CSI FRANKFURT 2023
TOPICS

PDA closure in prematurity:

• Starting up the program: what are important check lists?
• How to do the procedure and device selection
• Dealing with complications: aortic coarctation, LPA stenosis, and device embolization

PDA closure in adults and elderly:

• How to do the procedure and device selection
• Technical considerations for challenging cases
• Dealing with complications
• PDA with PAH closure: indications, technique and outcomes

PDA with coarctation: options for treatments:

• In children
• In adults

Fetal detection and prediction of postnatal treatment

Is spontaneous closure always a good thing?

Antegrade or retrograde approach? Case based lecture

Role of surgery in certain difficult fistula anatomies

Technical challenges and their solutions

The fistula that I will never close by catheter

Remodelling after closure

Early and late complications of fistula closure

Recorded case

Pathology of pulmonary vein stenosis

Pulmonary vein stenosis after atrial switch operation

Pulmonary vein stenosis in the univentricular heart

Drug management of pulmonary vein stenosis – hope or hype?

Should stent implantation be the first intervention in neonatal pulmonary vein stenosis?

When should surgery be the first intervention?

Update from the North American pulmonary vein stenosis network

Treatment is futile – I would not offer catheter intervention

Recorded case

Who is suitable, who is not? Case based lecture

Sheaths, catheters and stents

Procedural pitfalls and how to avoid them. Case based lecture

Debate: in a 6-week-old, 3.5kg Fallot with cyanotic spells it is better to…

• shunt or correct
• stent the RVOT

How to deal with complications – case-based lecture

Recorded case: subsequent surgical removal and repair

Long term outcomes after RVOT stenting

Hemodynamic assessment in the cath lab

How to perform exercise catheterization?

Pulmonary vascular resistance assessment: cath, MRI or gut feeling?

Non-invasive determinants of timing of mitral and tricuspid interventions

Managing Fontan fenestrations- is the AFR the solution?

Managed transeptal flow in PH and LV diastolic dysfunction. Are fenestrated devices the answer?

Value and limitations of oxygen consumption measurements

MRI techniques for flow assessment

Vortex formation and flow dynamics in the field of structural and valvular heart disease

Challenging cases:

• Closing an ASD in a patient with pulmonary hypertension
• Closing an ASD with left ventricular dysfunction
• Closing a PDA in a patient with pulmonary hypertension

Acute thromboembolism:

• Acute thromboembolism in the newborn - Case example and overview
• Acute thromboembolism in the newborn - Percutaneous options
• Acute AP-shunt occlusion – tips and tricks
• Acute pulmonary saddle embolism - size matters

ECLS at the cathlab

• ECLS for rescue during cath in children
• Cath under ECMO in children
• ECMO options in children

Pericardial tamponade

• In the newborn
• If things go wrong

4D flow and VR simulation before Fontan completion

Optimisation of the heart and lungs before Fontan creation

Should Fontan fenestrations be closed early or late?

Interventions in early post-op phase

Unusual interventions in Fontan circulation

Transition when fully grown: need for a catheter?

Partial takedown to improve lymphatics: connect the innominate vein to the atrium

Recorded case

How to avoid and manage left pulmonary artery stenosis?

Neurocardiology: why do we need to collaborate?

Understanding brain bleeding risk from neuroimaging

The role of the heart-brain team for left atrial appendage closure

Cardiac imaging for brain-heart teams

Detecting PFO and deciding about its closure: A team approach

Carotid stenosis: stenting for symptomatic and asymptomatic patients

How to build a heart–brain team: neuro-AFib as an implementation study

Update on the Clearance trial

General techniques and post-procedural care for fetal interventions

Case examples:

• Creating interatrial shunts
• Pulmonary valvuloplasty in PAIVS
• Aortic valvuloplasty

How I did my first fetal intervention

Prospective study on fetuses with critical aortic stenosis

How to deal with complications

Long-term (>10yrs) outcomes of fetal interventions

Recorded case

Panel discussion: prenatal cardiac interventions for critical CHD, risks and benefits, future directions, how to set up an interventional program

Live case transmission

Role of CT in selecting patients; MRI during follow up

Stent implantation in virtual 3D models

Stent implantation – step by step - common anatomy

TOE guidance during stent correction – step by step

Challenging anatomy

Which defects not to close by catheter?

Registry update and long-term results

A dedicated device for sinus venosus ASD closure

Live case transmission

What is a complex VSD:

• Anatomical considerations
• Imaging considerations
• VSD in low-weight infants
• Large VSD

I don’t want to close this VSD, you should do it!

• Surgeon
• Interventionist

When do we need to go hybrid

How to deal with complications

My most challenging VSD closure

Introduction

Artificial intelligence and personalized medicine, the future?

Near future AI in interventional cardiology

CT reconstruction predicting tissue behaviour in structural interventions

AI is superior to humans for echocardiography

Training on holographic patients

AI clinical trial adjustment, a new heart team?

Procedure related hypotension prediction and prevention

Principles of and equipment for transcatheter electrosurgery- what everyone needs to know

How to plan and perform transcaval TAVI- tips and tricks

BASILICA to prevent coronary obstruction during TAVI- how, when and why

Debate: prevention of coronary obstruction during TAVI

• Snorkel stenting is simple and should be the preferred approach
• BASILICA is democratize-able and should be the preferred approach

Pre and intraprocedural imaging pearls for BASILICA

LAMPOON and its variants for the prevention of LVOT obstruction during TMVI- how, when and why

Debate: prevention of LVOT obstruction during TMVI

• Septal ablation is simple and should be the preferred approach
• LAMPOON should be the preferred approach

Pre and intraprocedural imaging pearls for LAMPOON

Case in a box - SESAME: a novel approach for the treatment of hypertrophic cardiomyopathy

Other novel uses of transcatheter electrosurgery during structural heart interventions (leaflet removal, root enlargement, PVL closure, MIRTH)

Novel methods of the lymphatic imaging and Interventions

Recorded case

Clinical evidence of lack of the “lymphatic reserve” in patients with HFpEF

Interstitial decompression in acute on chronic ischemic heart failure: concept and initial results

Percutaneous and/or surgical decompression of thoracic duct-venous junction: one conditions multiple disorders

Percutaneous treatment of pulmonary lymphatic complications in patients with congenital heart disease

New approaches in percutaneous treatment of PLE in patients with congenital heart disease

Interventions for SVC and IVC obstructions