Advanced Catheter Ablation: New Tips, Techniques, and Technologies for Complex Arrhythmias

Advanced Catheter Ablation

Advanced Catheter Ablation: New Tips, Techniques, and Technologies for Complex Arrhythmias

Fairmont Copley Plaza, Boston, MA

9/23/2017 - 9/26/2017

Course Overview

COURSE OVERVIEW
This course will provide comprehensive instruction for diagnosing common and complex cardiac arrhythmias in the electrophysiology laboratory and achieving effective and safe ablation. Case-based illustrative presentations will highlight diagnostic dilemmas and key management strategies. Experts discussing detailed patient cases provide a step-by-step analysis and in-depth review of approaches to catheter ablation for the spectrum of cardiac arrhythmias including atrial fibrillation, complex atrial arrhythmias after AF ablation or in congenital heart disease, atrial tachycardias and atypical flutters, and ventricular arrhythmias with and without associated heart disease. Detailed discussions of relevant cardiac anatomy integrated with intracardiac ultrasound and other imaging modalities are highlighted.

Enhanced Learning Option – NEW 2017
Participants of the live program may choose to purchase an online audio recording of the presentations from the program.  Unlimited online access to the program material will be available for one year following the program.  Additional CME credit is not available for the online option.  At the time of registration, please select the online learning option for an additional fee of $100.  Access will be available on your personal learning dashboard 1 to 2 weeks post course.

INTENDED AUDIENCE
The course is of interest for electrophysiologists, electrophysiology fellows,
cardiologists, cardiac surgeons, technologists, physician’s assistants, and nurses/
nurse practitioners.

LEARNING OBJECTIVES
• Recognize the mechanisms underlying cardiac arrhythmias amenable to ablation
• Distinguish both normal and abnormal cardiac anatomy and its role in the genesis of arrhythmias and ablations strategy
• Describe optimal mapping and ablation techniques for specific arrhythmias and clinical circumstances
• Discuss major risks associated with ablation
• Assess the value and limitations of high-end technology in the ablation process
• Identify the role for pre and intraprocedural imaging techniques to optimize outcomes and increase safety of ablation procedures

Program

Saturday, September 23, 2017

7:00 a.m. Registration and Continental Breakfast - Ballroom Foyer
8:00 a.m. Welcome and Introduction
Course Directors

Fundamentals and Supraventricular Tachycardias
Moderator: William G. Stevenson, M.D.

8:15 a.m. Mapping Fundamentals, Electrograms, and Entrainment Pitfalls
William G. Stevenson, M.D.
9:00 a.m. Cavotricuspid Isthmus Dependent Atrial Flutter: Tough Cases
Samuel J. Asirvatham, M.D.
9:45 a.m. Focal Atrial Tachycardia: Recognition, Mapping, Ablation
Suraj Kapa, M.D.
10:15 a.m.

Refreshment Break

10:30 a.m. Ablation of Atrioventricular Nodal Reentrant Tachycardia (AVNRT):
When Slow Pathway Ablation Is Not Enough
Warren M. Jackman, M.D.
11:30 a.m. Illustrative Cases of AVNRT
Samuel J. Asirvatham, M.D.
12:00 p.m. Lunch

Fundamentals and Supraventricular Tachycardias
Moderator: Douglas L. Packer, M.D.

1:00 p.m. Diagnostic Maneuvers for SVT/AVNRT/Accessory Pathways
Samuel J. Asirvatham, M.D.
1:30 p.m. Ablation of Challenging Accessory Pathways
Warren M. Jackman, M.D.
2:30 p.m. Atrial Arrhythmias in Unusual Settings:  Congenital Heart Disease, Post-Surgical Cases
David J. Wilber, M.D.
3:00 p.m. Question and Answer
3:15 p.m. Refreshment Break
3:30 p.m. Atriofasicular Pathways: Mahaim or Mahem
Warren M. Jackman, M.D.
4:00 p.m. Biophysics of RF: Implications for Contact Force Sensing, and Cryo Ablation
Douglas L. Packer, M.D.
4:30 p.m. Signals in the EP Lab: Generating and Cleaning Them Up
K.L. Venkatachalam, M.D.
5:00 p.m. Mapping Systems Review: What Do They Offer? How Do They Compare?
Suraj Kapa, M.D.
5:30 p.m. Question and Answer
5:45 p.m. Adjourn


Sunday, September 24, 2017

7:30 a.m. Continental Breakfast - Ballroom Foyer
7:55 a.m. Introduction and Comments
David J. Wilber, M.D.

Ventricular Tachycardia
Moderator: William G. Stevenson, M.D.

8:00 a.m. Anatomy of the Ventricles Relevant to Ablation: Anatomy and Approaches - ECG Correlations
Samuel J. Asirvatham, M.D.
8:45 a.m. Step by Step Approach to Ablating Outflow Tract Tachycardias
Douglas L. Packer, M.D. and David J. Wilber, M.D.
9:30 A.M. LV Fascicular and Papillary Muscle Tachycardias: What Is That Potential?
Samuel J. Asirvatham, M.D.
10:00 a.m. Refreshment Break
10:15 a.m. Scar Related VTs: Defining the Substrate in Ischemic vs. Non-ischemic Cardiomyopathy
Usha Tedrow, M.D., M.Sc.
10:45 a.m. Mapping During VT for Scar-Related VTs: Defining Circuits
William G. Stevenson, M.D.
11:15 a.m. Aggressive Strategies for Substrate Ablation: Border Zone and Substrate Homogenization, and Ablations of LAVA/Late Potentials
Douglas L. Packer, M.D.
11:45 a.m. Question and Answer
Drs. Asirvatham, Wilber, and Stevenson
12:00 p.m. Lunch

Ventricular Tachycardia
Moderator: William G. Stevenson, M.D.

1:00 p.m. Epicardial Mapping and Ablation: Getting There and Getting the Job Done Safely
David J. Wilber, M.D.
1:25 p.m. Ablation of RV Scar-related VT:  ARVC, Sarcoid, Congenital
William G. Stevenson, M.D.
1:50 p.m. Ablation of VT From the LV Summit
David J. Wilber, M.D.
2:15 p.m. Hemodynamic Support during VT ablation:  Percutaneous and Permanent
Vivek Y. Reddy, M.D.
2:40 p.m. High Density Mapping of VT: What Can It Add?
Smit Vasaiwala, M.D.
3:05 p.m. Refreshment Break
3:15 p.m. Ablation of Polymorphic VT / Ventricular Fibrillation
Vivek Y. Reddy, M.D.
3:45 p.m.

Advanced Strategies for VT Ablation: When the Usual Approaches Don't Work

Alcohol Ablation: DrTedrow
Needle Ablation: Dr. Stevenson
Bipolar Ablation: Dr. Reddy

4:30-6:45 p.m.

 

Anatomy Session
Samuel J. Asirvatham, M.D. and Faculty


Monday, September 25, 2017

7:15 a.m. Continental Breakfast - Ballroom Foyer
7:55 a.m. Introduction and Comments
Douglas L. Packer, M.D.

Atrial Fibrillation
Moderator: David J. Wilber, M.D.

8:00 a.m. The Atria: Critical Anatomy.  What You Need to Know
Samuel J. Asirvatham, M.D.
8:45 a.m. Achieving Reliable Pulmonary Vein Isolation With RF Ablation
Gregory F. Michaud, M.D.
9:15 a.m. Second Generation Cryo Balloon for Ablation
Douglas L. Packer, M.D.
9:45 a.m. Identifying and Ablation Non PV Triggers: A Case Based Approach
Andre Natale, M.D.
10:15 a.m. Refreshment Break
10:30 a.m. Mapping of Persistent AF: Visualing the Atrial Substrate
David J. Wilber, M.D.
11:00 a.m. Mapping of Persistent AF: Rotors and Drivers
Douglas L. Packer, M.D.
11:45 a.m. Question and Answer
Drs. Asirvatham, Michaud, Natale, Packer, and Wilber
12:00 p.m.  Lunch

Atrial Fibrillation
Moderator: Douglas L. Packer, M.D.

1:00 p.m. Illustrative Cases:  How I Approach Persistent AF Ablation
Andrea Natale, M.D., Douglas L. Packer, M.D., and David J. Wilber, M.D.
2:00 p.m. Post Ablation Atrial Tachycardias: A Systematic Approach
Gregory F. Michaud, M.D.
2:30 p.m. Neural Targets for AF Ablation
Warren M. Jackman, M.D.
3:00 p.m. Question and Answer
3:15 p.m. Refreshment Break
3:30 p.m. Case Based Discussion:  Interactive Cases With Panel Members
Persistent AF: What is the Best Approach in 2017?
Presenter: Smit Vasaiwala, M.D.
Faculty Panel: Drs. Natale, Michaud, Packer, and Wilber
4:30 p.m. Avoiding Complications and Managing Risk in AF Ablation
Douglas L. Packer, M.D.
5:00 p.m.

Appendage Closure Devices and Strategies
Vivek Y. Reddy, M.D.

5:45 p.m. Question and Answer
Drs. Reddy and Packer
6:00 p.m. Adjourn


Tuesday, September 26, 2017

7:15 a.m. Continental Breakfast - Ballroom Foyer
7:30 a.m.

Breakfast Panel:  Managing Anticoagulation in Patients Undergoing Ablation
Moderator:  David J. Wilber, M.D.
Panelists:  Drs. Michaud, Natale, Packer, Stevenson, and Tedrow

Ablation Live or Almost
Moderator: Douglas L. Packer, M.D.

8:15 a.m. Intracardiac Ultrasound Workshop:  How Do You Get Those Views?
Gregory F. Michaud, M.D.
9:00 a.m. Putting It All Together: Case Presentations of AF and Related Arrhythmias
Moderator: Douglas L. Packer, M.D.
Faculty Panel: Drs. Natale and Michaud
Case 1:  Dr. Michaud
Case 2:  Dr. Natale
Case 3:  Dr. Packer
10:00 a.m. Refreshment Break
10:15 a.m.

Putting It All Together: Case Presentations of Ventricular Arrhythmias
Moderator:  William G. Stevenson, M.D.
Faculty Panel:  Drs. Wilber and Packer
Case 1:  Dr. Tedrow
Case 2:  Dr. Wilber
Case 3:  Dr. Stevenson

11:15 a.m.

Your last chance – if you don’t ask questions we will show you some crazy stuff

Drs. Packer, Wilber, Stevenson, and Faculty

12:00 p.m. Adjourn

Faculty

COURSE DIRECTORS
Douglas L. Packer, M.D.
Mayo Clinic,
Rochester, MN

David J. Wilber, M.D.
Loyola University Health System
Maywood, IL

William G. Stevenson, M.D.
Brigham and Women's Hospital
Boston, MA

MAYO FACULTY
Samuel J. Asirvatham, M.D.
Suraj Kapa, M.D.
K. L. Venkatachalam, M.D.

GUEST FACULTY
Warren M. Jackman, M.D.
University of Oklahoma Health Sciences Center
Oklahoma City, OK

Gregory F. Michaud, M.D.
Brigham and Women’s Hospital
Boston, MA

Andrea Natale, M.D.
Texas Cardiac Arrhythmia Institute
St. David’s Medical Center
Austin, TX

Vivek Y. Reddy, M.D.
Mount Sinai Hospital
New York, NY

Usha B. Tedrow, M.D., M.Sc.
Brigham and Women's Hospital
Boston, MA

Smit Vasaiwala, M.D.
Loyola University Health System
Maywood, IL


FACULTY DISCLOSURE
As a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo School of Continuous Prefessional Development) must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors, planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentations. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM
Mayo Clinic College of Medicine and Science complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act)

Credit

Mayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Mayo Clinic College of Medicine designates this live activity for a maximum of 30.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations. Attendees should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 Credits™ from the sponsor of this activity.


MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 30.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Participation information will be shared with ABIM through PARS.

Lodging

Fairmont Copley Plaza
138 St. James Avenue
Boston, MA 02116
Phone: 617-267-5300
Online Reservations

Guest rooms have been reserved for attendees and their guests with special course rates at the The Fairmont Copley Plaza. In order to receive the special Fairmont room rate of $325 per night, reservations must be made before the room block is filled or before the expiration date of August 22, 2017 whichever comes first.

Reservations will be taken following this date based on space and rate availability.  Please identify yourself as a participant of the Mayo Clinic Ablation 2017 Course when making your reservation.

Lodging arrangements are the sole responsibility of the individual registrant.

Mayo Clinic Cardiovascular CME is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

Pricing

MD, PhD, DO, PharmD $995
Fellow, Resident, NP, PA, RN, Technologist $875

The registration fee includes tuition, electronic course syllabus, continental breakfast, break refreshments, and lunches.  Although it is not Mayo Clinic Cardiovascular CME (CV CME) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited.

Enhanced Learning Option – NEW 2017
Participants of the live program may choose to purchase an online audio recording of the presentations from the program.  Unlimited online access to the program material will be available for one year following the program.  Additional CME credit is not available for the online option.  At the time of registration, please select the online learning option for an additional fee of $100.  Access will be available on your personal learning dashboard 1 to 2 weeks post course.

CANCELLATION POLICY
If you cancel your participation in this course, your registration fee, less a $75 administration fee, will be refunded when written notification is received by Mayo Clinic CV CME before, Friday, September 8, 2017 (email: cvcme@mayo.edu). No refunds will be made on or after Friday, September 8, 2017. Canceled registrations are non-transferable.

Mayo Clinic CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic CV CME must cancel or postpone this course, Mayo Clinic CV CME will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

NO SHOW POLICY
This course is intended to be a live learning experience. If you do not attend this course on-site as a live learner, you will not be allowed access to the materials/lectures during or after the course. No refunds will be given for no-show registrants.

Commercial Support

GRANTS AND EXHIBITS
At the time of this printing, a complete listing of commercial support (financial or in-kind) was not available. Appropriate acknowledgement will be given to all supporters at the time of the meeting.

EXHIBIT OPPORTUNITIES
This course offers the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibit space during this course, please contact Charlene Tri.  Exhibits will be available for viewing at all scheduled breaks.


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