Presented by
the Department of Cardiovascular
Anesthesiology and ICU

De Gasperis Cardiac Centre
Niguarda Hospital

3rd International Perioperative TEE Symposium

Milan - February 7 - 8, 2020
Niguarda Hospital


Symposium Director
Michele Mondino

Endorsed by:

OBJECTIVES


This 2-day symposium is designed to benefit practicing anesthesiologists, intensivists, cardiac surgeons and cardiologists involved in the perioperative management of surgical patients. The symposium program will include the use of advanced 2D and 3D TEE techniques in the assessment and management of patients presenting for cardiac surgery.

The participants will have the opportunity to learn through lectures and through interactive “Problem-Based Learning Discussion (PBLDs) groups, with a unique opportunity to discuss topics with the experts in small groups.

LEARN FROM THE EXPERTS.

ADVANCED 3D TEE APPLICATIONS, PBLDs & HEART WET LAB

A unique interactive symposium showcasing the state of the art in intraoperative TEE imaging modalities. World experts will be in Milan to meet and interact with attendees in an engaging multidisciplinary program. The symposium is tailored for anyone involved in the perioperative care of cardiac surgical patients. The participants will have the opportunity to learn through lectures and through interactive “Problem-Based Learning Discussion (PBLDs) groups, with a unique opportunity to discuss topics with the experts in small groups.

Guest Faculty

  • V. Ajello
    Cardiac Anaesthesist Anaesthesiologist
    Tor Vergata University
    Roma, I
  • T. Aloisio
    Cardiac Anaesthesist
    IRRCS Policlinico San Donato
    Milano, I
  • P. Bajona
    Assistant Professor of Surgery
    UT Southwestern Medica Center
    Dallas, USA
  • D. Berdajs
    Consultant Cardiac Surgeon
    University Hospital Basel
    Basel, CH
  • P. Bertini
    Cardiac Anaesthesist
    A.O.U. Pisana
    Pisa, I
  • S. Bouchez
    Cardiac Anesthesiologist
    Ghent University Hospital
    Ghent, BE
  • M. De Bonis
    CHead of Cardiac Surgeryof Advanced
    and Research Therapies
    San Raffaele University Hospital
    Milano, I
  • J. Fassl
    Chair Cardiac Anesthesia, University
    Heart Center Dresden
    Technical University Dresden
    Dresden, DE
  • A. Farinaccio
    Cardiac Anaesthesist
    Tor Vergata University
    Roma, I

  • A. Locatelli
    Chair Cardiac and Vascular Anesthesia
    ASST Santa Croce
    Cuneo, I
  • F.L. Lorini
    Chair of the Department of Anesthesia
    and ICU II, ASST Ospedale P.G. XXIII
    Bergamo, I
  • B. Martinez
    Chief Cardiac Anaesthesist
    Treviso Hospital
    Treviso, I
  • M. Meineri
    Cardiac Anaesthesist
    Herzzentrum Leipzig
    Leipzig, DE
  • S. Pelenghi
    Chief of Cardiac Surgery Unit
    IRCCS Policlinico San Matteo
    Pavia, I
  • A. Rubino
    Cardiac Anaesthesist
    Papworth Hospital NHS Foundation
    Cambridge, UK
  • S. Shernan
    Director, Cardiac Anesthesia Service
    Brighamand Women's Hospital
    Professor, Harvard Medical School
    Boston, USA
  • A. Smith
    Cardiac Anaesthesist
    St Barth UCL
    London, UK

  • G. Tavazzi
    Consultant Intensivist ICU
    Policlinico San Matteo, IRCCS
    Pavia, I

  • L. Tritapepe
    Director, Cardiac Anesthesia Service
    Università La Sapienza, Policlinico Umberto I
    Roma, I
  • A. Van Rensburg
    Assistant Professor of Anesthesiology
    Toronto General Hospital, UHN
    Toronto, CDN








Niguarda Faculty

  • E. Ammirati
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • O. Belli
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • M. Bottiroli
    Cardiac Anaesthesist
    Niguarda Hospital
    Milano, I
  • A. Calini
    Cardiac Anaesthesist
    Niguarda Hospital
    Milano, I
  • A. Cannata
    Consultant Cardiac surgeon
    Niguarda Hospital
    Milano, I
  • F. Casadei
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • F. Cislaghi
    Cardiac Anaesthesist
    Niguarda Hospital
    Milano, I
  • D. De Caria
    Cardiac Anaesthesist
    Niguarda Hospital
    Milano, I
  • B. De Chiara
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • M. Frigerio
    Chief of Cardiac Transplant department
    Niguarda Hospital
    Milano, I
  • R. Fumagalli
    Chief of the Department
    of Anesthesia and ICU
    Niguarda Hospital, Milano, I
  • M.P. Gagliardone
    Chief of the Dep. of Cardiothoracic
    and VascularAnesthesia and ICU
    Niguarda Hospital, Milano, I
  • C. Giannattasio
    Director of the De Gasperis Cardio center
    DepartmentNiguarda Hospital,
    Milano, I
  • M. Lanfranconi
    Consultant Cardiac surgeon
    Niguarda Hospital
    Milano, I
  • M. Merlanti
    Consultant Cardiac surgeon
    Niguarda Hospital
    Milano, I
  • M. Mondino
    Consultant Anesthetist
    Niguarda Hospital
    Milano, I
  • A. Moreo
    Head of Echocardiography Laboratory
    Niguarda Hospital,
    Milano, I
  • F. Musca
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • F. Oliva
    Chief of the CCU
    Niguarda Hospital
    Milano, I
  • J. Oreglia
    Head of Interventional Cardiology Unit
    Niguarda Hospital
    Milano, I
  • D. Ornaghi
    Consultant Cardiac surgeon
    Niguarda Hospital
    Milano, I
  • C. Russo
    Chief of the Department
    of Cardiac Surgery, Niguarda Hospital
    Milano, I
  • F. Sangalli
    Consultant Anesthetist
    Niguarda Hospital
    Milano, I
  • G. Santambrogio
    Consultant Cardiologist
    Niguarda Hospital
    Milano, I
  • F. Settepani
    Consultant cardiac surgeon
    Niguarda Hospital
    Milano, I
  • M. Torre
    Chief of Cardiothoracovascular Department
    Niguarda Hospital
    Milano, I

PRELIMINARY PROGRAM


  • Friday February 7

  • 08.30 Registration
  • 09.00 Welcome Address
    R. Fumagalli, C. Giannattasio, M. Mondino,
    C. Russo, M. Torre
  • SESSION 1: MITRAL VALVE
    Moderators: F.Lorini, A.Moreo, A.Van Rensburg
  • 09.10 Ischemic MR: Repair, Replace, or Wait and See? A Surgeons Perspective.
    A. Cannata
  • 09.30 Planning mitral valve repair. Does 3D o er more accurate information than 2D or do they complement one another?
    S. Shernan
  • 10.00 Which Ring is Appropriate for this MR? How Does One Decide? A Surgeons Perspective.
    B. Merlanti
  • 10.20 TEE guidance for MV annular sizing.
     S. Bouchez
  • 10.40 Q&A
  • 10.50 Coffee Break

  • SESSION 2: FORGOTTEN VALVES
    Moderators: M. Lanfranconi, G. Santambrogio, L.Tritapepe
  • 11.20 Tricuspid Regurgitation - the surgical prospective.
    Speaker M. De Bonis
  • 11.40 Tricuspid Regurgitation - TEE evaluation.
    A. Smith
  • 12.00 When to address tricuspid valve regurgitation?
    A. Cannata
  • 12.20 Pulmonic Valve and echo assessment of pulmonary haemodynamic.
    P. Bertini
  • 12.50 Q&A
  • 13.00 Lunch

  • SESSION 3: PBLDs & WET LAB
    13.30 - 15.30
  • PBLDs
    (PBLDs: 30 min rotation each group - WET LAB:120 min)
      • • TEE views with simulator
      A. Smith, A.V. Rensburg
      • Focus TTE assessment post TAVI
      Speaker F. Casadei, F.Musca, O.Belli
      • Interesting cases
      V. Ajello, A. Farinaccio, F. Cislaghi
      • Echo quiz
      A. Rubino, T. Aloisio

  • WET LAB Heart Dissection
    (limited to 50 partecipants)
    M. Meineri, D. Berdajs

  • 15.30 Coffee Break

  • SESSION 4: AORTIC VALVE AND AORTA
    Moderators: A.Locatelli, M. Mondino, S.Pelenghi
  • 15.45 Surgical Implications for Low-Flow Low-Gradient AS.
    F. Settepani
  • 16.00 Quantifying AS in the OR: Which Measurements Should I Rely On?
    A. Rubino
  • 16.20 2D vs 3D for Aortic Valve.
    M. Meineri
  • 16.40 Non A Non B Aortic dissection.
    D. Berdajs
  • 17.00 Monitoring in TAVI: is there still a role for TEE?
    The cardiologist and haemodynamist point of view
    Speaker B.De Chiara, J.Oreglia
  • 17.10 Role of TEE in TAVI, is it still useful? Cons.
    Speaker TBC
  • 17.20 Q&A
  • 17.30 Adjourn


  • Saturday February 8



  • 09.00 Welcome Address


  • SESSION 5: ECMO
    Moderators: E.Ammirati, F.Oliva, C.Russo
  • 09.15 Heart Transplant and mechanical support: timing and allocation.
    M. Frigerio
  • 09.30 Concomitant tricuspid valve repair/replacement during LVAD implantation. Contribution of echo in the decision making.
    M. Mondino
  • 09.50 Do we need TEE monitoring during non-cardiac surgery in LVAD patients. A growing population?
    B. Martinez
  • 10.10 Ecmo, Impella, and paracorporeal Lvad: Echo guidance to decision making.
    M. Bottiroli
  • 10.30 Q&A
  • 10.40 Coffee Break

  • SESSION 6: MISCELLANEOUS
    Moderators: T.Aloisio, A.Smith, A.Van Rasenburg
  • 11.00 Perioperative echocardiography in Italy, where are we?
    G. Tavazzi
  • 11.20 Focused TEE outside cardiac surgery.
    F. Sangalli
  • 11.40 What's new in intraoperative TEE?
    J. Fassl
  • 12.00 Quality assurance in intraoperative TEE.
  • M. Meineri
  • 12.20 Q&A
  • 12.30 Lunch

  • SESSION 7: PBLDs & WET LAB
    13.30 - 15.30
  • PBLDs
    (PBLDs: 30 min rotation each group - WET LAB:120 min)
      • • TEE views with simulator
      A. Smith, A.V. Rensburg
      • Focus TTE assessment post TAVI
      Speaker O.Belli, F.Casadei, F.Musca
      • Interesting cases
      V. Ajello, A. Farinaccio, F. Cislaghi
      • Echo quiz
      A. Rubino, T. Aloisio

  • WET LAB Heart Dissection
    (limited to 50 partecipants)
    M. Meineri,D. Berdajs

  • 15.30 Coffee Break

  • 15.45 Closing Keynote: Why should 3D echo be the standard of care in intraoperative TEE.
    S. Shernan
    Moderators: M. Meineri, M. Mondino, F.Sangalli
  • 16.30 Q&A
  • 16.45 Adjourn
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Program pdf

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