coarctation
CSI FOCUS WORKSHOP
PRELIMINARY PROGRAM
DEVELOPED BY: Mario Carminati & Gregor Krings & Rafael Hirsch & Sébastien Hascoët
The treatment of coarctation in small children and infants in the catheter laboratory has developed rapidly in recent years. Stent technology and improved techniques have pushed down the weight at which primary interventional treatment is considered superior to a conventional surgical approach. Our aim in the first session of the coarctation workshop is to update and engage in debate on the key issues such as when to balloon and when to stent, the role of advanced imaging and the development of new stent technology. Most importantly we want to open the debate and discussion involving surgeons and interventional cardiologists regarding collaborative decision making in small children with coarctation.
In the second session we deal with issues related to successful patient management with coarctation; identification and monitoring of cerebral aneurysms; how to stabilize stents during deployment; how to maximize the benefits of fusion imaging? We anticipate lively and open debates as we hear from neuroradiologists, cardiac imaging specialists as well as interventional KOLs.
The morphology, complexity and tissue characteristics of coarctation of the aorta changes profoundly as we move through the chronological stages of life meaning the approach to coarctation in older adults needs to be specific. In the final session of this workshop we will discuss tips and tricks for dealing with the interrupted or nearly interrupted coarctation and the risk benefit of complex aortic interventions in relatively well adults. We will also look at the current portfolio of covered stents which are so useful in this age range.
Invited faculty: Stephan Haulon, Jelena Radojevic Liegeois, Vivek Muthurangu, Sebastian Goreczny, Arshid Azarine, Gianfranco Butera, Mark Turner, Elchanan Bruckheimer, Luca Giugno, Martin Kostolny, Lee Benson, Juan Pablo Sandoval, Sophie Guiti Malekzadeh Milani & Kevin Walsh
| Imaging the aorta |
| Live case transmission |
| Grey zones for indication for intervention |
|
CT for preprocedural planning and follow up |
|
MRI and 4D MRI for preprocedural planning and follow-up |
|
Optimal intraprocedural imaging and guidance |
| 4D flow pre and post coarctation stenting |
| Exercise test evaluation post-stenting |
|
Diagnosing endocarditis associated with coarctation |
| Endovascular treatment – technical insights |
| Live case transmission |
|
Bare metal stents vs covered stents: when to use them |
|
Is there a role for self-expandable stents? |
|
Flare or not to flare distal stent? |
|
Tandem technique: single stent double balloon |
|
Heart team discussion:
|
| Complex coarctation |
|
Live case transmission |
|
How to deal with interrupted aortic isthmus |
|
Transverse arch hypoplasia: when and how to treat |
|
Aortic rupture: how to deal with |
|
Coarctation in very low birth weight: bridge to surgery |
|
Complications /bail out cases |
BROWSE THE FULL CSI 2023 PROGRAM
This workshop is part of CSI Frankfurt 2023, the leading conference on catheter interventions in congenital, structural and valvar heart disease and heart failure, which will take place June 28 - July 1, 2023 in Frankfurt, Germany.
Drop in for the day, or join us for the full 4-day program providing a comprehensive overview of the field presented by experts and key opinion leaders from all over the world.