Outline for catheterization conferences
(Tuesday 7:15-8AM; second Thursday 4pm; Friday 230pm)
1st Tuesday of the month:
2nd, 3rd, +/- 4th Tuesday (if five Tuesdays in a month):
Last Tuesday:
2nd Thursday:
Fridays:
CT Surgery-Interventional conference
Interventional cases
Didactic
Structural Heart Conference
Cardiology Conference
Tuesday conferences (715am):
Attendance at Tuesday morning conference is mandatory for all fellows attending the morning ILH clinic, all UH
fellows (including general fellow on EP and research), and Kenner’s fellow (Dr. Sub may excuse the fellow if
there is a clinical emergency that needs the fellow to be at Kenner during conference time). The only exceptions
are for the fellow assigned to Lafayette, Touro nights, or if assigned to Touro daytime but not in Tuesday
morning clinic. Any clinical work needed to prepare patients for procedures should be completed prior to
715am. Attendance will be tracked and reflected in evaluations.
Each conference will consist of 3-4 cases presented by the interventional fellow and one of the attendings. Cases
will be analyzed in two steps: during the first step, one general cardiology fellow will come up, review the views,
answer questions, and make with a diagnosis. Fellows are expected to review relevant general cath material
prior to conference. Questions will be tailored to the level of the fellow. On the 2nd step, technical aspects will be
analyzed for the interventional fellow but will be of interest to all.
A hemodynamic case will be included in many of these conferences, and the fellow will be asked to analyze
tracings. One Tuesday every other month will be purely dedicated to hemodynamic cases. One peripheral case
may be included as well on many Tuesdays.
2nd Thursday of each month (4pm):
Structural Heart conference will be held at this time. Attendance is mandatory for all fellows assigned to ILH
that month, though all other fellows are welcome too. This conference focuses on the diagnostic planning and
collaborative evaluation of patients with structural heart disease between echocardiography, interventional
cardiologists and cardiothoracic surgeons. Dr. Mercado is in charge of this conference.
Fridays (230pm):
One Friday per month will have a one-hour “Cath Case Conference,” where two cases with relevant
angiographic, interventional or hemodynamic findings will be presented by the general fellow on cath rotation
(one case by ILH cath fellow, one by Touro cath fellow). The focus will be on the cath findings, appropriateness,
etc. Furthermore, one Friday per month will have a didactic cath conference.
Case of the month:
In the last week of each month, the interventional fellow, in conjunction with the faculty, will disseminate a
“Case of the Month” comprised of an angiographic image and a single ABIM-style question pertaining to the
image.
Potential didactic cath conference topics for Tuesdays:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Wires/stents
IVUS/OCT
Bifurcation/LM stenting
Rotablator
Renal and carotid stenting
Endovascular therapy of lower extremity PAD
ASD closure
No reflow
Chronic total occlusions: should we or shouldn’t we?
Balloon valvuloplasty (mitral and aortic)
SVG PCI and embolic protection
Hanna
Hanna
Hanna
Ali
Mercado
Mercado
Hanna
Ali
Mercado
Mercado
TBD
Potential didactic cath conference topics for Fridays:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Angiographic views and tips
Basic and advanced cath techniques, including radial technique
Hemodynamics: basic waveform analysis, cardiac output, shunt
Hemodynamics: valvular disease/cases/HOCM
Antithrombotic therapy in elective PCI, ACS, STEMI
STEMI: fibrinolytics, primary PCI/pharmacoinvasive
PAD evaluation and general diagnosis
Stable CAD: CABG vs. PCI vs. medical therapy: trials and AUC
Cath complications and management
IABP and ventricular assist devices
Cardiogenic shock/pressors
Hypothermia
FFR
Hanna
Hanna
Hanna
Hanna
Hanna
Hanna
Hanna
Mercado
Alonso (T)
Smart
Smart
Ali
Ali
Other topics may be covered if time allows, such as one conference dedicated to specific challenges of transradial
access, and one more hemodynamic conference (more valve cases + constriction).
Reading material relevant to these conferences and to the cath rotation will be provided to all fellows. These include
chapters from Dr. Hanna’s books, Grossman, and Braunwald, as well as selected reviews on NSTE-ACS, STEMI, and stable
CAD.
Questions regarding this conference schedule can be directed to Drs. Hanna, Mercado or the cardiology or
interventional cardiology program directors (Drs. Jain or Ali).