optimal treatment of cardiovascular diseases

Expert Forum
OPTIMAL TREATMENT
OF CARDIOVASCULAR DISEASES:
SURGERY VS. INNOVATIVE TECHNIQUES
July 2&3, 2012
Nobile Collegium
Universitas
Aromatariorum
Urbis
Rome, Italy
Program Director
Prof. Luigi Chiariello,
Rome, Italy
http://www.iccsexpertforum.it
Final Program
Welcome Address
Over the past few years, more and more innovative and less invasive techniques have been
introduced for treatment of cardiovascular diseases.
Some of them have received an enthusiastic acceptance, not necessarily
justified by clinical results.
Simultaneously surgical techniques have been further refined, reaching surprisingly excellent
results even in the very old population and in complex cases.
In the last decades of last century coronary angioplasty became widespread all over the world,
generating the impression that bypass surgery may have shortly disappeared. However,
the results of the latest Syntax Study have failed to demonstrate the “non-inferiority”
of angioplasty vs. coronary bypass surgery in large numbers of patients.
Currently, the cardiovascular scene is dominated by the introduction in clinical practice of TAVI,
mitral clip, aortic endoprostheses and hybrid procedures.
There is no doubt that some of these costly procedures, or their evolutions, will find a place
in the routine therapeutic armamentarium for at least some selected groups of patients.
In most instances, however, not only their superiority, but even their “non-inferiority”over
surgical alternatives still needs to be demonstrated.
The Italian College of Cardiac Surgeons intends to invite the cardiovascular community
to the ongoing Expert Forum, as a way to bring into focus the best procedures for treatment
of cardiovascular diseases.
The venue of the meeting will be inside the unique scenario of the Roman Imperial Forum.
I hope you will enjoy your stay in a city rich in millennial vestigia as well as contemporary
attractions.
I look forward to meeting you in Rome next July.
Yours sincerely,
Luigi Chiariello,
President
8:45
Welcome address: L. Chiariello
Address of President Italian College Cardiologists: M. Volpe
Address of President Italian College Radiologists: G. Biti
Session 1 Options in Valvular Heart Diseases
Aortic Valve
President: M. Cotrufo Chairmen: M. Toscano, M. Volpe
Monday, July 2
9:00
9:15
9:30
9:45
10:00
The real surgical risk (“score”) of AVR
in the elderly and in redo cases: G. Di Giammarco
Long term results of AVR: G. Gerosa
Early and late results of TAVI: Insights from Registry data: C. Tamburino
Sutureless aortic valves: Is there a need?: T. Fischlein
Discussion: M. Chello, O. Dapunt, P. Loschiavo, R. Violini
10:30
Coffee break
Mitral Valve
President: Be. Marino Chairmen: F. Fedele, A. Pellegrino, A. Penta de Peppo
11:00
11:15
11:30
11:45
12:00
Early and late results of surgical mitral valve repair: F. Alamanni
Mitral clip: present results and realistic expectations: O. Alfieri
Transcatheter ablation for persistent atrial fibrillation: E. Bertaglia
Endoscopic surgical treatment for persistent atrial fibrillation: C. Muneretto
Discussion: M. Benomar, S. Grego, P. Polisca, A. Scafuri
12:30
Round-table: Socio-economical impact of innovative techniques
Chairman: R. Napoletano
Panelists: F. Bevere, D. Bianchi, L. Chiariello, F. Conti, F. Romano, E. Sansavini
13:40Lunch
Session 2 Options in Coronary Revascularization
President: F. Donatelli Chairmen: F. Alessandrini, A. Rebuzzi, F. Romeo
15:00
SYNTAX at 4 years: is CABG still the gold standard for multivessel disease?
For the motion: D.P. Taggart
15:30
Against the motion: D. Antoniucci
SYNTAX at 4 years: is CABG still the gold standard for left main disease?
For the motion: D.P. Taggart
16:00
16.10
16:30
Against the motion: F. Tomai
Sutureless aorto-safenous graft anastomosis: is there a need? : C. Bassano
Discussion : C. Briguori, E. Martuscelli, F. Pizzuto, M. Portoghese
Coffee break
President: G. Condorelli Chairmen: A. Boccanelli, E. Covino
17:00
Transendocardial cell therapy in the failing heart: K. Jaquet
17:15Discussion: E. Caradonna
17:20
Debate: There is no limit for recurrent PTCA and number of stents to be implanted
For the motion: A. Colombo, C. Indolfi
Against the motion: R.Mohr, M. Rinaldi
18:00
Closure
Session 3 Options in Thoracic Aorta Lesions
President: T. Gherli Chairmen: A. Ippoliti, G. Nappi
9:00
9:15
9:30
9:45
10:00
10:15
10:30
Surgery of ascending aorta: early and late results: A. Mazzucco
Stenting of the thoracic aorta: is ascending aorta off-limits?: I. Loftus
“Fresh and Frozen” elephant trunk: benefits and pitfalls: M. Shrestha
Descending thoracic aorta: TEVAR results: E. Pampana
Complications and failure of TEVAR: new surgical challenge: R. Di Bartolomeo
Type B dissection: the right timing for TEVAR: R.Chiesa
Discussion: S. Corneo, A.M. D’Armini, R. Parravicini, R. Sinatra
11:00
Coffee break
Session 4 “We can work together: the hybrid procedures”
Tuesday, July 3
President: P. Biglioli Chairmen: G. Biti, F. Crea, G. Simonetti
11.30
11:45
12:00
Hybrid coronary and carotid revascularization (The SHARP Study): F. Versaci
Hybrid coronary revascularization vs total CABG: M. Halkos
Aortic arch surgery: total surgical replacement vs hybrid approach: J. Zeitani
12:15
Hybrid repair of Mega Aortic Syndrome: the Lupiae Technique: G. Esposito
12:30
Discussion: R. De Paulis, M. Massetti, F. Miraldi, G. Passerone, G. Ruvolo
13:00
Chairpersons: E. Bollero, M.L. Garofalo
Debate: The Hybrid operating room should become
a standard in highly specialized hospitals
The Technician: E. Brusoni
The Surgeon: G.Polvani
13:30
Lunch
Session 5 Options in Congenital Heart Diseases
15:00
15:15
15:30
President: G. Pongiglione Chairmen: G. Gagliardi, G. Gargiulo
Aortic valve stenosis
Transcatheter treatment of congenital aortic stenosis: O. Milanesi
Aortic valve surgery in children: the lesson learned over the years: V. Hraska
Discussion: A. Carotti, F.S. Iorio
15:45
16:00
16:15
Septal defects repair
Transcatheter closure: A. Donti
Mininvasive evolution of surgical treatment: G. Stellin
Discussion : A. Amodeo, S. Giannico, A. Rapacciuolo
16:30
Coffee break
Pulmonary valve regurgitation in adult congenital population
President: M. Chiavarelli Chairmen: A. Carotti, Br. Marino
17.00
Transcatheter pulmonary valve insertion in failing
right ventricle: A. Rapacciuolo
Surgical RVOT remodelling: C. Vosa
Discussion: G. Gargiulo, V. Hraska, G. Pongiglione, G. Stellin
Closing Remarks: L. Chiariello
17.15
17.30
17.45
Program description
The resulting scientific program
represents a worldwide overview
of the traditional surgical approach
vs. innovative technical solutions
for the treatment of cardiovascular
diseases, such as hybrid approach or
less-invasive percutaneous therapies.
While surgery continues to be the
gold standard therapy for most
patients, subsets of patients may
benefit from less-invasive innovative
therapeutic solutions.
- To learn the possible advantages of
a dedicated
hybrid operating room
- To define expanding costs
of innovative techniques and their
socio-economical implications
Target Audience
This forum is designed for cardiac
surgeons, cardiologists, interventional
radiologists, vascular surgeons,
cardiovascular anaesthesiologists,
perfusionists, health care managers.
Educational objectives
Disclosure Statement
- To present the
current state -of-the-art
of cardiac surgery
- To learn the options and patients
selection for TAVI
and Mitral-Clip procedures
- To update CABG vs. PCI results in
Left Main-Multivessel Coronary Artery
Disease
- To learn the options and
perspectives for endovascular vs.
open treatment of aortic aneurysms
- To discuss the current state of hybrid
procedures for aortic, coronary and
peripheral artery diseases
- To learn the options
for percutaneous vs. open surgery for
treatment
of congenital heart diseases
It is policy of the Italian College of
Cardiac Surgeons to ensure balance,
independence, objectivity and
scientific rigor
in its educational activities.
Commercial support from industry
does not influence educational
content, faculty selection and/or
faculty presentations and, therefore,
does not compromise
the scientific integrity
of the educational activity.
Faculty members participating
in this educational program
are required to disclose
to the audience any real
or apparent conflicts of interest
related to the content of their
presentations.
Poster Submission
Posters (140 cm x 100 cm) inherent
to the forum topics are welcomed.
Poster’s abstract should be sent to the
Scientific Committee on-line at www.
iccsexpertforum.it
Deadline for abstracts submission
is June 7, 2012, acceptance will be
notified by June 9, 2012. Abstracts
(max 250 words) and posters should
be in English, the title printed in
capital letters, the text divided in four
sections (Objective, Methods, Results,
Conclusions)
The abstract should be sended
to [email protected]
Program Director
Luigi Chiariello, MD
Phone: +39 06 20903536
Fax: +39 06 20903538
Mail: [email protected]
How to register
Location
Register online at: www.iccsexpertforum.it
Fax this form to:
+39 06 20903538
+39 06 32110090
E-mail information above with the program
title to: [email protected]
The Forum will be held at the Nobile Collegium,
Universitas Aromatariorum Urbis in Rome, located inside
the Roman Imperial Forum
Via in Miranda 10, 00186 Rome
Registration information
There is no registration fee.
Pre-registration is needed.
Admission to the Forum will be limited
to the first 180 requests.
Certificate of Attendance
Attendance certificates will be released
by the Organizing Secretariat at the end of Forum.
Official languages
English and Italian – Slides and Posters
must be in English.
Scientific Secretariat
Paolo Nardi, MD
Jacob Zeitani, MD
Organizing Secretariat
EQUA srl
Via del Babuino 79, 00187, Rome
Tel: +39 06 3236254 Fax: +39 06 32110090
Website: www.equa.it
E-mail: [email protected]
Graphic design
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Faculty
Francesco Alamanni, MD
Monzino Cardiologic Center,
University of Milan, Milan - Italy
Francesco Alessandrini, MD
Università Cattolica del Sacro Cuore,
Campobasso - Italy
Adriano Carotti, MD
Bambino Gesù Children’s Hospital, Rome - Italy
Massimo Chello, MD
Campus Biomedico University, Rome - Italy
Luigi Chiariello, MD
Policlinico Tor Vergata University, Rome - Italy
Ottavio Alfieri, MD
San Raffaele Hospital, Vita-Salute University, Milan - Italy
Antonio Amodeo, MD
Bambino Gesù Children’s Hospital, Rome - Italy
David Antoniucci, MD
Carreggi University Hospital, Florence - Italy
Carlo Bassano, MD
Policlinico Tor Vergata University, Rome - Italy
M’Hamed Benomar, MD
Centre Hospitalier Universitarie, Rabat - Maroc
Emanuele Bertaglia, MD
Mirano Civil Hospital, Venice - Italy
Francesco Bevere, Dr, General Manager
Ministry of Health, Rome - Italy
Davide Bianchi, President
Heart Valve Unit, Sorin Group, Saluggia - Italy
Paolo Biglioli, MD
University of Milan - Italy
Giampaolo Biti, MD
University of Florence, Florence - Italy
Alessandro Boccanelli, MD
S. Giovanni Addolorata Hospital, Rome - Italy
Enrico Bollero, MD,General Manager
Policlinico Tor Vergata Foundation, Rome - Italy
Carlo Briguori, MD
Clinica Mediterranea, Naples - Italy
Enrico Brusoni, Engineer
Siemens Healthcare Italia, Milan - Italy
Eugenio Caradonna, MD
Università Cattolica del Sacro Cuore, Campobasso - Italy
Mario Chiavarelli, MD
University of Siena - Italy
Roberto Chiesa, MD
San Raffaele Hospital,
Vita-Salute University, Milan - Italy
Antonio Colombo, MD
San Raffaele Hospital Scientific Institute, Milan - Italy
Gianluigi Condorelli, MD
Milano-Bicocca University, Milan - Italy
Francesco Conti, Government Affaire Manager
Medtronic Italia, Milan - Italy
Stefano Corneo, Engineer
Bolton Medical Srl, Milan - Italy
Maurizio Cotrufo, MD
2nd University of Naples, Naples - Italy
Elvio Covino, MD
Campus Biomedico University, Rome - Italy
Filippo Crea, MD
Università Cattolica del Sacro Cuore,
Rome - Italy
Otto Dapunt, MD
Cardiothoracic Surgery, Klinikum Oldenburg - Germany
Andrea M. D’Armini, MD
University Hospital San Matteo, Pavia - Italy
Ruggero De Paulis, MD
Casa di Cura European Hospital, Rome - Italy
Roberto Di Bartolomeo, MD
Policlinico S. Orsola
Malpighi University of Bologna - Italy
Gabriele Di Giammarco, MD
Chieti University, SS. Annunziata Hospital, Chieti - Italy
Francesco Donatelli, MD
University of Milan IRCCS MultiMedica
Sesto S.Giovanni, Milan - Italy
Andrea Donti, MD
Policlinico S. Orsola
Malpighi University of Bologna - Italy
Arnaldo Ippoliti, MD
Policlinico Tor Vergata University, Rome - Italy
Kay Jaquet, MD
Asklepios Klinik St. Georg, Hamburg - Germany
Ian Loftus, MD
Giampiero Esposito, MD
St. George’s Vascular Institute, London - UK
Humanitas Gavazzeni Clinic Institute - Italy
Paolo Loschiavo, MD
Francesco Fedele, MD
Sapienza University,
Policlinico Umberto I, Rome - Italy
Theodor Fishlein, MD
Klinikum Nürnberg, Nuremberg - Germany
Giulia Gagliardi, MD
Bambino Gesù Children’s Hospital, Rome - Italy
Gaetano Gargiulo, MD
Policlinico S. Orsola - Malpighi University of Bologna - Italy
Maria Laura Garofalo, Dr, Managing Director
Gruppo Garofalo, Rome - Italy
Gino Gerosa, MD
Padua University Hospital, Padua - Italy
Sandro Pertini Hospital, Rome - Italy
Benedetto Marino, MD
Sapienza University, Rome - Italy
Bruno Marino, MD
Sapienza University, Policlinico Umberto I, Rome - Italy
Eugenio Martuscelli, MD
Policlinico Tor Vergata University, Rome – Italy
Massimo Massetti, MD
Università Cattolica del Sacro Cuore, Rome - Italy
Alessandro Mazzucco, MD
University Hospital of Verona, Verona - Italy
Fabio Miraldi, MD
Parma University Hospital, Parma - Italy
Sapienza University,
Policlinico Umberto I, Rome - Italy
Salvatore Giannico, MD
Bambino Gesù Childrens’ Hospital, Rome - Italy
Ornella Milanesi, MD
Padua University Hospital, Padua - Italy
Susanna Grego, MD
Raphael Mohr, MD
Sourasky Medical Center, Tel Aviv - Israel
Tiziano Gherli, MD
Policlinico Tor Vergata University, Rome - Italy
Michael Halkos, MD
Emory University, Atlanta, Georgia, USA
Viktor Hraska, MD
University Hospital Eppendorf-Hamburg,
Hamburg - Germany
Ciro Indolfi, MD
Magna Graecia University, Catanzaro - Italy
Fiore S. Iorio, MD
Tor Vergata University of Rome - Italy,
Jedda - Saudi Arabia
Claudio Muneretto, MD
University of Brescia P.le Spedali Civili, Brescia - Italy
Roberto Napoletano, Dr, Director
Il Sole 24 Ore - Italy
Giannantonio Nappi, MD
Monaldi University Hospital, Naples - Italy
Enrico Pampana, MD
Policlinico Tor Vergata University, Rome - Italy
Roberto Parravicini, MD
Policlinico di Modena, University of Modena,
Modena - Italy
Giancarlo Passerone, MD
San Martino Hospital, University of Genoa, Genoa - Italy
Antonio Pellegrino, MD
Policlinico Tor Vergata University, Rome - Italy
Alfonso Penta de Peppo, MD
2nd University of Naples, Naples - Italy
Francesco Pizzuto, MD
Policlinico Tor Vergata University, Rome - Italy
Patrizio Polisca, MD
Policlinico Tor Vergata University, Rome - Italy
Gianluca Polvani, MD
Monzino Cardiologic Center, University of Milan,
Milan - Italy
Giacomo Pongiglione, MD
Bambino Gesù Children’s Hospital, Rome - Italy
Michele Portoghese, MD
Sassari Hospital, Sassari - Italy
Antonio Rapacciuolo, MD
Policlinico Federico II,
University of Naples, Naples - Italy
Antonio Rebuzzi, MD
Università Cattolica del Sacro Cuore, Rome - Italy
Mauro Rinaldi, MD
Molinette University Hospital, Turin - Italy
Ferdinando Romano, MD, Public Administrator
Regione Lazio, Rome - Italy
Francesco Romeo, MD
Policlinico Tor Vergata University, Rome - Italy
Giovanni Ruvolo, MD
Paolo Giaccone University Hospital, Palermo - Italy
Ettore Sansavini, General Manager
Villa Maria Private Hospitals - Italy
Antonio Scafuri, MD
Policlinico Tor Vergata University, Rome - Italy
Malakh Shrestha, MD
Hannover Medical School, Hannover - Germay
Giovanni Simonetti, MD
Policlinico Tor Vergata University, Rome - Italy
Riccardo Sinatra, MD
Sapienza University, Sant’Andrea Hospital, Rome - Italy
Giovanni Stellin, MD
Padua University Hospital, Padua - Italy
David P. Taggart, MD
John Radcliffe Hospital, Oxford - UK
Corrado Tamburino, MD
University of Catania – Italy
Fabrizio Tomai, MD
Casa di Cura European Hospital, Rome - Italy
Michele Toscano, MD
Sapienza University,
Policlinico Umberto I, Rome - Italy
Francesco Versaci, MD
Campobasso & Isernia Hospitals – Italy
Roberto Violini, MD
San Camillo Hospital, Rome - Italy
Massimo Volpe, MD
Sapienza University, Sant’Andrea Hospital, Rome - Italy
Carlo Vosa, MD
Policlinico Federico II, University of Naples, Naples - Italy
Jacob Zeitani, MD
Policlinico Tor Vergata University, Rome - Italy
Sponsors
Gold
Silver
Bronze
Many thanks for their contribute to the scientific event also to:
Baxter, Cremascoli & Iris, Edwards THV, Elitrade, Gada Italia, Omniamed,
Serom Medical Technology, St. Jude Medical.
Under the Kind Patronage of