Cardiac Rhythm Management
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Hyatt Regency McCormick Place
Regency Ballroom A-B
Chicago, IL

Tuesday, May 9, 2017

7:00AM-6:00PM - Educational Program

Cardiac Rhythm Management




Registration and Breakfast


Opening Remarks
Vivek Reddy


Session I
AF-Related Stroke & Anticoagulation
Moderators:  Taya Glotzer and Jeremy Ruskin


Balancing Stroke vs Bleeding in Clinical Practice: Managing the CHA 2DS2-VASc = 1 Patient
Thomas Deering


Risk Scores vs Biomarkers for Predicting Bleeding
Elaine Hylek


Cerebral Microbleeds: Incidence and Implications for Intracranial Bleeding
Edip Gurol


Reversing NOACs: Dedicated Reversal Agents & Factor 7 Products
Peter Kowey


Peri-Procedural Management of NOACs
Luigi Di Biase


Device-Detected Atrial High Rate Episodes: Incidence & Relevance
Taya Glotzer

9:00AM- 9:10AM

Should we Place ILRs in Cryptogenic Stroke & High CHA2DS2-VASc Patients?
Jeff Healey

9:10AM- 9:45AM

Panel Discussion
Thomas Deering, Edip Gurol, Elaine Hylek, Peter Kowey, Luigi Di Biase, Jeff Healey and Stuart Connolly


Session II
Watchman 1
Moderators: Vivek Reddy and Saibal Kar


Watchman Implantation: Tips & Tricks
Shephal Doshi


Live Case
Watchman Implantation- Case 1
Broadcast from Mount Sinai Hospital
Operators:  Srinivas Dukkipati, Jacob Koruth, and Subbaro Choudry
Panel:  Shephal Doshi, Daniel Lustgarten, Jamie Kim and Douglas Gibson


Coffee Break


Session III
Other Left Atrial Appendage Closure Devices
Moderators:  Amin Al-Ahmad and Dhanunjaya Lakkireddy


Amulet Device: Recorded Case & IDE RCT Trial Status
Moussa Mansour


WaveCrest Device: Recorded Case & IDE RCT Trial Status
Christopher Piorkowski


Pericardial Ligation with the Lariat Device: Tips and Tricks
Andrea Natale 


AtriClip: Recorded Case & Outcomes
Christopher Ellis


LAAC Device Potpourri: Watchman- Flex/Lifetech/Occlutech/Aegis/Ultraseal/Prolipsis
Saibal Kar


Panel Discussion
Moussa Mansour, Christopher Piorkowski, Andrea Natale, Christopher Ellis and Saibal Kar


Session IV
LAA Closure Clinical Outcomes
Moderators:  Andre d’Avila and Andrea Natale


Beyond the Watchman FDA Trials:  Outcomes from Real-World Registries
Boris Schmidt


Amplatzer Cardiac Plug: Multicenter Registry Outcomes
John Camm


Lariat: Outcomes of Simultaneous Anatomical and Electrical Isolation
Dhanunjaya Lakkireddy


Balloon Isolation and LAA Closure: Technical Considerations & Outcomes
Claudio Tondo


Panel Discussion 
John Camm, Dhanunjaya Lakkireddy, Claudio Tondo and Boris Schmidt


Pick-Up Box Lunch


Session V
Watchman - 2
Moderators:  Vivek Reddy and Randall Lee


Echo Imaging During LAA Closure: ICE-Guided Implantation & Timing of the Follow-Up TEE
Vivek Reddy


Peri-Device Leak after LAAC: Incidence and Implications
Sheldon Singh


Anticoagulation Regimen Pre/Peri/Post-LAAC: Bleeding vs Device-Related Thrombus
Lucas Boersma


Live Case
Watchman Implantation- Case 2
Broadcast from Mount Sinai Hospital
Operators:  Srinivas Dukkipati, Marc Miller and Subbaro Choudry
Panel:  Sheldon Singh, Lucas Boersma, Miguel Valderrábano and Tom De Potter


Session VI
Advancing the Clinical Science of LAA Closure
Moderators:  Andrew Farb and Tom De Potter


FDA Perspective on LAAC: Trials for New Indications and Post-Implantation Drug Regimens
Andrew Farb


Conducting Clinical Trials: Munich Consensus Document Recommendations
Thorsten Lewalter


Ongoing Multicenter RCTs of LAAC: ASAP-TOO, PRAGUE-17 & STROKE-CLOSE
Jacqueline Saw


LAAC as an Adjunct to Anticoagulation: Conceptual Basis & Design of the LAAOS III
Stuart Connolly


Using Registries to Advance Clinical Science: Strengths and Limitations
Jonathan Hsu


LAA Closure vs Oral Anticoagulation: Net Clinical Benefit
William Whang


Panel Discussion
Thorsten Lewalter, Jacqueline Saw, Stuart Connolly, William Whang and Jonathan Hsu


Coffee Break


Session VII
Practical Aspects of LAA Closure
Moderators:  Kenneth Ellenbogen and Stuart Connolly


Octreotide to Temporize GI Bleeding in LAAC Patients: Rationale and Outcomes
Vijay Swarup


Managing the ICH Patient: Resume OAC or LAAC?
Oussama Wazni


The NCDR LAOO Registry: One Year Later
Paul Varosy


Cost Effectiveness of LAA Closure
Mintu Turakhia


Navigating the CMS Guidelines: Incorporating Shared Decision Making into Your Practice
Marie-Noelle Langan


Panel Discussion
Vijay Swarup, Oussama Wazni, Paul Varosy, Mintu Turakhia and Marie-Noelle Langan


Closing Remarks and Adjourn




Program Director

Vivek Reddy, MD
The Mount Sinai Hospital
New York, NY



Amin Al-Ahmad, MD
Texas Cardiac Arrhythmia
Austin, TX

Lucas Boersma, MD, PhD
St. Antonius Hospital
Nieuwegein, The Netherlands

Luigi Di Biase, MD, PhD 
Albert Einstein College of Medicine
Bronx, NY

John Camm, MD
St. George's University of London
London, England

Stuart Connolly, MD 
McMaster University
Hamilton‎ Ontario, Canada

Andre d’Avila, MD, PhD
Hospital Cardiologico
Santa Catarina, Brazil

Subbaro Choudry, MD
The Mount Sinai Hospital
New York, NY

Thomas Deering, MD 
Piedmont Heart Institute
Atlanta, GA

Tom De Potter, MD
OLV Hospital
Aalst, Belgium

Shephal Doshi, MD
Pacific Heart Institute
Santa Monica, CA

Srinivas Dukkipati, MD
The Mount Sinai Hospital
New York, NY

Kenneth Ellenbogen, MD  
Medical College of Virginia
Richmond, VA

Christopher Ellis, MD
Vanderbilt Heart and Vascular Institute
Nashville, TN

Andrew Farb, MD
Columbia, MD

Douglas Gibson, MD
Scripps Green Hospital
La Jolla, CA



Taya Glotzer, MD
Hackensack University Medical Center
Hackensack, NJ

Edip Gurol, MD 
Massachusetts General Hospital
Boston, MA

Jeff Healey, MD
McMaster University
Hamilton‎ Ontario, Canada

Elaine Hylek, MD
Boston University School of Medicine
Boston, MA

Jonathan Hsu, MD
University of California, San Diego
La Jolla, CA

Saibal Kar, MD
Cedars Sinai Medical Center
Los Angeles, CA

Jamie Kim, MD
Catholic Medical Center
Manchester, NH

Jacob Koruth, MD
The Mount Sinai Hospital
New York, NY

Peter Kowey, MD    
Main Line Health System
Wynnewood, PA

Dhanunjaya Lakkireddy, MD
Mid-America Cardiology at University of Kansas Hospital
Kansas City, KS

Randall Lee, PhD, MD
University of California San Francisco
San Francisco, CA

Marie-Noelle Langan, MD
The Mount Sinai Hospital
New York, NY

Thorsten Lewalter, MD
Peter Osypka Heart Center Munich
Munich, Germany

Daniel Lustgarten, MD
The University of Vermont Medical Center
Burlington, VT

Moussa Mansour, MD
Massachusetts General Hospital
Boston, MA



Marc Miller, MD
The Mount Sinai Hospital
New York, NY

Andrea Natale, MD
Texas Cardiac Institute
Austin, TX

Christopher Piorkowski, MD
University of Dresden Heart Center
Dresden, Germany

Jeremy Ruskin, MD
Massachusetts General Hospital
Boston, MA

Jacqueline Saw, MD    
Vancouver General Hospital
Vancouver, Canada

Boris Schmidt, MD
Cardioangiologisches Centrum Bethanien
Frankfurt, Germany

Sheldon Singh, MD
Sunnybrook Health Sciences Center
Toronto, Canada

Vijay Swarup, MD
Arizona Heart Rhythm Institute
Phoenix, AZ

Claudio Tondo, MD, PhD
Centro Cardiologico Monzino-University of Milan
Milan, Italy

Mintu Turakhia, MD
Stanford University and Palo Alto VA Health Care System
Palo Alto, CA

Miguel Valderrábano, MD
Houston Methodist
Houston, TX

Paul Varosy, MD
VA Eastern Colorado Health Care System
Denver, CO

Oussama Wazni, MD
Cleveland Clinic
Cleveland, OH

William Whang, MD
The Mount Sinai Hospital
New York, NY





Activity Goal
This activity is designed to address the following ABMS/IOM competencies: Patient Care, Medical Knowledge, and Practice-Based Learning.

Activity Description
The Program Director, Dr. Vivek Reddy, and world-renowned faculty, will explore advancements in Left Atrial Appendage Closure (LAAC) and oral anticoagulation therapy for managing AF related stroke. Session highlights include Live Case Broadcasts from Mount Sinai Hospital, Device Reviews and Technical Considerations, AF-Related Stroke and Anticoagulation, LAAC Clinical Outcomes, Essentials for Advancing the Clinical Science, and Practical Aspects of LAAC.

This full-day educational activity has been developed to enhance the knowledge of electrophysiologists, cardiologists, surgeons, and other physicians, and associated healthcare professionals surrounding evidence-based diagnostic and treatment strategies for stroke prophylaxis in AF patients. The live cases, case reviews, rapid-fire presentations, and robust panel discussions are complemented with dedicated Q&A sessions which allow for interactive attendee participation.

Target Audience
This activity has been developed to meet the educational needs of electrophysiologists, interventional cardiologists, cardiologists, surgeons, and other physicians and associated healthcare professionals with an interest in the management of stroke in AF patients.

Learning Objectives
Upon completion of this activity, participants will be able to:

  • Identify how to use and reverse NOACs.
  • Discuss the role of the Left Atrial Appendage (LAA) in AF-related strokes.
  • Evaluate novel oral anticoagulation and advancements in Left Atrial Appendage Closure (LAAC) for stroke prophylaxis in AF.
  • Review strategies for balancing stroke vs bleeding in clinical practice.
  • Examine randomized clinical trial and registry data.
  • Review appropriate NOACC and LAAC patient selection criteria.
  • Assess the cost-effectiveness, efficacy and safety of LAAC therapy.
  • Evaluate optimal LAAC clinical decision making strategies and procedural approaches.
  • Examine catheter ablation with LAAC, including patient selection, clinical workflow and outcomes.  
  • Assess clinical outcomes and practical aspects of LACC.

Accreditation Statement
This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for Continuing Medical Education through joint sponsorship of Ciné-Med and MediaSphere Medical. Ciné-Med is accredited by the ACCME to provide continuing medical education for Physicians and is an accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s
Commission on Accreditation.

Ciné-Med designates this educational activity for a maximum of 9.5 AMA PRA CATEGORY 1 Credit(s).
Physicians should only claim credit commensurate with the extent of their participation in the activity.

Ciné-Med designates this activity for 9 Contact Hours for nurses.

Commercial Support

Multiple Companies

Joint Providership

MediaSphere Medical, LLC and Cine-Med



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Cardiac Rhythm Management

“This program is not part of the Heart Rhythm 2017 Official Scientific Sessions as planned by the Heart Rhythm Society Scientific Sessions Program Committee. The event is neither sponsored nor endorsed by the Heart Rhythm Society”