CSI Focus Workshop

LAA CLOSURE

 WEDNESday, june 22, 2022

This full day workshop will provide an overview of pre- and periprocedural imaging guidance for LAA closure, current guidelines, studies and new indications as well as tips and tricks for prevention and management of complications. The program will feature live case transmissions and will be complemented by a hands-on training session on CT and TEE essentials for LAA closure in the CSI training hub. 

 

PRELIMINARY PROGRAM - LAA CLOSURE FOCUS WORKSHOP

DEVELOPED BY: OLE DE BACKER, RANDALL LEE, SIMON LAM, BUSHRA RANA & DEE DEE WANG

imaging
Live case transmission from CardioVascular Center Frankfurt CVC, Frankfurt, Germany
Intraprocedural TEE - Tips & tricks for guiding transseptal puncture
Intraprocedural TEE - Tips & tricks for guiding successful LAA closure

CT evaluation before LAA closure step-by-step

Debate:

  • Pre-procedural CT is necessary for ICE- guided LAA closure
  • Stand-alone ICE for LAA closure: no fancy CT/TEE imaging needed
Mini, micro, pediatric TEE: will it replace traditional TEE?
Fusion imaging: Real-world application and value in clinical practice
What is and how to detect a DRT and (peri-device) leak?
Current guidelines, studies and new indications
Two million candidates for LAA closure in US!!!

New indications to consider

  • Percutaneous LAA closure for patients with atrial fibrillation and cerebral microbleeds on brain imaging
  • Percutaneous LAA closure for patients with atrial fibrillation and cerebral amyloid angiopathy on brain imaging?
  • Routine LAA closure in patients undergoing atrial fibrillation ablation?
  • Should we consider LAA closure in TAVI patients with atrial fibrillation?
  • Any evidence for LAA closure in patients with ischemic stroke under (D)OAC?
  • Percutaneous LAAC in patients with a thrombus in the LAA: protective or high risk?

A paradigm shift due to recent studies?

  • LAAOS III
  • AMAZE trial
  • Updates on other ongoing RCTs

Panel discussion on new studies and upcoming CATALYST and CHAMPION-AF trials

Perils of long-term OAC in patients at brain hemorrhage risk: recent updates and RCTs
Ischemic stroke on OAC or after LAAC: what do we know, what do we need to learn?
Tips & tricks– Prevention & management of complications

Live case transmission from University Hospital of Salamanca, Salamanca, Spain

The perfect transseptal puncture when performing LAA closure
New technologies for transseptal puncture

Tips & tricks and lessons learned:

  • Amplatzer Amulet
  • WatchmanFLX
  • LAmbre
  • Omega
  • Tips & tricks when having to close specific LAA anatomies

Prevention & management of complications

  • Tamponade
  • Embolized device
  • Residual leaks
  • Device related thrombus (DRT)

BROWSE THE FULL CSI 2022 PROGRAM

This workshop is part of CSI Frankfurt 2022, the leading conference on catheter interventions in congenital, structural and valvar heart disease and heart failure, which will take place June 22-25, 2022 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.

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