Sub Specialty Meetings
Interventional - PICS at the World Congress (Sun, Mon, Tues)
This meeting will follow a similar format to previous PICS meetings featuring live transmissions of interventional catheter procedures from a number of cardiac catheter laboratories from Australian and International Centres.
The provisional program includes breakout sessions and breakfast sessions:
Branch Pulmonary Artery Stenosis
1. Evaluation of patients: different diagnostic modalities.
2. Balloon Angioplasty: have we made any progress over the last 5 years?
3. Stent Implantation: Technical Considerations - Choice of stents & delivery systems
4. Long-term Outcome of Stents in PA's
5. Surgical techniques and Outcome
6. Intra-operative stenting
Coarctation of the Aorta
1. Pathology Demonstration
2. Imaging Evaluation: CT, MRI, Echo
3. Balloon Angioplasty: Technique & Long-term Outcome
4. Stent Implantation: Technique & Long-term Outcome -
Breakout Session: Nursing & Technologists
1. What does the Tech in the Hybrid Lab need to know?
2. Vascular Access devices & role of Nurses / Technologists in this area!
3. Role of Nurses/Techs in Clinical research in the Cath / Hybrid Lab
4. Role of Nurses in sedation in Cath / Hybrid Lab
5. Cath Lab Inventory Management! How to Stock the cath / hybrid Lab?
Workshop: The Atrial Septum (#1)
1. Anatomic correlation
2. Echocardiographic correlation
3. Erosions: Every Interventional Cardiologist nightmare!
a. The Amplatzer Device:
b. The BioStar/BioTrek:
c. The Cardia Atrisept Device:
d. The Helex Device:
e. The Figulla-Occlutech Device:
f. The PFM Device:
g. Newer Devices under investigation -
The Ventricular Septum
1. Anatomic correlation
2. Echocardiographic correlation
Surgical closure of PM should be the standard!
Device closure of PMVSD in select patients is as good if not better than surgery!
1. Percutaneous Device closure of muscular VSD's
2. Perventricular Device Closure of VSD
Workshop: Comprehensive Intracardiac ehocardiography for the Interventionalists
1. How to interrogate the Atrial Septum in Patients with ASDs/PFOs
2. Advanced ICE Technique: Pulmonary valve replacement, Mitral valvuloplasty
3. Comparison between ICE & TEE to guide ASD device closure in Small children
- Do Trans-septal puncture using regular Brockenbrough Needle vs RF
- Perform Pericardiocentesis
- Perform transhepatic cardiac catheterization
- Be most efficient with limited resources
Structural Heart Disease Intervention
1. Percutaneous Aortic Valve Therapies: State of the art overview?
2. Mitral Valve Regurgitation: Percutaneous Therapies - State of The Art
3. Heart Failure Monitoring Devices: Where are we? Where are we heading?
Workshop: Percutaneous Pulmonary Valve Therapy
1. Who would benefit from this therapy? Indications & Evaluation for eligible patients
2. Melody Valve: Technical Considerations & Outcome
3. Edwards Sapien THV: Technical Considerations & Outcome
Catheter Closure of PDA
2. Coils including pfm Nit Occlud
The Sick Neonate
1. Evaluation of the sick neonate with pre and post cardiac intervention: Intensivist perspectives
2. Catheter intervention for left heart obstructive lesions
3. The Surgeon's Role in the above!
Critical PS-PA/IAS: State of the art
1. Diagnostic Evaluation Before Treatment: Decision Making
2. Indications and Interventional Management: results in Critical PS
3. Indications and Interventional Management: PA/IAS
Hybrid Management of HLHS
1. Pathology Demonstration
2. Echocardiographic Evaluation
3. Geographical Approach & Outcome
The Coronary Arteries: What does the pediatric cardiologist need to know!
1. Angiographic Assessment of the coronary arteries
2. Post Kawasaki Disease
1. Embolization therapy in patients with pulmonary AVMs
2. Management of APC's in the cath lab
3. Coronary AV fistulas: Closure technique & results
4. Retrieval of embolized foreign bodies!
1. Who would benefit from this therapy?
2. Follow-up & status of aortic valvuloplasty/perforation of IAS for HLHS
3. Therapeutic ultrasound for IAS in HLHS.
The Stella van Praagh Memorial Lecture:
Anatomy of Common Atrioventricular Junction
1. Nomenclature and Classification of Common Atrioventricular Junction
2. Genetics of CAVC and common syndromes
3. Fetal evaluation
4. Diagnostic evaluation: Echocardiography and the role of Catheterization
5. Echo assessment of ventricular balance in CAVC
6. Intensive care and perioperative management
7. Anaesthesia for CAVC
8. Pre-op Challenges with CAVC in Developing Nations
9. Role of Surgical Palliation
10. The conduction system in CAVC
Unresolved controversies in repair of CAVC
1. Two-patch repair for CAVC
2. Single-Patch repair of CAVC
3. Patchless repair of CAVC
4. CAVC and aortic arch obstruction
5. Severely unbalanced CAVC
Anatomy of CAVC with complex associated lesions
1. Repair of CAVC and Tetralogy of Fallot
2. Repair of CAVC with DORV, TGA or Truncus
1. Lessons Learned form the STS Database
2. Lessons Learned form the EACTS Database
Challenging AV valve in CAVC
1. Reoperation for left AV valve regurgitation
2. Late Presentation of CAVC and role of PAB
3. Chronic Pulmonary Hypertension in CAVC
4. Post-op Challenges in CAVC in developing nations
5. Late outcome after repair of CAVC
Pediatric Cardiac Intensive Care (jointly organised with PCICS)
Pediatric Cardiac Intensive Care, Anaesthesia and Perfusion: 2 days (in collaboration with the Pediatric Cardiac Intensive Care Society, and the Congenital Cardiac Anesthesia Society)
The Intensive Care, Anaesthesia and Perfusion satellite will begin on Monday morning with half day Anaesthesia and Perfusion sessions. On Monday afternoon and for all of Tuesday, all three streams will come together for combined sessions.
There will be a drinks reception for the Intensive Care, Anaesthesia and Perfusion Satellite on Monday at 6pm.
For detailed information about the Intensive Care, Anaesthesia and Perfusion satellite please follow the link http://static.icms.com.au/pccs2009/icaps.pdf
The first half of the morning session will be dedicated to the topic of training in anaesthesia, and will include speakers from major international centres. The second half of the morning session will focus on common scenarios and controversies in cardiac anaesthesia, and will provide a forum for interactive discussion between an expert panel and the audience.
The morning will be devoted to current topics and controversies in paediatric perfusion, and minimising systemic insults during cardiac surgery. Topics to be discussed include: the inflammatory response to CPB; ischaemic preconditioning; acute renal failure; anticoagulation; cerebral perfusion and monitoring of brain oximetry; and advanced perfusion strategies.
Monday Afternoon: "Risky Business"
Monday afternoon will be dedicated to an exciting symposium entitled "Risky Business". This will feature accomplished speakers from high-risk industries including aviation and the military, and also experts in the field of quality and safety in healthcare. The session will include plenary lectures and panel discussions on how lessons learnt from industry can be applied to medical practice in order to improve safety and reduce risk. For further details, follow the link http://static.icms.com.au/pccs2009/risky.pdf
Monday Evening: Drinks reception for all satellite attendees.
Tuesday Morning: "Extracorporeal life support".
This session will involve experts in the field, who will discuss the history, and current status of ECLS in the cardiac population. Specific topics will include the role of ECMO in sepsis, decision-making strategies in cardiac disease, and long-term support in children with end-stage cardiac failure.
Tuesday Afternoon: Systemic oxygen delivery in infants and children undergoing surgery for congenital heart disease.
The maintenance of adequate systemic oxygen delivery is one of the key areas of research in peri-operative congenital cardiac care. This theme will form the focus of the morning session. In the first half of the session, we will focus on the monitoring and assessment of systemic oxygen delivery in surgical patients. In the second half, we will hear from experts in the field, on topics related to current and future techniques for the manipulation of systemic oxygen delivery, in order to optimise patient outcomes.
Adult Congenital Heart Disease (2 days)
Arrhythmias in Mustards / Fontans
1. Drug management
2. Ablation in Mustards / Fontans
3. SN function after Maze
4. Fontans: Why not convert all?
Pregnancy in ACHD
1. Physiology and Risk Stratification
2. Management of the Cyanotic Pt.
4. Selecting Contraception
1. Novel Methods for RV echo assessment
2. What can MRI add in complex ACHD
ACHD around the World
1. The Chennai Experience
2. Egypt and ACHD Surgery
3. ACHD in Asia-Pacific
4. Lessons learnt
1. When to refer the Ebsteins patient to the surgeons: Should we refer earlier?
2. Ebsteins Surgery in the real world
Pulmonary Hypertension in ACHD
1. Should all Eisenmengers pts be treated with pulmonary vasodilators?
2. Drug Treatment of PHT in ACHD: New and Combination Therapies
3. Raised Resistance in Fontans: Do pulmonary vasodilators help?
4. Lessons from Basic Science
Paediatric electrophysiology / arrhythmia (2 days)
Genetics, myocardial disease and electrophysiology are increasingly intertwined
1. Cardiomyopathy and the rhythmonome are inseparable
2. Electrophysiology and myocardial disease: from mouse to man
3. Genetics of cardiomyopathy; intellectual process or clinically useful?
4. Brugada, CPVT, ARVC and conduction system disease; why the overlap?
The program for the rest of the meeting is expected to be:
1. Debate:(aff) In children & teenagers CRT for DCM should always come with a Defibrillator
2. Debate:(neg) In children&teenagers CRT for DCM should always come with a Defibrillator
3. ICD disasters; revisions and extractions
4. How can we decrease ICD complications in children
Resynchronisation; the new panacea
1. Indications for CRT
2. Assessing synchrony : how to do it and what's important
3. CRT for the LV
4. CRT for the RV and the single V
5. Optimal sites for single ventricular lead placement; endocardial and epicardial
6. Debate (affirmative): QRS duration has become irrelevant in prescribing CRT
7. Debate (negative): QRS duration has become irrelevant in prescribing CRT
8. Tuning AV and VV interval post CRT implant; methods and importance
1. Anatomy for the paediatric electrophysiologist; normal heart and CHD re surgery
2. EP anatomy: post surgical; knowledge is everything!
3. Practical lessons from the basic science; RF, Cryo and new energy sources
4. Children and their ablation toys; Robots and 4D; do we need them?
5. Debate(affirmative) In 2009 any child/ teenager having ablation for AVNRT should have initial modification with cryo-energy
6. Debate(negative) In 2009 any child/ teenager having ablation for AVNRT should have initial modification with cryo-energy
7. VT ablation in paediatrics and congenital heart disease
8. Tips and tricks for the unexpected difficult ablation/unusual substrate
1. SQT/LQT: is gene specific therapy now a reality?
2. CPVT: sneaky as they come but we are getting smarter!
3. Investigating the PM negative young sudden death- integrating the genetic & family Ix
4. Brugada syndrome: Management and ICD indications in Children
HYPOTHETICAL: Barbie almost drowns in a pool...
Imaging (including Fetal Echocardiography / MRI and CT) (2 days)
1. 3D imaging - clinical utility
2. 3D echocardiography in the operating room and guiding catheter interventions.
3. AV valve regurgitation
4. 3D assessment of extracardiac structures
1. Principles and pitfalls in paediatric CMR
2. Structure, function and paediatric heart disease
3. MRI and heart failure
4. Risk stratification / prognosis HOCM
Current Issues in Imaging
1. Tailored cardiovascular CT to minimise radiation dose in children
2. Fusion/future directions
3. Discussion - Fusion technology - is it the future?
4. 3D assessment of the AV valve is mandatory prior to mitral valve surgery
5. A $50,000 echo machine is adequate for the diagnosis and management of paediatric heart disease
1. Growth and development of the fetal heart - normal and abnormal anatomy
2. Fetal 4D imaging
3. First Trimester Imaging
4. Strategies to improve prenatal detection rates
5. Fetal Interventions
6. Planning management of difficult fetal heart disease
7. Prenatal counselling - the surgeon's role
8. Cardiac and vascular implications for SGA
Cardiac and Vascular Mechanics
1. Cardiac mechanics - from structure to function
2. Torsion/diastolic function/suction
3. Synchrony - prognostic implications
4. Dyssynchrony and congenital heart disease
5. Ventricular vascular interaction
6. Arterial dynamics and ventricular load
Nursing (2 days)
Getting Patients through the Maze I …Hospital care
1. Role of the nurse after a fetal diagnosis
2. The sick neonate without a fetal diagnosis
3. Clinical care of The Sick neonate… what the nurse needs to know.
4. Care Management
5. Ethical Issues in multidisciplinary decision-making.
6. Fast-tracking… Does he really need an ICU bed?
7. The Long Stay patient, nursing, family and system stresses.
8. A parent's experience… what it's really like
Getting Through the Maze II…Beyond Four walls
1. Transitioning the fragile neonate to the community
2. Adaptation of the child and family to life with a chronic illness
3. The Independent Family… cutting the apron strings
4. Specialist care and the community… chronic pulmonary hypertension
5. Preparing families for hospital admission
6. Cross-cultural care
7. Care at a distance… the remote patient
8. The other side of the fence. What we really want
Getting Through the Maze III……Good to Go
1. Can I be a normal teenager?
2. Improving Compliance in the rebellious teenager
3. Community Palliative Care
4. Who should care for adults with CHD anyway?
5. Preparing the patient for transition to adult services
6. Logistical issues in transitioning to adult services
7. Purple Heart
Nurses as Leaders
1. The Search For Excellence
2. Multiskilling vs Jack of all trades, The Specialist Cardiac Nurse
3. The role of the nurse practitioner in a Paediatric cardiac program.
4. How to Build a Nursing Leadership team around patient needs
5. Developing nurses in the brain drain.
6. The nurse as a research leader
7. Giving over power, what the doctor has to lose.
Paediatric cardiomyopathy / transplant (Mon) : Pulmonary Hypertension (Tue)
1. The diagnostic workup of children with cardiomyopathy
2. What have we learned from registries - NACCS
3. What have we learned from registries - PCMR
4. Medical management of dilated cardiomyopathy in children
Heart and lung transplantation
1. Indications, contraindications and results
2. Managing the high risk recipient
3. Anthracycline cardiomyopathy
4. Mechanical support
5. Dealing with late complications of heart transplantation
6. Surgical considerations in paediatric heart transplantation
7. The current status of paediatric lung transplantation
Pulmonary Hypertension (Tuesday)
1. Pathophysiology of pulmonary hypertension
2. Genetics of pulmonary hypertension
3. Gene therapy for pulmonary hypertension
4. Diagnosis and assessment
5. From bench to bedside
6. Current therapies
7. Assessing the efficacy of therapy
8. Emerging therapies
9. Pulmonary hypertension in the newborn
10. Pulmonary hypertension and chronic lung disease
11. Nursing considerations in the management of pulmonary hypertension
12. Pulmonary hypertension in the ICU
13. Results from the Aust/NZ paediatric pulmonary hypertension registry