CSI Focus Workshop

PFO CLOSURE

THURSday, june 23, 2022

This years CSI Focus PFO track will continue to support operators and institutions providing PFO closure by covering the evidence base, the contemporary guideline context, and practical tips and tricks during procedures with a range of devices. Highlights of the program this year include a debate on the "high risk" anatomy concept which is shaping some guideline positions. In addition, we will continue to use the step-by-step live case format for which we are known to transfer knowledge and experience from one cathlab to another.

 

PRELIMINARY PROGRAM - PFO CLOSURE FOCUS WORKSHOP

DEVELOPED BY: STEFAN BERTOG, MATTHIEW DANIELS, MOHAMAD ALKHOULI & BUSHRA RANA

History, diagnosis, imaging, data
Live case transmission from CardioVascular Center Frankfurt CVC, Frankfurt, Germany
PFO: a historical perspective: first description to first closure
Proposal for updated nomenclature and classification of potential causative mechanism in PFO associated stroke

PFO diagnosis: protocol, shunt grading and pitfall

New trial data after 2017
TEE: tips, tricks, role for 3-D imaging?
ICE for PFO closure: all you need to know
Guidelines/position papers
What the guidelines get right and what the guidelines get wrong
Work-up, procedural tips and special circumstances
Live case transmission from CardioVascular Center Frankfurt CVC, Frankfurt, Germany
This is my approach to the work-up of patients with stroke and patent foramen ovale
RoPE score: Why did we come up with it and how it should be used?
My approach to an aneurysmal septum
My approach to a long tunnel
Anatomical and physiological pitfalls to PFO closure
Challenging cases for Gore septal occluder
Challenging cases for Amplatzer PFO occluder
Challenging cases for Cocoon
Challenging cases for Occlutech PFO occluder 
PFO closure for arterial deoxygenation syndromes
NOVEL DEVICES, COMPLICATIONS, POSTPROCEDURAL CARE

Novel devices:

  • reSept
  • Nobel stich
  • IrisFIT
Routine postprocedural care and follow-up: here is my approach
Residual leak: Hildick Smith debate: to close or not to close
Case example: residual leak closure
Case example postprocedural atrial fibrillation
Atrial fibrillation: now what?
Case example atrial fibrillation and concomitant PFO
Transseptal access after PFO closure
Device erosion: is this anything that I need to worry about using PFO occluders?

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.