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 San Francisco, San Francisco, CA

9/14/2018 - 9/17/2018

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$875 - $995 | Early registration saves $100 off these rates.

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.

COURSE 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

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

Program

Fri, Sept 14
7:00 a.m.
Registration | Continental Breakfast
7:30 a.m.
Welcome and Introduction - Course Directors
FUNDAMENTALS AND SUPRAVENTRICULAR TACHYCARDIAS
Moderator(s): Douglas Packer, MD
7:45 a.m.
Mapping Fundamentals, Electrograms, and Entrainment Pitfalls
William Stevenson, MD
8:20 a.m.
Focal Atrial Tachycardia: Recognition, Mapping, Ablation
Peter Noseworthy, MD
9:00 a.m.
Diagnostic Maneuvers for SVT/AVNRT/Accessory Pathways
Douglas Packer, MD
9:30 a.m.
Question and Answer
9:45 a.m.
Refreshment Break - Ballroom Foyer
10:05 a.m.
Ablation of Atrioventricular Nodal Reentrant Tachycardia (AVNRT): When Slow Pathway Ablation Is Not Enough
Warren Jackman, MD
10:55 a.m.
Illustrative Cases of AVNRT
Warren Jackman, MD
11:30 a.m.
Question and Answer
11:45 a.m.
Lunch
ABLATION OF CHALLENGING SVT, AVRNT/ACCESSORY PATHWAYS
Moderator(s): William Stevenson, MD
1:00 p.m.
Cavotricuspid Isthmus Dependent Atrial Flutter: Tough Cases
Samuel Asirvatham, MD
1:40 p.m.
Ablation of Challenging Accessory Pathways
Warren Jackman, MD
2:30 p.m.
Atrial Arrhythmias in Unusual Settings: Congenital Heart Disease, Post-Surgical Cases
Samuel Asirvatham, MD
3:00 p.m.
Question and Answer
3:15 p.m.
Refreshment Break - Ballroom Foyer
3:30 p.m.
Atriofasicular Pathways: Mahaim or Mayhem
Warren Jackman, MD
4:00 p.m.
Biophysics of RF: Understanding the Dangers of Contact Force and High Output Ablation.
Douglas Packer, MD
4:30 p.m.
Mapping Systems Review: Fundamentals of Cardiac Mapping: Unipolar, Bipolar and Multipolar Approaches and High Density Mapping
David Wilber, MD
5:00 p.m.
Question and Answer
5:15 p.m.
Adjourn
Sat, Sept 15
7:00 a.m.
Continental Breakfast
7:25 a.m.
Introduction and Comments
David Wilber, MD
VENTRICULAR TACHYCARDIA
Moderator(s): David Wilber, MD
7:30 a.m.
Anatomy of the Ventricles Relevant to Ablation: Approaches / ECG Correlations
Samuel Asirvatham, MD
8:15 a.m.
Step by Step Approach to Ablating Outflow Tract Tachycardias
Douglas Packer, MD
8:45 a.m.
Right Side or Left Side in Papillary Muscle Ablation: Endocardial/Epicardial/Needle
Peter Noseworthy, MD
9:15 a.m.
Ablation of VT from the LV Summit
David Wilber, MD
9:45 a.m.
Refreshment Break
10:05 a.m.
Fascicular Ventricular Tachycardia
Samuel Asirvatham, MD
10:35 a.m.
Scar-Related VTs: Defining the Substrate in Ischemic vs Non-ischemic Cardiomyopathy
David Wilber, MD
11:05 a.m.
Mapping During VT for Scar-Related VTs: Defining Circuits
William Stevenson, MD
11:35 a.m.
Aggressive Strategies for Substrate Ablation: Border Zone and Substrate Homogenization: How to Find the Potentials
Douglas Packer, MD
12:05 p.m.
Utility of MR, CT and Pet Scanning for Unusual Ventricular Tachycardia
Douglas Packer, MD
12:35 p.m.
Lunch
VENTRICULAR TACHYCARDIA
Moderator(s): William Stevenson, MD
1:30 p.m.
Advanced Ablation Tools From Needle electrodes to Particle Therapy: They Have Arrived
Douglas Packer, MD
2:00 p.m.
Epicardial Mapping and Ablation: Getting There and Getting the Job Done Safely
David Wilber, MD
2:30 p.m.
Ablation of RV Scar-related VT: ARVC, Sarcoid, Congenital
William Stevenson, MD
3:00 p.m.
High Density Mapping of VT: What Can It Add? What Can it Hurt?
Smit Vasaiwala, MD
3:30 p.m.
Ablation of Polymophic VT/Ventricular Fibrillation
Vivek Reddy, MD
4:00 p.m.
Refreshment Break - Move to Anatomy Session
4:00 p.m.
Hands-On Anatomy Workshop
Samuel Asirvatham, MD
6:00 p.m.
Adjourn
Sun, Sept 16
6:45 a.m.
Continental Breakfast - Ballroom Foyer
7:25 a.m.
Opening Comments
ATRIAL FIBRILLATION
Moderator(s): David Wilber, MD
7:30 a.m.
The Atria: Critical Anatomy. What You Need to Know
Samuel Asirvatham, MD
8:15 a.m.
Achieving Reliable Pulmonary Vein Isolation with RF ablation
Gregory Michaud, MD
8:45 a.m.
Second Generation Cryo Balloon for Ablation: How to Make and Work?
Douglas Packer, MD
9:15 a.m.
Identifying and Ablating Non PV Triggers: A Case Based Approach
Andrea Natale, MD
9:45 a.m.
Question and Answer
10:00 a.m.
Refreshment Break - Ballroom Foyer
10:15 a.m.
Mapping of Persistent AF: Visualizing the Atrial Substrate
David Wilber, MD
10:45 a.m.
Mapping of Persistent AF: Is PV Isolation Enough? Rotor or Other Mapping Help?
Douglas Packer, MD
11:15 a.m.
Post Ablation Atrial Tachycardias: A Systematic Approach
Peter Noseworthy, MD
11:45 a.m.
Question and Answer
12:00 p.m.
Working Lunch Session – Cultural Communication - Open Discussion
12:45 p.m.
Stretch Break
ATRIAL FIBRILLATION
Moderator(s): Douglas Packer, MD
1:00 p.m.
Neural Targets for AF Ablation
Warren Jackman, MD
1:35 p.m.
Avoiding Complications and Managing Risk in AF Ablation
Douglas Packer, MD
2:05 p.m.
Case Based Discussion: Interactive Cases With Panel Members - Persistent AF: What is the Best Approach in 2018? Faculty Panel: Drs. Natale, Packer, and Wilber
Moderator(s): Smit Vasaiwala, MD
3:00 p.m.
Appendage Closure: Devices and Strategies
Vivek Reddy, MD
3:30 p.m.
Question and Answer - Drs. Packer and Reddy
3:45 p.m.
Adjourn
Mon, Sept 17
7:15 a.m.
Continental Breakfast - Ballroom Foyer
7:30 a.m.
Breakfast Panel: Managing Anticoagulation in Patients Undergoing Ablation - Panelists: Drs. Michaud, Natale, Packer, and Stevenson
Moderator(s): David Wilber, MD
ABLATION LIVE OR ALMOST
Moderator(s): Douglas Packer, MD
8:15 a.m.
Intracardiac Ultrasound Workshop: How Do You Get Those Views?
Gregory Michaud, MD
9:00 a.m.
Putting It All Together: Case Presentations of AF and Related Arrhythmias
Gregory Michaud, MD, Andrea Natale, MD, Douglas Packer, MD
Moderator(s): Douglas Packer, MD
10:15 a.m.
Putting It All Together: Case Presentations of Ventricular Arrhythmias
Vivek Reddy, MD, William Stevenson, MD, David Wilber, MD
Moderator(s): William Stevenson, MD
11:30 a.m.
Adjourn

Faculty

Course Directors
Douglas L. Packer, M.D.
Mayo Clinic, Rochester, MN

William G. Stevenson, M.D.
Vanderbilt University Medical Center, Nashville, TN

David J. Wilber, M.D.
Loyola University Medical Center, Chicago, IL

Mayo Clinic Faculty
Samuel J. Asirvatham, M.D., Rochester, MN
Suraj Kapa, M.D., Rochester, MN
Peter A. Noseworthy, M.D., Rochester, MN

Guest Faculty
Warren M. Jackman, M.D.
University of Oklahoma Health Sciences Center
Oklahoma City, OK

Gregory F. Michaud, M.D.
Vanderbilt University Medical Center
Nashville, TN

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

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

Smit Vasaiwala, M.D.
Loyola University Medical Center
Chicago, IL

FACULTY DISCLOSURE
As a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo School of Continuous Professional 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 and instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

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

Credit

Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
 

Credit Statement
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 28.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent

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.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee members, please go here.

ABIM MOC POINTS
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 28.25 Medical Knowledge 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.

 

Pricing

MD, PhD, DO, PharmDEarly Bird Rate $895 (paid in full by 8/14/2018) After 8/14 $995

Fellow, Resident, NP, PA, RNEarly Bird Rate $775 (paid in full by 8/14/18) After 8/14 $875

The registration fee includes tuition, electronic course syllabus, continental breakfast, break refreshments, and lunch. 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.

Cancellation Policy
If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Cardiovascular CME before Friday, August 31, 2018 (email: cvcme@mayo.edu). No refunds will be made on or after Friday, August 31, 2018. Cancelled registrations are non-transferable.

No Show Policy
This course is intended to be a live learning experience. If you do not attend this course as a live learner, you will not be allowed access to the materials during or after the course. No refunds will be made.

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 it is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

Lodging

Guest rooms have been reserved for attendees and their guests with special course rates at The Fairmont San Francisco Hotel.  In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of Monday, August 22, 2018, 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 Ablation Program when making your reservation.

The Fairmont San Francisco Hotel
950 Mason Street
San Francisco, California, 94108
Phone:  1-800-441-1414
$319  single/double
Online Reservations

Centrally located, this luxury San Francisco hotel is a short cable car trip from the bustling Downtown, Financial District, Union Square and Fisherman's Wharf. In fact, Fairmont San Francisco hotel is the only spot in San Francisco where each of the City's cable car lines meet. Join us at our iconic hotel and leave your heart in San Francisco!


Lodging arrangements are the sole responsibility of the individual registrant.

Cross Cultural Communication

Cross Cultural Communication

September 16, 2018 | 12:00 p.m.

This section will contain information regarding issues related to cross cultural communication including cultural competence, eliciting health and healing beliefs, cultural humility, implicit or unconscious bias and working with health care interpreters. 

Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Describe the term “Cultural Competence”
  • List some of the established health disparities known to exist for patients of various cultures
  • Describe how the ladder of inference affects out thinking process as we start with a fact and come to a decision or action
  • Give examples of techniques to enhance the use of a health care interpreter

Available Credit:    .50 AMA PRA Category1 CreditTM

Target Audience

This section is designed for physicians, nurse practitioners, physician assistants, nurses, or other health care providers.

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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