FOCUS WORKSHOP:

PFO

This two-day workshop will take place on the third and fourth day of CSI Frankfurt, the leading congress on catheter interventions in congenital, structural and valvar heart disease. At CSI Focus PFO you will learn all you need to know about PFO closure. The program will cover morphology and imaging of the PFO, an update on trial data and guidelines, indications for PFO closure, step-by-step procedural guidance, case-based learning, and complication management. We will also take a close look at the design and specific technical advantages and limitations of selected PFO closure devices.

Key Details:

Date: Friday, September 18 - Saturday, September 19, 2020
Location: Congress Center Messe Frankfurt
For participants of all levels
Early bird registration discount is available until March 6, 2020: Register now

SESSION 1: MORPHOLOGY AND IMAGING

Live case transmissions

The anatomy of the PFO

How common is a PFO really?

Anatomical risk factors for stroke: Eustachian valve, floppy septum, size, aneurysm without PFO

Why and how to do transcranial doppler (TCD)

How to evaluate the PFO using TEE – case based

ICE to guide PFO closure

Angiography and balloon interrogation to guide PFO closure

TEE after PFO closure

This is what you should look for

Interesting! But that does not justify routine FU TEE

Is there still a need for a “long tunnel” device?

Do larger devices have more residual shunt and why?

Discussion

SESSION 2: UPDATE ON TRIAL DATA AND GUIDELINES

Live case transmissions

Pivotal trials and meta-analyses unequivocally support PFO closure

Brexit from PFO closure

How to deal with subgroups – different results in different trials

What is in the guidelines around the globe?

Discussion

SESSION 3: INDICATION FOR PFO CLOSURE

Live case transmissions

There are many good reasons to close a PFO beyond stroke

PFO closure real number vs burden of disease

Atrial fibrillation and PFO

Case presentation: a young patient with paroxysmal AF and PFO

Discussion

SESSION 4: HOW TO CLOSE PFOS - CASE BASED LEARNING

Live case transmissions

A patient with a PFO

and a septum aneurysm
and additional fenestrations
and a very thick septum secundum
with very small diameter
with very large diameter

Discussion

SESSION 5: DESIGN AND SPECIFIC TECHNICAL ADVANTAGES AND LIMITATIONS OF SELECTED PFO CLOSURE DEVICES

Live case transmissions

Device presentations

Amplatzer
Occlutech
Gore
Hyperion
Lifetech
UltraSept
PFM
HeartStich
CARAG
Hollistick
Chinese lantern
Eric Zi’s device

Does it matter what device you choose? – technical success, closure rate, AF, ...

Discussion

Device parade hands-on

SESSION 6: HOW TO MANAGE COMPLICATIONS

Live case transmissions

My most memorable complication of PFO closure
Case 1
Case 2
Case 3
Case 4

Discussion

This workshop is part of CSI Frankfurt, the leading conference on congenital, structural and valvar heart disease interventions, which will take place June 24-27, 2020 in Frankfurt, Germany.

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