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Archives for Heart and Vascular

Current Vascular Therapies: What Has Changed and What is Still the Gold Standard

Thirteenth Annual Pittsburgh Vascular Symposium
September 10 – 12, 2015
Wyndham Grand Pittsburgh Downtown, Pittsburgh, Pa.

The Thirteenth Annual Pittsburgh Vascular Symposium will feature discussion and evaluation of the current and future standards in the treatment and care of vascular patients, including endovascular and open therapies as well as medical management. This two-day conference will also include presentations and open panels, focus on new developments in technology and surgical techniques, and highlight controversies and accepted practices in the field.

This course is sponsored and organized by the UPMC Heart and Vascular Institute, Division of Vascular Surgery and offers CME credit for physicians and other professionals.

Hear more from associate course director Steven Leers, MD.


 

International Society for Heart and Lung Transplantation (ISHLT) 35th Annual Meeting and Scientific Sessions

April 14-17, 2015

The UPMC Heart and Vascular Institute and UPMC Cardiothoracic Transplant Department are well-represented at the International Society for Heart and Lung Transplantation (ISHLT) 35th Annual Meeting and Scientific Sessions in Nice, France. Faculty research was featured in both oral and poster presentations throughout the conference, including:

Tuesday, April 14

MCS Master’s Academy
Chairs: Daniel Goldstein, Ulrich Jorde, Jim Kirklin, Robert Kormos, Stephan Schueler, Jeff Teuteberg

Section D – Decision making in the transition from acute temporary support to durable LVAD
Moderator: Robert Kormos

Section D – Conversion from Temporary to Durable MCS: The Challenges to Success
Presented by: Robert Kormos

Section E – RV failure, VT and AI
Moderator: Jeff Teuteberg

Section E – Case Presentation VT
Presented by: Jeff Teuteberg

Wednesday, April 15

Pre-meeting Symposium 01: Intermatics 0: Treatment of Shock
Are All INTERMACs Profile I Patients the Same? Definition, Categorization and Outcomes with Shock
Presented by: Jeff Teuteberg

Pre-meeting Symposium 11: Moving MCS Therapy Forward
Chair: Robert Kormos
Debate: All VAD recipients should be on heart failure medications
Con presented by: Jeff Teuteberg

Moderated Poster Session
Discussant: Robert Kormos
519 – Update on Post-Approval INTERMACs Registry of the HVAD System in Commercial Use
Presented by: S. Maltais, G. A. Ewald, M. E. Keebler, K. H. Schlendorf, S. W. Boyce, S. S. Najjar, F. D. Pagani, K. D. Aaronson, V. Jeevanandam, C. A. Milano, J. G. Rogers, R. B. Love, C. W. Mahr, D. T. Pham, M. S. Kiernan, R. L. Kormos, J. J. Teuteberg, S. C. Silvestry, E. C. McGee, R. A. Gordon, H. R. Mallidi, O. H. Frazier

Thursday, April 16

Concurrent Abstract Session 2: Anticoagulation for VADs
Chair: Jeff Teuteberg

Concurrent Abstract Session 9: Drivelines and Device Malfunction
49 – Device Malfunction in Contemporary Rotary Blood Pumps: The Relevant Burden of All Components
Presented by: R. L. Kormos, M. McCall, R. D. Schaub, K. L. Lockard, C. A. Bermudez, N. M. Kunz, E. M. Dunn, L. F. Lagazzi, J. J. Teuteberg

Concurrent Abstract Session 21: Kinetics, Coagulation, and Cardiology: Pharmacy of MCS and Transplant
Chair: Mike Shullo
121 – Assessing Anticoagulation Practice Patterns in Patients on Durable Mechanical Circulatory Support Devices: An International Survey
Presented by: D. L. Jennings, E. Horn, H. Lyster, A. Panos, J. Teuteberg, H. Lehmkuhl, W. Wolowich, M. Shullo

122 – Optimal Low Density Lipoprotein Levels Prevent Cardiac Allograft Vasculopathy
Presented by: J. Harris, J. Teuteberg, J. Coons, D. Winger, M. Shullo

Concurrent Abstract Session 16: Strokes, Arrhythmias and LVADs
95 – Temporal Differences in Adverse Event Rates in Patients Bridged with the HeartWare Left Ventricular Assist Device
Presented by: S. Maltais, K. D. Aaronson, J. J. Teuteberg, M. S. Slaughter, S. S. Najjar, V. Jeevanandam, D. T. Pham, E. C. McGee, K. Najarian, R. L. Kormos

Mini Oral Abstract Session 1: Fear and Loathing in MCS
127 – High Early Event Rates in Patients With Questionable Eligibility for Advanced Heart Failure Therapies
Presented by: A. V. Ambardekar, R. C. Forde-McLean, M. M. Kittleson, G. C. Stewart, M. Palardy, J. T. Thibodeau, A. D. DeVore, M. M. Mountis, L. Cadaret, J. J. Teuteberg, S. V. Pamboukian, R. S. Cantor, J. Lindenfeld

129 – Early Reassessment of Ambulatory Advanced Heart Failure Detects High-Risk Trajectories along a Dynamic Baseline
Presented by: G. C. Stewart, M. M. Mountis, M. M. Kittleson, A. V. Ambardekar, M. Palardy, R. C. Forde-McLean, J. T. Thibodeau, J. J. Teuteberg, S. V. Pamboukian, A. D. DeVore, L. Cadaret, R. S. Cantor, L. W. Stevenson

Friday, April 17
Plenary Session 2
Chair: Robert Kormos

Concurrent Abstract Session 23: Update on Short-Term Support
209 – A Prospective Multicenter Study to Evaluate Safety and Probable Benefit of a Novel Percutaneous Ventricular Assist Device for Right Ventricular Failure: The RECOVER RIGHT Study
Presented by: M. Anderson, J. Goldstein, L. Morris, C. Milano, R. Kormos, J. Bhama, N. Kapur, A. Bansal, J. Garcia, S. Silvestry, W. Holman, W. O’Neill

Concurrent Abstract Session 32: Mechanical Support and Children
258 – Adverse Events in Children Implanted With Ventricular Assist Devices in the U.S.: Data from the Pediatric Interagency Registry for Mechanical Circulatory Support (PediMACS)
Presented by: D. N. Rosenthal, C. S. Almond, R. D. Jacquiss, C. E. Peyton, S. R. Auerbach, D. L. Morales, D. J. Epstein, R. S. Cantor, R. L. Kormos, D. C. Naftel, R. J. Butts, N. S. Ghanayem, J. K. Kirklin, E. D. Blume

Concurrent Abstract Session 37 – Fate of the RV after LVAD
Chair: Jeff Teuteberg
285 – Modeling the Spectrum of Right Ventricular Failure (RVF) after LVAD Therapy
Presented by: N. A. Loghmanpour, R. L. Kormos, M. K. Kanwar, J. J. Teuteberg, S. Murali, J. F. Antaki

286 – Update on Temporary Mechanical Circulatory Support for Right Ventricular Failure
Presented by: U. Bansal, K. Jackson, D. G. Winger, J. J. Teuteberg, C. Bermudez, R. L. Kormos, A. Bansal, J. K. Bhama

288 – An Analysis of Early Versus Late Right Heart Failure with an Intrapericardial Continuous Flow LVAD
Presented by: J. E. Rame, J. J. Teuteberg, E. J. Birks, J. G. Rogers, M. A. Acker, E. Y. Birati, M. S. Slaughter, K. D. Aaronson, K. Leadley, F. D. Pagani, R. L. Kormos

Concurrent Abstract Session 39: Advances in Prognostic Stratification in PH
299 – Hemodynamic Markers of Pulmonary Vascular Disease in Pulmonary Hypertension Due to Left Heart Disease
Presented by: R. R. Vanderpool, M. T. Gladwin, M. A. Simon

Mini Oral Abstract Session 11: What’s Up Doc? Bugs, Drugs, and PH.
370 – Characterization and Impact of Pulmonary Hypertension on Outcomes after Left Ventricular Assist Device Implantation
Presented by: V. N. Selby, J. J. Teuteberg, I. E. Allen, R. J. Tedford, R. L. Kormos, T. De Marco

For more information, visit the conference site.

Physicians and Researchers Present at the American College of Cardiology (ACC) 64th Annual Scientific Session

The UPMC Heart and Vascular Institute will be well-represented at the American College of Cardiology (ACC) 64th Annual Scientific Session in San Diego. Faculty research will be featured in both oral and poster presentations throughout the conference, including:

Friday, March 13, 2015

  • ASNC Fellows-in-Training Nuclear Cardiology Satellite Session
    LV function assessment, viability assessment
    Presented by: Prem Soman

Saturday, March 14, 2015

  • Epidemiology & Pathogenic Pathways in Pulmonary Arterial Hypertension
    Estimating the Prevalence of Pulmonary Hypertension Due to Left Heart Disease in Patients Undergoing a Right Heart Catheterization
    Presented by: Rebecca Vanderpool, Mark Gladwin, Marc Simon
  • Contemporary Challenges in Cardiac Implantable Device Management
    Extracting versus Abandoning Sterile Non-Functional or Recalled Leads
    Presented by: Shasank Rijal, Rashmee Shah, Samir Saba
  • Critical Care Cardiology Intensive
    Part Three – Management of Cardiac Arrest: It Takes a Village
    Presented by: Bojan Cercek, Dan J. Fintel, Kathleen Ryan Avery, Erin Ann Bohula May, Carmelo Graffagnino, James G. Jollis, Chere McCain, Robert Neumar, Sean Van Diepen, Mark Schmidhofer, Jeffrey B. Washam
  • Imaging the High-Risk Diabetic Patient: Joint Multimodality Imaging Symposium of the ASE/ASNC/SCCT/SCMR and the American College of Cardiology I
    Metabolism, Silent Ischemia, & Risk Detection with Nuclear Techniques
    Presented by: Prem Soman
  • Highlighted Original Research: Future of Cardiovascular Medicine, Science and Education
    CardioTalk: The Future of Communication Training in Cardiovascular Medicine
    Presented by: Katie Berlacher, Winnie Teuteberg, Eva Reitschuler-Cross, Robert Arnold

Sunday, March 15, 2015

  • What Constitutes Anti Arrhythmic Therapy for Atrial Fibrillation?
    Relaxin Suppresses Atrial Fibrillation in 24 Month Old Rats by Reversing Atrial Fibrosis and Upregulating Sodium Channels
    Presented by: Brian Henry, Ashish Parikh, Divyang Patel, Jamie Haney, Charles McTiernan, David Schwartzman, Sanjeev Shroff, Guy Salama
  • What Constitutes Anti Arrhythmic Therapy for Atrial Fibrillation?
    Adherence to Published Guidelines in Prescribing Anti-Arrhythmic Medications and its Impact on Clinical Outcomes of Atrial Fibrillation
    Presented by: Dingxin Quin, George Leef, Mian Bilal Alam, Rohit Rattan, Muhammad Bilal Munir, Divyang Patel, Furqan Habib Khattak, Nishit Vaghasia, Sandeep Jain, Samir Saba
  • What Constitutes Anti Arrhythmic Therapy for Atrial Fibrillation?
    Physician Adherence to Published Guidelines in Prescribing Anti-Arrhythmic Medications in the Management of Atrial Fibrillation
    Presented by: George Leef, Dingxin Quin, Mian Bilal Alam, Rohit Rattan, Muhammad Bilal Munir, Vivyang Patel, Furqan Habib Khattak, Nishit Vaghasia, Sandeep Jain, Samir Saba
  • Non-Invasive Imaging: Strain Imaging by Echocardiography
    Impairment in Left Ventricular Strain in Patients with Pulmonary Hypertension and Preserved Ejection Fraction Evaluated by Three Dimensional Speckle Tracking Echocardiography
    Presented by: Akiko Goda, Keiko Ryo, Antonia Delgado-Montero, Bhupendar Tayal, Marc Simon, Michael Mathier, John Gorcsan
  • Selected Applications for Echocardiography for Assessment of Left Ventricular & Right Ventricular Function
    Regional Contraction Heterogeneity Is Associated with Persistent Myocardial Dysfunction and Unfavorable Clinical Outcomes in Patients with Peripartum Cardiomyopathy
    Presented by: Bhupendar Tayal, Dennis McNamara, Joan Briller, Julie Damp, James Fett, Eileen Hsich, Kalgi Modi, Navin Rajagopalan, John Gorcsan
  • Novel Findings in the World of Electrophysiology
    Increased Non-Alternans Repolarization Variability of Intracardiac Electrogram Precedes Onset of Spontaneous Ventricular Arrhythmias in Patients with Implantable Defibrillator
    Presented by: Yuliya Krokhaleva, Divyang Patel, Hemal Shah, Vladimir Shusterman, Samir Saba, Jan Nemec
  • Imaging Biomarkers in Heart Failure
    Right Ventricular Size and Function at Presentation in Peripartum Cardiomyopathy Are Associated with Subsequent Left Ventricular Recovery
    Presented by: Lori Blauwet, Dennis McNamara, Antonia Delgado-Montero, Keiko Ryo, Josef J. Marek, Rami Alharethi, Paul J. Mather, Kalgi Modi, Richard Sheppard, Vinay Thohan, Jessica Pisarcik, John Gorcsan
  • Cardiac SPECT Imaging
    SPECT Imaging Provides Long-term Prognostic Value over Exercise Electrocardiography Alone in Patients with a Normal Baseline Electrocardiogram
    Presented by: Saurab Malhotra, Ravi K. Sharma, Deepak Kumar Pasupala, Mukul Khanna, Prem Soman
  • Cardiac SPECT Imaging
    Yield of SPECT Myocardial Perfusion Imaging in Chest Pain Patients with Negative ECG and Biomarkers
    Presented by: Gavin Hickey, Daniel Nguyen, Deepak Pasupula, Mukul  Khanna, Sanaz Abedzadeh Anaraki, Zachary Rhinehart, Omar Batal, Jeremy Markowitz, Omar Batal, Saurab Malhotra, Prem Soman
  • Cardiac SPECT ImagingConcordance Between Speckle Tracking Echocardiography and Phase Analysis of Myocardial Spect for LV Segment of Latest Mechanical ActivationPresented by: Hussein Abu Daya, Samir Saba, Serge Van Kriekinge, Didier Chalhoub,  Guido Germano, Daniel Berman, John Gorcsan, Prem Soman
  • Vascular Access: Approaches and Complications
    Radial Access: Tips, Tricks, Managing Complications
    Presented by: John Schindler
  • Training Directors Symposium II
    How to “Develop” Your Faculty
    Presented by: Julie Damp, Jeffrey T. Kuvin, Chittur A. Sivaram,   Katie Berlacher, Victor Soukoulis
  • Basic Practices, Applications and Novel Techniques in Nuclear Cardiology
    Getting up the Nerve to Image Cardiac Sympathetic Innervation with I-123 MIBG: Practical Considerations
    Presented by: Prem Soman

Monday, March 16, 2015

  • Future of Medical Education: Future of Cardiovascular Medicine IX
    Innovations in Medical Education: Simulation, Team-based Training (demonstration)
    Presented by: Katie Berlacher
  • Nuclear Cardiology: Applications in Clinical Practice
    Cardiomyopathies and Heart Failure
    Presented by: Prem Soman
  • Outcomes and Cardiac Device Therapy
    Impaired Baseline Global Circumferential Strain Is a Marker for Ventricular Arrhythmias After Resynchronization Therapy in Patients with Ischemic Cardiomyopathy
    Presented by: Antonia Delgado-Montero, Bhupendar Tayal, Akiko Goda, Stephanie Holt, David Schwartzman, Samir Saba, John Gorcsan
  • Outcomes and Cardiac Device Therapy
    Incidence of Ventricular Arrhythmias after Cardiac Resynchronization Defibrillator Therapy in Patients with Right Ventricular Pacing versus Intrinsic QRS Widening
    Presented by: Bhupendar Tayal, Antonia Delgado-Montero, Akiko Goda, Stephanie Holt, Samir Saba, David Schwartzman, Peter Søgaard, John Gorcsan
  • Outcomes and Cardiac Device Therapy
    Left Ventricular Regional Time Correlation by Echocardiographic Strain Analysis Is Predictive of Survival Free from Arrhythmias in Non-Left Bundle Branch Patients After Cardiac Resynchronization Therapy
    Presented by: Stephanie Holt, Bhupendar Tayal, Antonia Delgado-Montero, Sanjeev Shroff, David Schwartzman, Samir Saba, John Gorcsan
  • Long Term Care of LVAD Patients
    What to Do with the LVAD Patient Requiring Renal Replacement Therapy
    Presented by: Jeffrey Teuteberg
  • Non Invasive Imaging (Echocardiography, Nuclear, PET, MR and CT)
    Myocardial Tissue Characterization by CMR
    Presented by: Subha V. Raman, Erik B. Schelbert, Igor Klem, Matthias Friedrick, John Wood, Victor A. Ferrari 

For more information, visit the conference site.

Autologous alternative veins do not provide better mid term outcomes than prosthetic conduits for below knee bypass when great saphenous vein is unavailable

Efthymios Avgerinos, MD, presented “Autologous Alternative Veins do not Provide Better mid-term outcomes than Prosthetic Conduits for below knee bypass when Great Saphenous Vein is Unavailable” at the European Society of Vascular Surgery 2014 Meeting in Stockholm, Sweden.

He discussed how certain patients with peripheral vascular disease who need a surgical bypass can benefit from contemporary prosthetic conduits when great saphenous vein (the gold standard conduit) is unavailable. Current recommendations suggest that when great saphenous vein is unavailable in a patient needing a surgical bypass for limb salvage, an alternative vein (e.g. arm vein) should be preferred over a prosthetic graft. Usage of alternative veins requires a complex, lengthy, high risk procedure that may be associated with significant adverse events and multiple reinterventions.

Dr Avgerinos’ research identified a subgroup of patients for whom a prosthetic conduit can have equal if not better postoperative and mid-term outcomes. Using a prosthetic conduit minimizes the incisions needed and the operative time. Patients who should preferentially receive a prosthetic conduit would be those with multiple comorbidities and those whose bypass target is the below knee popliteal artery.

Read the abstract here.

Hear more about this work from Dr. Avgerinos:

 

UPMC Vascular Surgeon Elected to lead Regional Quality Group

Donald Baril, MD, chief of vascular surgery at UPMC Mercy, has been named the medical director of the Vascular Quality Initiative’s (VQI) Great Lakes Vascular Study Group.

The VQI is overseen by the Society for Vascular Surgeons Patient Safety Organization which provides oversight of data sharing arrangements, quality measures, and distribution of information to participating providers and functions as a collective of regional quality groups gathering and evaluating data in an effort to improve the quality, safety and effectiveness of patient care.

The Great Lakes Vascular Study Group covers western Pennsylvania and parts of eastern Ohio.

Right-ventricular Dysfunction and Prognosis in Patients with Low-flow, Low-gradient Severe Aortic Stenosis

João Cavalcante, MD, presented “Right-ventricular dysfunction and prognosis in patients with low-flow, low-gradient severe aortic stenosis,” at the European Society of Cardiology 2014 Meeting in Barcelona, Spain. He discussed how assessment of aortic stenosis (AS) severity is critical for treatment decisions but challenging in patients with severe AS and low gradients. The research further examines the importance of the interplay between the two ventricles in patients with aortic stenosis and heart failure.

Read the full abstract here (page 250).

Hear more about this work from Dr. Cavalcante:

Twelfth Annual Pittsburgh Vascular Symposium

Current Vascular Therapies: What Has Changed and What is Still the Gold Standard
Oct. 10 – 11, 2014
Wyndham Grand Pittsburgh Downtown, Pittsburgh, PA

The Twelfth Annual Pittsburgh Vascular Symposium will feature discussion and evaluation of the current and future standards in the treatment and care of cardiac and vascular patients, including endovascular and open therapies as well as medical management.This two-day conference will also include presentations and open panels, focus on new developments in technology and surgical techniques, and highlight controversies and accepted practices in the field.

This course is sponsored and organized by the UPMC Heart and Vascular Institute, Division of Vascular Surgery and offers CME credit for physicians and other professionals.

Hear more from course director Rabih Chaer, MD.


For more information or to register for the event, call Mark Byrne at 412-802-3034, or visit the Vascular Symposium website.

Mitral Valve Repair vs. Replacement: Indications and Problem Management

At the 2014 Society of Thoracic Surgeons Annual Meeting, UPMC’s Vinay Badhwar, MD, participated in a roundtable discussion that focused on the treatment of mitral valve disease.

 

UPMC Launches New Series: Video Rounds

UPMC has launched Video Rounds. Video Rounds is a series of informative and educational short videos, created for physicians and covering a variety of medical and surgical disciplines. New topics are always being added and include:

Endocrinology: Inpatient Diabetes Management
Gastroenterology: Developing a Center of Excellence for Pancreatic Disease Treatment
Geriatrics: Clinical Implications of Depression in the Geriatric Population
Gynecology: Advances in Prenatal Diagnosis of Genetic Conditions
Heart and Vascular: The Role of ECMO and VADs in Treating Acute Heart Failure
Neurosurgery: Microvascular Decompression in the Treatment of Cranial Nerve Disorders
Oncology: Using Big Data and Genomic Research to Develop Personalized Medicine
Ophthalmology: New Imaging Technology for Retinal Diseases
Orthopaedic Surgery: Diagnosis and Management of Diabetic Foot Infections
Pediatrics: Multidisciplinary Approach to Tongue-Based Airway Obstruction
Pulmonology: Endobronchial Coils to Treat Chronic Obstructive Pulmonary Disease
Rehabilitation: Early Mobility and Rehabilitation in the ICU: A Paradigm Shift
Rheumatology: A Primer of Myositis
Psychiatry: Considerations for Treating Women with Substance Use Disorder
Urology:Partial Nephrectomy: The Preferred Option for Treating Localized Kidney Cancer

The full video rounds library can be found here.

UPMC surgeon chairs weekend session at upcoming STS meeting

Vinay Badhwar, MD, is chairing the Workforce on Practice Management weekend session at the upcoming Society of Thoracic Surgeons 50th Annual Meeting Jan. 25-29, 2014 in Orlando. Watch Dr. Badhwar discuss this session.


 

 

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