mitral App Vinayak Bapat

9:30 AM Approaches and Techniques for Mitral Valve-in-Valve Implantations Alec S. Vahanian

9:38 AM Updates on Mitral Valve-in-Valve/Ring Outcomes From the VIVID Registry Danny Dvir

9:46 AM SAPIEN for Native Mitral Stenosis: Indications, Techniques, and Outcomes Mayra Guerrero

9:54 AM Discussion

How to TAVR Session III: Tutorial on Percutaneous Closure of Paravalvular Leaks

Accreditation: CME

Friday, June 05 8:30 AM - 10:00 AM Room: Williford B, Third Floor

Session I: Mitral Paravalvular Leak Closure

8:30 AM - 9:15 AM

Moderators: Samir R. Kapadia, Charanjit Rihal

Discussants: Adam B. Greenbaum, Rebecca T. Hahn, Hasan Jilaihawi, TBAMathew Williams

8:30 AM Overview of Mitral Paravalvular Leak Closure: Indications, Techniques, and Outcomes Charanjit Rihal

8:40 AM Step by Step: Transapical and Transseptal Mitral Paravalvular Leak Closure Samir R. Kapadia

8:50 AM Echocardiographic Procedural Guidance for Paravalvular Leak Closure: Strengths and Pitfalls Rebecca T. Hahn

9:00 AM My Memorable Mitral Paravalvular Leak Closure Cases TBA

9:10 AM Discussion

Session II: Aortic Paravalvular Leak Closure

9:15 AM - 10:00 AM

Moderator: Samir R. Kapadia

Discussants: Ted E. Feldman, Adam B. Greenbaum, Hasan Jilaihawi, Charanjit Rihal, TBAMathew Williams

9:15 AM Overview of Aortic Paravalvular Leak Closure: Indications, Techniques, and Outcomes Ted E. Feldman

9:25 AM Step by Step: Aortic Paravalvular Leak Closure Raj Makkar

9:35 AM Role for CT Guidance in Paravalvular Leak Procedural Planning Hasan Jilaihawi

9:41 AM Special Considerations for Paravalvular Leak Closure After TAVR Mathew Williams

9:47 AM Difficult Cases of Aortic Paravalvular Leak Closure Adam B. Greenbaum

9:55 AM Discussion

New TAVR Technology III

Accreditation: CME

Friday, June 05 8:30 AM - 10:00 AM Room: Waldorf, Third Floor

New TAVR Technology III8:30 AM - 10:00 AM

Moderators: Josep Rodés-Cabau, Didier Tchetche

Discussants: Philippe Généreux, Christian Hengstenberg, Susheel Kodali, Horst Sievert

8:30 AM - 8:45 AM

CENTERA

8:30 AM Technology Essentials, Implantation Guidelines, and Clinical Trial Results Didier Tchetche

8:38 AM Case Examples and Discussion Case Presenter: John G. Webb

8:45 AM - 9:00 AM

Engager

8:45 AM Technology Essentials, Implantation Guidelines, and Clinical Trial Results Mani Arsalan, MD

8:53 AM Case Examples and Discussion Case Presenter: Nicolo Piazza

9:00 AM - 10:00 AM

Early-Stage TAVR Systems and Novel Surgical Valves

9:00 AM The Venus A TAVR System Horst Sievert

9:10 AM The Trinity TAVR System Christian Hengstenberg

9:18 AM The Valve Medical TAVR System Martin B. Leon

9:25 AM The Thubrikar TAVR System Susheel Kodali

9:32 AM The Syntheon TAVR System Pedro Martinez-Clark

9:39 AM MRI Flow Characteristics in Different TAVI Systems Robert Manka

9:49 AM Discussion

Complex TAVR Case Management IV

Accreditation: CME

Friday, June 05 10:30 AM - 12:00 PM Room: Williford C, Third Floor

Complex Case Management IV10:30 AM - 12:00 PM

Moderators: Antonio Colombo, A. Pieter Kappetein

Discussants: Howard C. Herrmann, Saibal Kar, Neil E. Moat, Lars Sondergaard

10:30 AM Case Presentation: High Risk for Pacemaker With LV Dysfunction and TAVR Case Presenter: Hemal Gada

10:35 AM Thoughtful Commentary: High Risk for Pacemaker With LV Dysfunction and TAVR Tamim Nazif

10:45 AM Case Presentation: High Risk for Coronary Occlusion and TAVR Case Presenter: Torsten P. Vahl

10:50 AM Thoughtful Commentary: High Risk for Coronary Occlusion and TAVR Raj Makkar

11:00 AM Case Presentation: AS and the Failing Bioprosthetic Mitral Valve Case Presenter: Mathew Williams

11:05 AM Thoughtful Commentary: AS and the Failing Bioprosthetic Mitral Valve Neil E. Moat

11:15 AM Case Presentation: Mild-Moderate Paravalvular Regurgitation During/After TAVR Case Presenter: Torsten P. Vahl

11:20 AM Thoughtful Commentary: Mild-Moderate Paravalvular Regurgitation During/After TAVR Howard C. Herrmann

11:30 AM Case Presentation: The Good Surgical Candidate Who Requests TAVR Case Presenter: Helene Eltchaninoff

11:35 AM Thoughtful Commentary: The Good Surgical Candidate Who Requests TAVR Antonio Colombo

11:45 AM Case Presentation: MitraClip and TAVR Case Presenter: Francesco Maisano

11:50 AM Thoughtful Commentary: MitraClip and TAVR Saibal Kar

Deep Dive TAVR Session II: Avoiding and Managing TAVR-Associated Complications

Accreditation: CME

Friday, June 05 10:30 AM - 12:30 PM Room: Williford A, Third Floor

Deep Dive TAVR Session II: Avoiding and Managing TAVR-Associated Complications10:30 AM - 12:30 PM

Moderators: Philippe Généreux, Josep Rodés-Cabau

Discussants: Marco Barbanti, Samir R. Kapadia, Tamim Nazif, Augusto D. Pichard

10:30 AM - 11:00 AM

Access Site Complications and Bleeding

10:30 AM Avoiding and Managing Transfemoral Vascular Complications Augusto D. Pichard

10:38 AM Avoiding and Managing Nontransfemoral Access Site Complications Vinayak Bapat

10:46 AM Early and Late Bleeding After TAVR: Poorly Understood and Associated With Increased Mortality Philippe Généreux

10:54 AM Discussion

11:00 AM - 11:23 AM

Conduction Disturbances and Arrhythmias

11:00 AM Incidence and Prognostic Impact of Conduction Disturbances and Arrhythmias (AF) After TAVR Josep Rodés-Cabau

11:10 AM Prevention and Management of Conduction Disturbances and Arrhythmias (AF) After TAVR

Tamim Nazif

11:18 AM Discussion

11:23 AM - 11:42 AM

Paravalvular Regurgitation After TAVR

11:23 AM Procedural Considerations to Minimize PVR After TAVR: Valve Sizing and Postdilation

David L. Brown

11:31 AM The Impact of New TAVR Systems on PVR Ian T. Meredith

11:38 AM Discussion

11:42 AM - 12:30 PM

Infrequent but Life-Threatening Complications After TAVR

11:42 AM Strokes After TAVR: Reasons for Declining Frequency Samir R. Kapadia

11:50 AM Acute Kidney Injury After TAVR: Incidence, Predictors, and Outcomes Philippe Généreux

11:58 AM Coronary Obstruction During TAVR: Prevention and Management Howard C. Herrmann

12:06 PM Annulus Rupture During TAVR: Prevention and Management Marco Barbanti

12:14 PM Valve Thrombosis After TAVR: Diagnosis and Treatment Antonio Colombo

12:20 PM Discussion

How to TAVR Session IV: Valve Sizing and Paravalvular Regurgitation After TAVR

Accreditation: CME

Friday, June 05 10:30 AM - 12:30 PM Room: Williford B, Third Floor

Valve Sizing Considerations

10:30 AM - 11:48 AM

Moderators: Jonathon A. Leipsic, Jeffrey J. Popma

Discussants: Helene Eltchaninoff, Ted E. Feldman, Rebecca T. Hahn, Markus Kasel, Susheel Kodali, Michael J. Reardon

10:30 AM The Importance of Correct Valve Sizing in Surgical and Transcatheter AVR Michael J. Reardon

10:38 AM The Concept and Application of “Cover Index” to Guide Valve Sizing and Selection Thierry Lefevre

10:43 AM The Concept and Application of “Balloon Sizing” to Guide Valve Sizing and Selection Helene Eltchaninoff

10:48 AM Discussion

10:53 AM - 11:48 AM

MSCT Is the “Gold Standard” for TAVR Valve Sizing

10:53 AM CT Valve Sizing Algorithms for the SAPIEN Balloon-Expandable Valve: Methodology and Guidelines

Jonathon A. Leipsic

11:03 AM CT Valve Sizing Algorithms for the CoreValve Self-Expanding Valve: Lessons From the US CoreValve Experience Jeffrey J. Popma

11:13 AM SAPIEN 3 Sizing Considerations: Oversizing, Undersizing, or Volume Reduction

John G. Webb

11:18 AM CT Sizing for Other New TAVR Systems: Roundtable Discussion - Lotus Valve Ian T. Meredith

11:22 AM CT Sizing for Other New TAVR Systems: Roundtable Discussion - Portico Valve Hasan Jilaihawi

11:26 AM CT Sizing for Other New TAVR Systems: Roundtable Discussion - Direct Flow Valve E. Murat Tuzcu

11:30 AM When Should Echocardiography Be Preferred or a Surrogate Alternative for TAVR Sizing? Rebecca T. Hahn

11:38 AM Discussion

Paravalvular Regurgitation After TAVR11:48 AM - 12:30 PM

Moderators: Jeffrey J. Popma, John G. Webb

Discussants: Helene Eltchaninoff, Ted E. Feldman, Rebecca T. Hahn, Hasan Jilaihawi, Markus Kasel, Susheel Kodali, Jonathon A. Leipsic, Michael J. Reardon

11:48 AM The Association of Paravalvular Regurgitation After TAVR and Subsequent Mortality: Comprehensive Review of the Literature and Observations From PARTNERand US CoreValve Trials Susheel Kodali

11:58 AM Can PVR Improve After TAVR? Time Course and Insights From the US CoreValve Trials Jeffrey J. Popma

12:08 PM PVR Assessments Using Hemodynamics and Aortography: The Dimensionless AR Index and Angiography as Complementary Tools Markus Kasel

12:18 PM The Subtleties of Echocardiography Definitions and Classification Systems for PVR After TAVR Rebecca T. Hahn

12:26 PM Discussion

New TAVR Technology IV

Accreditation: CME

Friday, June 05 10:30 AM - 12:00 PM Room: Waldorf, Third Floor

New TAVR Technology IV10:30 AM - 12:00 PM

Moderators: Eberhard Grube, Axel Linke

Discussants: David L. Brown, Wesley R. Pedersen, Nicolo Piazza, Joachim Schofer, Nicolas M. van Mieghem

10:30 AM - 10:53 AM

I. Cerebral Embolic Protection Devices: A Critical Review of the Sentinel Dual Filter Device

10:30 AM Technology Overview and Perspectives From the CLEAN-TAVI Randomized Trial Axel Linke

10:40 AM Updates From the US FDA–Approved Sentinel TAVR Safety and Efficacy Study Susheel Kodali

10:48 AM Discussion

10:53 AM - 11:08 AM

II. Cerebral Embolic Protection Devices: A Critical Review of the Keystone Deflector Device

10:53 AM Technology Overview and Perspectives From the DEFLECT III Randomized Trial Joachim Schofer

11:03 AM Discussion

11:08 AM - 11:29 AM

III. New Access-Site Management Systems: Is the Need Vanishing, and Is the Technology Ready for General Use?

11:08 AM New Transfemoral Access Closure Devices Eberhard Grube

11:16 AM New Transapical Access Closure Devices Mani Arsalan, MD

11:24 AM Discussion

11:29 AM - 11:45 AM

IV. New Valvuloplasty Systems and Other Accessories

11:29 AM Potential Advantages of New Aortic Valvuloplasty and Valve Remodeling Technologies Wesley R. Pedersen

11:39 AM Expandable Sheath Technologies and Dedicated Guidewires for TAVR David L. Brown

11:45 AM - 12:00 PM

V. New Adjunctive Imaging Modalities

11:45 AM Advanced CT and Echo Imaging for TAVR Nicolo Piazza

11:57 AM Discussion

Challenging Cases III: MitraClip and Mitral Other

Accreditation: CME

Friday, June 05 2:30 PM - 4:00 PM Room: Williford B, Third Floor

Challenging Cases III: MitraClip and Mitral Other

2:30 PM - 4:00 PM

Moderators: Maurice Buchbinder, Paul A. GrayburnDiscussants: Samir R. Kapadia, Jean-Michel Paradis, Mathew Williams

2:30 PM The Road Less Traveled Challenging Case Presenter: Sameer Gafoor, MD

2:38 PM Discussion

2:41 PM MitraClip for Severe Mitral Regurgitation as a Complication Following Transcatheter Aortic Valve Replacement Challenging Case Presenter: Puja Parikh, MD

2:49 PM Discussion

2:52 PM Intraoperative Partial Mitraclip Detachment Challenging Case Presenter: Mani Arsalan, MD

3:00 PM Discussion

3:03 PM Procedural Planning and Challenges Related to THV Implanation at Native Mitral Valve Position Challenging Case Presenter: Sami M. Alnasser, MD

3:11 PM Discussion

3:14 PM Transapical Valve-in-Valve TAVR Combined With Mitral Implantation of a Balloon-Expandable SAPIEN XT Valve in a Native Mitral Valve Stenosis Challenging Case Presenter: Jean-Michel Paradis

3:22 PM Discussion

3:25 PM Expanding MitraClip Procedural Success Beyond A2-P2: Transcatheter Mitral Valve Repair for Bileaflet Prolapse/Flail Challenging Case Presenter: Thomas K. Jones

3:33 PM Discussion

3:36 PM Transjugular Balloon Mitral Valvotomy in a Patient With Severe Mitral Stenosis and Giant Left Atrium Challenging Case Presenter: Mithun J Varghese, MD

3:44 PM Discussion

3:47 PM A Novel Application of the Balloon Expandable Sapien XT Within a 2 Valve Operation and a LIMA to LAD Graft

Challenging Case Presenter: Zhan Yun Lim, MBBS

3:55 PM Discussion

3:58 PM Q&A and Closing Remarks Moderators: Maurice Buchbinder, Paul A. Grayburn

MitraClip Cases I

Accreditation: CME

Friday, June 05 2:30 PM - 4:00 PM Room: Waldorf, Third Floor

MitraClip Cases I2:30 PM - 4:00 PM

Moderators: William A. Gray, Saibal Kar

Discussants: John D. Carroll, Thomas K. Jones, Brij Maini, Michael J. Rinaldi

2:30 PM MitraClip Fundamentals: What I Do in Every Case Steven J. Yakubov

2:40 PM Discussion With Audience Q&A

2:45 PM Case Presentation: MitraClip With Large Flail Case Presenter: Brij Maini

2:55 PM Discussion With Audience Q&A

3:00 PM Case Presentation: Restricted Posterior Leaflet Case Presenter: Thomas K. Jones

3:10 PM Discussion With Audience Q&A

3:15 PM Case Presentation: Advanced Screening Case Presenter: Saibal Kar

3:25 PM Discussion With Audience Q&A

3:30 PM Case Presentation: MitraClip Complication Case Presenter: John D. Carroll

3:40 PM Discussion With Audience Q&A

3:45 PM Case Presentation: MitraClip Patient Management - From Admission to Discharge Case Presenter: Michael J. Rinaldi

3:55 PM Discussion With Audience Q&A

New Mitral Technology III: Miscellaneous Approaches

Accreditation: CME

Friday, June 05 2:30 PM - 4:00 PM Room: Williford C, Third Floor

New Mitral Technology III: Miscellaneous Approaches2:30 PM - 4:00 PM

Moderators: Ted E. Feldman, Nicolo Piazza, Horst Sievert

Discussants: Juan F. Granada, Franz X. Kleber, Jason H. Rogers, Joerg Seeburger, Lars Sondergaard

2:30 PM The Clinical Need: Where Surgical Outcomes Are Suboptimal A. Pieter Kappetein

2:40 PM Mitral Valve Surgery in High-Risk Patient Populations: Focus on Octogenarians and Left Ventricular Dysfunction Nicolo Piazza

2:50 PM Impact of Ventricular Reshaping on MR: From iCoapsys to BioVentrix Helge Möllmann

3:00 PM Roundtable Discussion With Q&A

3:08 PM Septolateral Cinching I: MitraSpan

Howard C. Herrmann

3:18 PM Septolateral Cinching II: MVRx

Jason H. Rogers

3:28 PM Neochord Update Joerg Seeburger

3:38 PM The Middle Peak Approach Jason H. Rogers

3:48 PM Roundtable Discussion With Q&A

Tricuspid Regurgitation: The Next Target

Accreditation: CME

Friday, June 05 2:30 PM - 4:00 PM Room: Williford A, Third Floor

Tricuspid Regurgitation: The Next Target2:30 PM - 4:00 PM

Moderators: Francesco Maisano, John G. Webb

Discussants: Rebecca T. Hahn, Josep Rodés-Cabau, Maurice E. Sarano, Horst Sievert, Christopher R. Thompson

2:30 PM Indications for and Outcomes of Surgical Management of Tricuspid Valve Disease Steven F. Bolling

2:37 PM Echo Assessment of the Tricuspid Valve Rebecca T. Hahn

2:44 PM CT Assessment of the Tricuspid Valve Philipp Blanke

2:51 PM Caval Valve Implants for Tricuspid Regurgitation Alexander Lauten

2:58 PM Caval Sapien Valve Implants for Tricuspid Regurgitation Michael E Laule

3:05 PM Edwards Transcatheter Approach to Tricuspid Regurgitation (Taped Case) John G. Webb

3:12 PM Edwards Transcatheter Approach to Tricuspid Regurgitation (The Device and Procedure) Josep Rodés-Cabau

3:19 PM Mitralign Percutaneous Annuloplasty for Tricuspid Regurgitation

Joachim Schofer

3:26 PM Fortech Percutaneous Annuloplasty for Tricuspid Regurgitation

Francesco Maisano

3:33 PM Tricuspid Valve-in-Valve Implantation

Danny Dvir

3:40 PM Discussion With Roundtable Q&A

Challenging Cases IV: Potpourri of Interesting Cases

Accreditation: CME

Friday, June 05 4:30 PM - 6:00 PM Room: Williford B, Third Floor

Challenging Cases IV: Potpourri of Interesting Cases

4:30 PM - 6:00 PM

Moderators: Charles J. Davidson, Mayra GuerreroDiscussants: Steven L. Goldberg, Markus Kasel, Alexander Lauten, George A Petrossian

4:30 PM From Torrential to Severe Mitral Regurgitation: My Most Successful MitraClip Case Challenging Case Presenter: Binita Shah, MD

4:38 PM Discussion

4:41 PM If at First You Don't Succeed, Try, Try Again: Percutaneous Closure of Left Atrial to Aortic Fistula Challenging Case Presenter: Elizabeth Retzer, MD

4:49 PM Discussion

4:52 PM TAVR Bioprosthesis Thrombosis: Imaging and Pathology Findings Challenging Case Presenter: Oluseun . Alli, MD

5:00 PM Discussion

5:03 PM Combined TAVR and TMVR via Transapical Approach in a Patient With Two Prior Aortic and Mitral Valve Replacements, Sternotomies, and Debilitation FromParkinson's Disease Challenging Case Presenter: Sarah Minasyan, MD

5:11 PM Discussion

5:14 PM Suprasternal TAVR: First Case in the United States Challenging Case Presenter: Thomas Caranasos, MD

5:22 PM Discussion

5:25 PM Percutaneous Paravalvular Leak Treatment and Valve-in-Valve Implantation in a Degenerated Surgical Bioprostheses Challenging Case Presenter: Caterina Cavazza, MD

5:33 PM Discussion

5:36 PM First Lotus Aortic Valve-In-Valve Implantation to Treat Degenerated Mitroflow Bioprostheses Challenging Case Presenter: Fausto Castriota, MD

5:44 PM Discussion

5:47 PM Transcatheter Implantation of a Valve-in-Valve in Tricuspid Bioprosthesis Challenging Case Presenter: Christian Hengstenberg

5:55 PM Discussion

5:58 PM Q&A - Closing Remarks Moderators: Charles J. Davidson, Mayra Guerrero

MitraClip Cases II

Accreditation: CME

Friday, June 05 4:30 PM - 6:00 PM Room: Waldorf, Third Floor

MitraClip Cases II4:30 PM - 6:00 PM

Moderators: Ted E. Feldman, Brij MainiDiscussants: Paul A. Grayburn, Saibal Kar

4:30 PM Case Presentation: MitraClip Following Failed Surgical Repair Case Presenter: Saibal Kar

4:40 PM Discussion With Audience Q&A

4:45 PM Case Presentation: MitraClip in Acute Cardiogenic Shock Case Presenter: Brij Maini

4:55 PM Discussion With Audience Q&A

5:00 PM Case Presentation: Commissural MitraClip

5:10 PM Discussion With Audience Q&A

5:15 PM Case Presentation: Comprehensive Mitral Evaluation, Before and After MitraClip Case Presenter: Paul A. Grayburn

5:25 PM Discussion With Audience Q&A

5:30 PM Case Presentation: My Greatest MitraClip Success Case Presenter: Brij Maini

5:40 PM Discussion With Audience Q&A

5:45 PM Case Presentation: A MitraClip Complication That I Learned From Case Presenter: Ted E. Feldman

5:55 PM Discussion With Audience Q&A

Mitral Breakout: Critical Review of US and ESC Mitral Valve Guidelines

Accreditation: CME

Friday, June 05 4:30 PM - 6:00 PM Room: Williford C, Third Floor

Critical Review of US and ESC Mitral Valve Guidelines4:30 PM - 6:00 PM

Moderators: Gregg W. Stone, Alec S. Vahanian

Discussants: John D. Carroll, Allan Schwartz

4:30 PM ESC/EACTS 2012 and ACC/AHA 2014 Valvular Heart Disease Guidelines: Where Do They Agree? Allan Schwartz

4:40 PM ESC/EACTS 2012 and ACC/AHA 2014 Valvular Heart Disease Guidelines: Where Do They Disagree? John D. Carroll

4:50 PM Gaps in the Guidelines I: Imaging Uncertainties Robert J. Siegel

5:00 PM Gaps in the Guidelines II: Heart Failure and Electrical Therapies Isaac George

5:10 PM Gaps in the Guidelines III: Surgical Therapies A. Pieter Kappetein

5:20 PM Gaps in the Guidelines IV: Interventional Therapies Alec S. Vahanian

5:30 PM Closing the Gap I: COAPT, MitraFR, and RESHAPE 1 and 2 Gregg W. Stone

5:35 PM Closing the Gap II: HIRIde Francesco Maisano

5:40 PM Roundtable Discussion and Audience Q&A

Satellite Breakfast: Treatment of Secondary Mitral Regurgitation via Percutaneous Annuloplasty. Sponsored by Cardiac Dimensions

Accreditation:

Friday, June 05 6:30 AM - 8:00 AM Room: Waldorf, Third Floor

Registration and Breakfast6:30 AM - 7:00 AM

Treatment of Secondary Mitral Regurgitation via Percutaneous Annuloplasty7:00 AM - 8:00 AM

Chair: Jon Tobis, MD

Discussants: Stephan Fichtlscherer, MD, Horst Sievert, Ralph Stephan von Bardeleben

7:00 AM Welcome and Introduction Jon Tobis, MD

7:05 AM Clinical Outcomes Leading to the First Blinded, Randomized Evaluation of Percutaneous Annuloplasty Horst Sievert

7:20 AM Live-in-the-Box Case Stephan Fichtlscherer, MD

7:45 AM Identifying Optimal Patient Candidates for Treatment With Percutaneous Annuloplasty Ralph Stephan von Bardeleben

Satellite Lunch: A Platform For Treatment Of Mitral And Tricuspid Regurgitation. Sponsored by Mitralign.

Accreditation:

Friday, June 05 12:30 PM - 1:45 PM Room: Williford C, Third Floor

Registration

12:30 PM - 12:45 PM

A Platform For Treatment Of Mitral And Tricuspid Regurgitation

12:45 PM - 1:45 PM

Chairs: Ted E. Feldman, Horst Sievert

Discussants: Rebecca T. Hahn, Georg Nickenig, Joachim Schofer

12:45 PM Welcome Ted E. Feldman

12:50 PM Mitralign CE-Mark 6-month Primary Endpoint Results Georg Nickenig

1:00 PM Direct Annuloplasty for treatment of Tricuspid Regurgitation Joachim Schofer

1:10 PM Tricuspid Case Review Rebecca T. Hahn

1:25 PM Overview and Close Horst Sievert

Satellite Lunch: The “Modern Era” of TAVR: Improved Outcomes, Simplified Procedures, and More Efficient Clinical Care Pathways.

Sponsored by the Cardiovascular Research Foundation. Supported through an educational grant from Edwards Lifesciences.

Accreditation: CME

Friday, June 05 12:30 PM - 1:45 PM Room: Waldorf, Third Floor

Registration

12:30 PM - 12:45 PM

The “Modern Era” of TAVR: Improved Outcomes, Simplified Procedures, and More Efficient Clinical Care Pathways

12:45 PM - 1:45 PM

Chairs: Martin B. Leon, John G. Webb

Discussants: David L. Brown, Helene Eltchaninoff, Sandra Lauck

12:45 PM New Milestones in the Safety and Efficacy of TAVR Martin B. Leon

12:53 PM Panel Discussion

12:58 PM Expanding TAVR Clinical Indications: What’s “Reasonable” as We Transition to the “Modern Era” John G. Webb

1:06 PM Panel Discussion

1:11 PM The “Minimalist” Approach to TAVR: How to Simplify Procedures Without Compromising Outcomes

Helene Eltchaninoff

1:19 PM Panel Discussion

1:24 PM - 1:45 PM

Reengineering the TAVR Clinical Care Pathways: Standardization, Efficiency, Cost-Effectiveness, and Reduced Length of Stay

1:24 PM The Dallas Approach David L. Brown

1:32 PM The Vancouver 3M Experience Sandra Lauck

1:40 PM Panel Discussion and Closing Remarks

Saturday, June 06, 2015

Image-Guided Therapy Program: Optimizing Transcatheter Valve Therapy Outcomes

Accreditation: CME

Saturday, June 06 7:30 AM - 11:30 AM Room: Waldorf, Third Floor

Aortic Valve

7:30 AM - 9:28 AM

Moderator: Nicolo Piazza

Discussants: Rebecca T. Hahn, Hasan Jilaihawi, Jonathon A. Leipsic

7:30 AM - 8:12 AM

Session I. Preprocedural Imaging

7:30 AM Nuances of Preprocedure TEE That Can Provide Guidance for TAVR Success/Challenge Rebecca T. Hahn

7:38 AM Area vs Perimeter: What Is the Rationale Between the Edwards and CoreValve Sizing Methods? Jonathon A. Leipsic

7:46 AM CT Guidance in Selecting Valve Size When at the Extremes of the Sizing Algorithm: Go Big or Go Small Philipp Blanke

7:54 AM CT Guidance for Valve Selection: Balloon-Expandable vs Self-Expanding Valves Danny Dvir

8:02 AM Discussion

8:12 AM - 8:45 AM

CT “Up Close”

8:12 AM The Best Point in RR to Measure and Why Jonathon A. Leipsic

8:17 AM When Do We Take the LVOT Into Account in Device Sizing and Why Hasan Jilaihawi

8:22 AM Unavoidable Paravalvular Leak: Anatomy That Should Be Avoided With TAVR Jonathan M. White

8:27 AM Case Examples: Medtronic Guidance vs Local CT Assessment – Explaining the Occasional Discordance Jeffrey J. Popma

8:32 AM Discussion

8:45 AM - 9:09 AM

Session II. Procedural Imaging

8:45 AM Fluoroscopy: Coplanar Angle/Landmarks for “Touchdown,” Calcium, and Catheter Orientation – Are There Clues for Success? Nicolo Piazza

8:53 AM Assessment for the Need for Postdeployment Dilatation or an Additional Transcatheter Valve: TEE Guidance, Hemodynamics, or Both Jean Buitheiu

9:01 AM Procedural Guidance by TEE: Do We Really Need Fluoroscopy and Contrast? Rebecca T. Hahn

9:09 AM - 9:18 AM

Session III. After the Procedure

9:09 AM What to Do With a Moderate-to-Severe Paravalvular Leak Seen in Follow-up: Second Valve or Closure Device? Torsten P. Vahl

9:18 AM - 9:28 AM

Session IV. Aortic Valve TEE: General Topics

9:18 AM Impact of Second-Generation TAVR on Preprocedural Imaging Hasan Jilaihawi

9:23 AM Should All Repositionable Valves Have Intraprocedural TEE? Ian T. Meredith

The Mitral Valve9:28 AM - 9:58 AM

Moderator: Saibal Kar

Discussants: Philipp Blanke, Paul A. Grayburn, Jonathon A. Leipsic, G. Burkhard Mackensen, Francesco Maisano, Jason H. Rogers

9:28 AM - 9:58 AM

Session V. Imaging of the Mitral Valve Apparatus

9:28 AM A Primer on CTA for the Mitral Valve: What Have We Learned? Philipp Blanke

9:38 AM Using CTA to Understand Fluoroscopic Landmarks Nicolo Piazza

9:48 AM TEE of the Mitral Valve: Nuances Specific to MR Assessment for MitraClip G. Burkhard Mackensen

The MitraClip Procedure9:58 AM - 11:30 AM

Moderator: Saibal Kar

Discussants: Philipp Blanke, Paul A. Grayburn, Jonathon A. Leipsic, G. Burkhard Mackensen, Francesco Maisano, Jason H. Rogers

9:58 AM - 10:08 AM

Session VI. Preprocedure

9:58 AM TEE Guidance for MitraClip Planning: Formulating a Strategy Rebecca T. Hahn

10:08 AM - 10:48 AM

Session VII. Intraprocedure MitraClip

10:08 AM Rationale for Varying the Location of Transseptal Puncture Saibal Kar

10:16 AM Nuances of MitraClip Echocardiography: Optimal Assessment of Tethered PL, Leaflet Calcification, Thickened Leaflet and Its Impact on Outcomes Rebecca T. Hahn

10:24 AM How to Predict the Number of Clips: Clues and Experience Jason H. Rogers

10:32 AM Intraprocedural TEE for Quantitative Assessment Specific for MitraClip Guidance G. Burkhard Mackensen

10:40 AM Determining the Location for Clip Placement: Dynamic Strategy Francesco Maisano

10:48 AM - 11:02 AM

Session VIII: Postprocedure Assessment

10:48 AM Quantitative Assessment After MitraClip Mathew Williams

10:52 AM Mitral Inflow Gradient After Clip: What Are Acceptable Thresholds Saibal Kar

10:57 AM Interpreting Leaflet Capture: How Much Is Enough, and Is There Too Much Potential for Leaflet Distortion? Paul A. Grayburn

11:02 AM - 11:30 AM

Session IX: Mitraclip Case Examples

11:02 AM Case 1: Commissure to Commissure MR- Can It Be Treated? Case Presenter: Brij Maini

11:10 AM Case 2: Large Flail, Tips and Tricks Case Presenter: Thomas K. Jones

11:18 AM Case 3: Optimal Use of Multiple Clip Strategy Case Presenter: Jason H. Rogers

11:26 AM Discussion

The Second Decade of Transcatheter Heart Valve Therapy: The Evolving Heart Team

Accreditation: CME

Saturday, June 06 8:00 AM - 12:00 PM Room: Main Arena, International North, 2nd Floor

Session I. Heart Team 101: Getting the Basics Right

8:00 AM - 9:00 AM

Moderators: Martin B. Leon, Elizabeth M Perpetua

Discussants: Jonathan Afilalo, Marian C. Hawkey, Martina Kelly Speight, Tamim Nazif, Mathew Williams

8:00 AM Today’s Heart Team Tamim Nazif

8:10 AM 10 Tips and Tricks to Improve the Efficiency of Your Transcatheter Valve Program Mathew Williams

8:20 AM The TAVR Coordinator: The Heart of the Team Martina Kelly Speight

8:30 AM The Role of the Clinical Research Team in the Successful Heart Valve Program Marian C. Hawkey

8:40 AM Assessment of Frailty in TAVR Referrals: The Art and the Science Jonathan Afilalo

8:50 AM Discussion With Q&A

Session II. 3M TAVR Boot Camp: Implementing a Multimodality and Multidisciplinary but Minimalist Approach

9:00 AM - 10:00 AM

Moderators: Sandra Lauck, David A. Wood

Discussants: David J. Cohen, Danny Dvir, Philippe Généreux

9:00 AM Contemporary TF TAVR: Where Do We Go From Here? David A. Wood

9:10 AM A Rigorous Postprocedure Clinical Pathway for Safe Next-Day Discharge Sandra Lauck

9:20 AM 3M for Valve-in-Valve: Early Experience and Next Steps Danny Dvir

9:30 AM 3M for Alternative Access TAVR? Early Experience and Next Steps Philippe Généreux

9:40 AM Putting It All Together: What Are the Cost Implications? David J. Cohen

9:50 AM Discussion With Q&A

Session III. An Evolving Heart Team for a Changing Landscape10:00 AM - 11:00 AM

Moderators: Tamim Nazif, John G. WebbDiscussants: John D. Carroll, Francesco Maisano, Elizabeth M Perpetua

10:00 AM Transcatheter Options for Multiple Valves: The Right Therapy for the Right Patient in the Era of Multiple Devices John G. Webb

10:10 AM Building a Mitral Heart Team: Who Do You Need? Francesco Maisano

10:20 AM The New Puzzle: Scaling Up the Heart Valve Clinic to Facilitate Multiple Transcatheter Valve Therapies Elizabeth M Perpetua

10:30 AM The Expanding Role of CT to Plan and Evaluate Multiple Transcatheter Valve Therapies Jonathon A. Leipsic

10:40 AM The Importance of Reliable Periprocedural Imaging for New Transcatheter Valve Therapies John D. Carroll

10:50 AM Discussion With Q&A

Session IV. Potential Obstacles Ahead: What Is the Future of the Heart Team?11:00 AM - 12:00 PM

Moderators: Susheel Kodali, David A. WoodDiscussants: Martin B. Leon, Ganesh Manoharan, Ian T. Meredith, Tamim Nazif, Michael J. Reardon, Nicolas M. van Mieghem

11:00 AM Looking Back to Move Forward: Learning From Past Blunders to Strengthen the Heart Team Ian T. Meredith

11:10 AM New Indications Coming: The Role of the Heart Team in the Assessment of Intermediate- and Low-Risk Patients Susheel Kodali

11:20 AM The Era of Tailored Care: Implementing Risk Stratification and Individualized Device Selection Nicolas M. van Mieghem

11:30 AM A Surgeon’s View: Will I Be in the Room in the Future? Michael J. Reardon

11:40 AM An Interventionalist’s View: Flying Solo or With a Copilot? Ganesh Manoharan

11:50 AM Discussion With Q&A

CT Workshop

Accreditation: CME

Saturday, June 06 12:00 PM - 2:00 PM Room: Williford A, Third Floor

CT Workshop12:00 PM - 2:00 PM

Moderator: Jonathon A. Leipsic

Echo Workshop

Accreditation: CME

Saturday, June 06 2:00 PM - 4:00 PM Room: Williford C, Third Floor

Echo Worskhop2:00 PM - 4:00 PM

Moderator: Rebecca T. Hahn