PROGRAM DESCRIPTION 8th Annual UVA Cardiovascular Symposium Debates and Controversies in Cardiovascular Diseases We are proud to be celebrating the eighth annual Controversies in the Treatment of Cardiovascular Disease symposium, February 2016 ! The three-day scientific program will offer realistic views on many controversial issues in cardiovascular disease, heart failure, critical care, vascular, congenital surgery, and ECMO. Sessions will include a combination of debates, keynote lectures, and research. A faculty of known leaders in the field has been invited to share their knowledge and experiences with complex and controversial cases. EDUCATIONAL OBJECTIVES Through participation in this conference, the participants will have an opportunity to: n To apply the most up to date and effective treatment options for patients with various cardiovascular diseases n To determine appropriate mechanical circulatory support for heart failure patients. n To assess complex pathophysiology of single ventricle patients and select the appropriate palliative therapy. n To apply the most up-to-date ACC guidelines for treatment of valvular diseases. n To determine the benefits and limitations of trans catheter valve repair and replacement including ideal patients. n To apply the current state of surgical outcomes for conventional and minimally invasive valve surgery and coronary artery bypass grafting. n To analyze new medical and hybrid treatments for atrial fibrillation and ventricular tachycardia. n To understand treatment options for complex aortic desease n To create a management plan to provide coordinated care and a consistent message between providers throughout the entire care of the cardiac patient. n To define ethical issues surrounding patients with cardiovascular disease. n Identify appropriate patient selection and care of ECMO patients. REGISTRATION Register and pay online at www.cmevillage.com, click on Conferences and Symposia. For online registration challenges, please email uvacme@virginia.edu. Online registration will close Thursday, February 18th. February 25-27, 2016 Wintergreen Resort • Wintergreen, VA Sponsored by the Office of Continuing Medical Education of the University of Virginia School of Medicine REGISTRATION FEES The fees for this course are: Clinician: Clinician, One Day Attendance: After Jan 22 $450 $175 Walk-in $500 $225 LOCATION This year’s conference will be held at the Wintergreen Resort. Wintergreen Resort is a fourseason mountain retreat on the eastern slopes of the Blue Ridge Mountains. Located on 11,000 lush acres in the Blue Ridge Mountains southwest of Charlottesville, Virginia, minutes from the Blue Ridge Parkway, less than two hours from Richmond and three hours from Washington, D.C. For additional information, go to: www.wintergreenresort.com LODGING Guest Rooms Our Studio and Guest Rooms offer a “hotel-like” experience. These will be found in the Mountain Inn and two adjacent buildings with easy access to the Mountain Inn shops and restaurants. Max Occ Nightly Rate Range Studio 2 $119-204 Lodge 2 $119-204 Condos The condominiums range from 1-5 bedrooms and feature all the comforts of an apartment -- living room with fireplace, complete kitchen, and washer and dryer. They may be found in the Black Rock area, convenient to the Mountain Inn shops and restaurants, or in the Devils Knob area, convenient to the Fitness & Aquatics Center, Spa, and the Devils Knob Tennis Center. 1-BR Condo 2 $175-265 2-BR Condo 4 $265-410 Please call Wintergreen directly for room availability at 844-588-7746 (M-F 9am-5pm). We have reserved a small block of studio and lodge rooms on a first come first serve basis. The sales manager can advise you as to what’s available when you call. ACCREDITATION AND DESIGNATION STATEMENT The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Virginia School of Medicine designates this live activity, for a maximum of 20.25 AMA PRA Category 1 Credits.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. The University of Virginia School of Medicine awards 20.25 hours of participation (equivalent to AMA PRA Category 1 Credits.TM ) to each non-physician participant who successfully completes this educational activity. The University of Virginia School of Medicine maintains a permanent record of participation for six (6) years. 28 CEU’s have been submitted to The American Board of Cardiovascular Perfusion. The University of Virginia School of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The University of Virginia SONCE awards 20.25 contact hours for nurses who participate in this educational activity and complete the post activity evaluation. COURSE DIRECTOR Gorav Ailawadi, MD Associate Professor, Chief, Section of Adult Cardiac Surgery & Biomedical Engineering Director, Minimally Invasive Cardiac Surgery and Advanced Cardiac Valve Center, University of Virginia INVITED SPEAKERS Stephen O. Bader, MD Cardiac Anesthesiologist Heritage Valley Health System Beaver, Pennsylvania Deborah Boyne, RN Neonatal Pediatric Transport Nurse Children’s Medical Center, Dallas, Texas Blase Carabello, MD Senior Faculty of Medicine, Cardiology, and Cardiovascular Surgery Mount Sinai Beth Israel New York, New York Jonathan L. Eliason, MD Professor of Vascular Surgery University of Michigan Health System Ann Arbor, Michigan Peter L. Faries, MD, FACS The Franz W. Sichel Professor of Surgery Chief of Vascular Surgery Professor of Radiology Icahn School of Medicine at Mount Sinai New York, New York Thomas Gleason, MD Chief of Cardiac Surgery University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Jason Glotzbach, MD Cardiac Surgery Fellow Colombia University New York, New York Ayesha Hasan, MD Associate Professor of Clinical Cardiovascular Medicine The Ohio State University Wexner Medical Center Columbus, Ohio Jeffrey Heinle, MD Associate Chief of Congenital Heart Surgery, Texas Children’s Hospital Associate Professor of Surgery and Pediatrics, Baylor College of Medicine Houston, Texas Osami Honjo, MD, PhD Staff Cardiovascular Surgeon The Hospital for Sick Children Assistant Professor of Surgery at The University of Toronto; Toronto, Canada CONTACT INFORMATION Andrea Zimmerman Office of Continuing Medical Education azimmerman@virginia.edu or 434.924.8394 Marc Katz, MD Chief Medical Officer of t Bon Secours Heart and Vascular Institute, Richmond, Virginia Stuart Katz, MD Director of the Heart Failure Program New York University Langone Medical Center New York, New York Ahmet Kilic, MD Cardiothoracic Surgeon and Assistant Professor of Surgery The Ohio State University Wexner Medical Center Columbus, Ohio Bradley Kulat, CCP, LP Coordinator of Perfusion Services Ann and Robert H. Lurie Children’s Hospital Chicago, Illinois Mary Claire MCGarry, LP, CCp, FPP Pediatric Perfusionist Texas Children’s Hospital Houston, Texas David L. S. Morales, MD Chief of Cardiovascular Surgery, Heart Institute, Cardiothoracic Surgery Cincinnati Children’s Hospital Medical Center Cincinnati, Ohio Killian O-Shaughnessy, CCP Director of Paediatric Perfusionist Children’s Hospital at Westmead Westmead, Australia Jonathan M. Philpott, MD Cardiothoracic Surgeon Mid-Atlantic Cardiothoracic Surgeons Norfolk, Virginia T. Brett Reece MD Thoracic and Cardiac Surgeon University of Colorado School of Medicine Aurora, Colorado L Keith Scott MD MSc FCCM Professor of Pediatrics, Surgery, and Medicine LSU Health Shreveport, Louisiana Behzad Soleimani, MD, MRCP, FRCS(C-Th) Surgical Director of Transplantation and Mechanical Circulatory Support Penn State Hershey Heart and Vascular Institute Hershey, Pennsylvania Scott F. Wagoner, MBA, RRT Manager of ECMO and Advanced Technologies Egleston ECMO Center of Children’s Healthcare Atlanta, Georgia Sherri Wissman, RN, BSN, CCTC VAD Coordinator The Ohio State University Wexner Medical Center Columbus, Ohio UNIVERSITY OF VIRGINIA SPEAKERS * Denotes Planning Committee Member G orav A ilawadi, MD* Associate Professor of Surgery M ichael H ainstock , MD Assistant Professor of Pediatrics J. M ichael M angrum, MD Associate Professor of Medicine Carole Ballew, RN, MSN, ACNP, Adult Nurse Practitioner William H armon, MD Associate Professor of Pediatrics Leonardo A. M artinez , MD Assistant Professor of Anesthesiology Jann Balmer , P h D, RN, FACEHP* Director of Continuing Medical Education A pril Howell , RN* Nurse Manager of TCV Pamela K. M ason, MD Assistant Professor of Medicine David A. K aufman, MD Professor of Pediatrics Kevin MCelrOy, CCp Perfusionist A nn L. K ellams , MD, IBCLC Associate Professor of Pediatrics Donald M itchell , RN Head of Service for Hybrid Cases Jamie L.W. K ennedy, MD* Assistant Professor of Medicine D ustin Money, RRT ECMO Specialist John K ern, MD* Professor of Surgery A ndrea Pang, CCP Perfusionist Avery Evans , MD Professor of Radiology C hristopher M. K ramer , MD Professor of Medicine, Radiology and Medical Imaging M ichael R agosta , III, MD* Professor of Medicine Deborah F rank MD, P h D Assistant Professor of Pediatrics Irving L. K ron, MD Chair, Department of Surgery Jeffrey W Gander , MD Assistant Professor of Surgery Damien L a Par , MD Surgery Resident James J. Gangemi, MD* Associate Professor of Surgery D. Scott Lim, MD* Associate Professor of Pediatrics and Medicine Jamieson M. Bourque , MD, MHS Assistant Professor of Medicine K enneth J. C herry, MD Professor of Surgery P eter N. Dean, MD Assistant Professor of Pediatrics John M. Dent, MD, MS Professor of Medicine R avi Ghanta , MD* Assistant Professor of Surgery Rohit M alhotra , MD Assistant Professor of Medicine William P. Robinson, MD Associate Professor of Surgery M ark E. Roeser , MD Assistant Professor of Pediatrics Carol A nn Rosenberg MBA, CCP* Associate Director of Perfusion M ichael Salerno, MD, P h D Assistant Professor of Medicine Saher Sabri, MD Associate Professor of Radiology and Medical Imaging Daniel S. Schneider , MD* Associate Professor of Pediatrics A ditya Sharma , MBBS Assistant Professor of Medicine K anwar P. Singh, MD Associate Professor Medicine Jimmy Smith, MD Pediatrics Fellow A ngela Taylor , MD Associate Professor Medicine M atthew J. Thomas , ScM, CGC Cardiovascular Genetic Counselor M eghan Tracci, MD Assistant Professor of Surgery Gilbert R. Upc hurch, Jr ., MD* Professor of Surgery Jeffrey Vergales , MD Assistant Professor of Pediatrics Leora Yarboro, MD* Assistant Professor of Surgery THURSDAY FEBRUARY 25, 2016 MORNING CARDIAC DISEASE (COMMONWEALTH BALLROOM) 7:45-8:10 Breakfast 8:10-8:20Welcome 8:20-8:45 Bioresorbable PCI 8:45-9:15 DEBATE: CTO: PCI vs. Medical Therapy? 9:15-9:45 DEBATE: Complex CAD: CABG vs PCI? 9:45-10:10 New Trials in Interventional Cardiology 10:10-10:20 Panel Discussion 10:20-10:40 Break 10:40-11:10 DEBATE: AF: Catheter vs. Surgical Therapy? 11:10-11:40 DEBATE: LAA Closure vs. Anticoagulation 11:40-12:10 DEBATE: Invasive Treatment for HOCM: Early Referral vs. Only for Right Patient 12:10-12:40 DEBATE: Renal Denervation: Alive or Dead? 12:40-13:30 Lunch/Exhibits ECMO, PERFUSION MANGEMENT AND NURSING (CRAWFORD ROOM) 7:45-8:10 Breakfast 8:10-8:20Welcome 8:20-8:45Trauma ECMO and Nutritional Support 8:45-9:15 ECMO Adult Ventilation Strategy 9:15-9:45 Insensible Water Loss through the Oxygenator During ECMO 9:45-10:10 Minimizing Sedation with Neonates in ECMO 10:10-10:20 Panel Discussion 10:20-10:40 Break 10:40-11:05 CVVH and Plasma Exchange on ECMO and Bypass 11:05-11:30 ECMO: Your Only Access 11:30-11:55 Adult ECMO Organization: Closing the Loop 11:55-12:20 Fungus and ECMO 12:25-12:40 Panel Discussion 12:40-13:30 Lunch/Exhibits THURSDAY FEBRUARY 25, 2016 AFTERNOON CARDIAC DISEASE (COMMONWEALTH BALLROOM) 13:30-13:40 Welcome 13:40-13:55 Heart Valve Disease – Guidelines & Gray Areas 13:55-14:20 Imaging the Mitral Valve in the Clip Era 14:20-14:45 Severe MAC: What to do? 14:45-15:15 DEBATE: Low Risk DMR: Surgery vs. Clip? 15:15-15:45 DEBATE: Robotic Heart Surgery: Scam or Real? 15:45-16:10 Ongoing and Upcoming Clinical Trials in Cardiology & Cardiac Surgery 16:10-16:20 Panel Discussion ECMO, PERFUSION MANGEMENT AND NURSING (CRAWFORD ROOM) 13:30-13:40 Welcome Special Procedures for Cardiac Surgery 13:40-14:10 Pediatric Pump Primes 14:10-14:40 Collaboration with all Departments 14:40-15:10 Open vs. Minimally Invasive “A Perfusionist Perspective” 15:10-15:40 EX VIVO in Pediatrics 15:40-16:10 16:10-16:20 Panel discussion FRIDAY FEBRUARY 26, 2016 MORNING CARDIAC DISEASE (COMMONWEALTH BALLROOM) 7:45-8:20 Breakfast 8:20-8:30Welcome 8:30-8:55 DEBATE: TAVR: Mild/Moderate Paravalvular Leak: Real Issue or No Big Deal? 8:55-9:20 DEBATE: My Favorite TAVR Valve: Corevalve Evolut R, Sapien S3, Direct Flow 9:20-9:45 DEBATE: Low Risk AS: TAVR vs. Surgery? 9:45-10:10 DEBATE: Asymptomatic Severe AS: Time to Fix or Wait till Symptoms? 10:10-10:30 Break 10:30-10:55 When is TAVR/Surgery Not an Option? 10:55-11:20 Innovations in Transcatheter Heart Valve Therapy 11:20-11:55 Panel Discussion 12:25-13:30Lunch/Exhibits PEDIATRIC (CRAWFORD ROOM) 7:45-8:20 Breakfast 8:20-8:30Welcome 8:30-8:55 Is that left heart big enough for biventricular repair? 8:55-9:20 Preoperative management of severe left heart obstruction 9:20-9:45 Neonatal aortic valve stenosis: Cath lab or OR? 9:45-10:10 NIRS and the Pediatric Patient 10:10-10:30 Break 10:30-10:55 LVOT obstruction: When to operate? 10:55-11:20 Complex LVOT obstruction: Surgical management options 11:20-11:45 Exercise and Sports participation with AS: Who and how much? 11:45-12:10 Optimizing nutrition for cardiac patients 12:10-12:25 Panel Discussion 12:25-13:30 Lunch/exhibits FRIDAY FEBRUARY 26, 2016 AFTERNOON AORTIC DISEASE (COMMONWEALTH BALLROOM) 13:15-13:25 Welcome 13:25-13:45 Screening and Management of Genetically Triggered Aortic Disease 13:45-14:05 Bicuspid Aortic Valve Aortopathy 14:05-14:25 Spinal Cord Protection for Thoracic Aortic Surgery 14:25—14:35 Panel Discussion 14:35—14:50Break 14:50—15:20 DEBATE: Extent of Surgery for Type A Aortic Dissections— Hemiarch versus Total Arch and Frozen Elephant Trunk 15:20—15:50 DEBATE: Medical Management vs TEVAR for Uncomplicated Type B Aortic Dissection 15:50—16:20 DEBATE: Conventional Open Surgery vs. Hybrid Approaches for Thoracoabdominal Aortic Aneurysms and Dissections 16:20-16:30 Panel Discussion SATURDAY FEBRUARY 27, 2016 MORNING HEART FAILURE (COMMONWEALTH BALLROOM) 7:45-8:20Breakfast 8:00-8:30 Welcome 8:30-8:55 Viability Testing - Options and Interpretation 8:55-9:20 Volume Assessment and Management of Acute Decompensated Heart failure 9:20-9:45 Percutaneous Circulatory Support 9:45-10:10 Early VAD? How to Predict the Future 10:10-10:30 Break 10:30-10:55 Growing a VAD Transplant Program (Cardiology) 10:55-11:20 Growing a VAD Transplant Program (Surgery) 11:20-11:45 Living with a VAD: Is Society Really Ready 11:45-12:10 VAD Rehab PT/OT Needs 12:10-12:25 Panel Discussion 12:25-13:30 Lunch/Exhibits VASCULAR DISEASE (CRAWFORD ROOM) 7:45-8:20Breakfast 8:00-8:30 Welcome: Controversies in Cerebrovascular Disease 8:30-8:55 CEA vs. Carotid stenting: What do society guidelines say? 8:55-9:20 Should we be operating on asymptomatic carotid stenosis? 9:20-10:10 Case Debates 10:10-10:30Break 10:30-10:55DEBATE: Brachiocephalic Reconstruction -Endovascular 10:55-11:20DEBATE: Brachiocephalic Reconstruction - Hybrid 11:20-11:45DEBATE: Brachiocephalic Reconstruction - Open 11:45-12:10Rebuttal 12:10-12:25 Panel Discussion 12:25-13:30Lunch/Exhibits PEDIATRIC (SUMMIT ROOM) 7:45-8:20Breakfast 8:00-8:30 Welcome 8:30-8:55 Transport of the patient with a “sick heart” 8:55-9:20 Sedation and Anesthesia in patient with a “sick heart” 9:20-9:45 Medical Support in patient with a “sick heart” 9:45-10:10 Mechanical Support in patient with a “sick heart” 10:10-10:30Break 10:30-10:55 Optimizing Pediatric Prime 10:55-11:20 Pediatric Heart Transplant Procurement 11:20-11:45 ABOI Heart Transplant 11:45-12:10 Panel Discussion 12:25-13:30Lunch/Exhibits SATURDAY FEBRUARY 27, 2016 AFTERNOON HEART FAILURE (COMMONWEALTH BALLROOM) 13:30-13:45 Welcome 13:45-14:15 VA ECMO as Bridge to Graft Recovery Following VAD Explant Cardiac Transplant 14:15-14:45 RVAD vs. Medical RV support 14:45-15:15 Transplant from VAD: not the same as it used to be 15:15-15:45 Heart Failure and Adult Congenital Patient 15:45-16:15 Case Debates 16:15-16:30 Panel Discussion VASCULAR DISEASE (CRAWFORD ROOM) 13:30-13:45Welcome 13:45-14:15 REBOA: Should we be using aortic balloons in all ruptured AAAs? 14:15-14:45 Pediatric Vascular Surgery: Is there any role for endovascular? 14:45-15:15 DEBATE- PAD: Should be managed by Cardiology 15:15-15:45 PAD: Should be managed by Inteventional Radiology 15:45-16:15 PAD: Should be managed by Vascular Surgery 16:15-16:30 Panel Discussion