Cardiac Rhythm Management
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Activity Description

This on-demand educational activity addresses critical questions and current challenges surrounding closure of the Left Atrial Appendage (LAA) for effectively managing Atrial Fibrillation patients at risk of stroke. The distinguished faculty reviews the role of the LAA in systemic thromboembolism, examines standard atrial appendage elimination techniques and consequences of incomplete LAA exclusion, as well as outcomes data to determine the safety and efficacy of epicardial LAA clip occlusion for improving patients outcomes.

Cardiac Rhythm Management

Access Presentation

Webcast

Click on the session title listed below to view each presentation.

For those wishing to obtain your continuing medical education certification, access Earn CME Credit Tab at the conclusion of the webcast; select the appropriate answer to each posttest question, and successfully obtain the passing score as designated at the top of the test.

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Left Atrial Appendage Occlusion for Treatment of Patients with Atrial Fibrillation undergoing Cardiac Surgery: A Report from the Society of Thoracic Surgeons Adult Cardiac Surgery Database
J. Matthew Brennan, MD, MPH

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Comparative Effectiveness of LAA Closure
S. Chris Malaisrie, MD

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Closure of the LAA: A Surgical Perspective
A. Marc Gillinov, MD

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Panel Discussion
A. Marc Gillinov, MD, S. Chris Malaisrie, MD, J. Matthew Brennan, MD, MPH

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Cardiac Rhythm Management

Commercial Supporter

This activity is supported by an educational grant from AtriCure

Joint-Providers

MediaSphere Medical, LLC and Ciné-Med

 

Faculty

Faculty

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J. Matthew Brennan, MD, MPH
Associate Professor of Medicine
Duke University SOM
Interventional Cardiology
Duke Triangle Heart Associates
Durham, NC

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A. Marc Gillinov, MD
Chairman of the Department of Cardiothoracic Surgery
Cleveland Clinic
Cleveland, OH

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S. Chris Malaisrie, MD
Cardiac Surgeon
Bluhm Cardiovascular Institute
Northwestern Memorial Hospital
Chicago, IL

 

CME Information

CME Released: 2/18/2019; Valid for credit through 2/18/2020

Target Audience

This activity has been developed to meet the educational needs of cardiothoracic surgeons, residents, and other physicians and associated healthcare professionals with an interest in management of the left atrial appendage.

Learning Objectives

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

  • Review the role of the LAA in systemic thromboembolism.
  • Examine standard atrial appendage elimination techniques and consequences of incomplete LAA exclusion.
  • Evaluate outcomes data to determine the safety and efficacy of epicardial LAA clip occlusion for achieving optimal outcomes. 

Accreditation Statement

Jointly Accredited Provider TMIn support of improving patient care, this activity has been planned and implemented by Ciné-Med and MediaSphere Medical. Ciné-Med 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.

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

This activity provides 1 contact hours for nurses.

Disclosure Policy

MediaSphere Medical and Ciné-Med adheres to accreditation requirements regarding industry support of continuing medical education. Disclosure of the planning committee and faculty’s commercial relationships will be made known at the activity on course hand-outs and during faculty presentations. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

All MediaSphere Medical and Ciné-Med employees in control of content have indicated that they have no relevant financial relationships to disclose.

It is the policy of MediaSphere Medical and Ciné-Med to ensure balance, independent objectivity, and scientific rigor in all its supported educational programs. All faculty members participating in educational activities are required to disclose to the program audience any real of apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners. 

Non Endorsement Statement

MediaSphere Medical and Ciné-Med verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. This activity is designed to be completed within the time designated on the title page; physicians and nurses should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™ or Contact Hours, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and faculty disclosures.
  2. Review the educational presentations
  3. Select the appropriate answer to each posttest question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

Provider Contact Information

For technical support or CME/CE questions regarding this activity, please email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Hardware/Software Requirements:

  • A computer with an Internet connection.
  • Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser.
  • Adobe Flash Player and/or an HTML5 capable browser may be required for video or audio playback.
  • Occasionally other additional software may be required such as PowerPoint or Adobe Acrobat Reader.

MediaSphere protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. MediaSphere and our joint sponsors will not release personally identifiable information to a third party without the individual’s consent, except such information as is required for reporting purposes to the appropriate accrediting agency. MediaSphere maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Copyright © 2019 by MediaSphere Medical. All rights reserved. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from MediaSphere Medical

 

CME/CE Test

CME/CE Test
  1. Rationale and Best Practices for Left Atrial Appendage Closure
  2. Please enter your information, and complete the following CME post test and evaluation form. Upon successful completion, your submission will be reviewed and you will receive notification shortly regarding the status of your certificate. You must achieve a minimum score of 70% to earn credit for this activity.

  3. First Name: *  
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  4. Last Name: *  
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  5. Primary Email Address: *  
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  6. Confirm Your Email: *  
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  7. Degree: *  
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  8. Institution: *  
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  9. Mailing Address:*  
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  10. City: *  
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  11. State: *  
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  12. 1. Data from the published paper in JAMA by Friedman DJ, et al., Association Between Left Atrial Appendage Occlusion and Readmission for Thromboembolism Among Patients With Atrial Fibrillation Undergoing Concomitant Cardiac Surgery, concluded a reduction in which endpoints?
  13. Select one*  





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  14. 2. Closure of the LAA is an increasingly important procedure for both Cardiac Surgeons and patients, and reduces the incidence of stroke associated with AF?
  15. Select one*  


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  16. 3. Potential negative side-effects of LAA closure includes a decrease in Left Atrial Function and Left Atrial Hormonal Activity.
  17. Select one*  


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  18. 4. Improvement in Electrophysiological Results of AF Ablation is a potential positive side-effect of LAA closure as a result of isolating atrial triggers that can induce PAF, and isolating atrial rotors that can perpetuate Non-PAF.
  19. Select one*  


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  20. 5. The ideal LAA procedure characterization as concluded by Dr. A. Marc Gillinov within the presentation, Closure of the LAA: A Surgical Perspective, encompasses which trait(s)?
  21. Select one*  





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  22. 6. The Northwestern Memorial Hospital study, A randomized, prospective pilot comparison of 3 atrial appendage elimination techniques: Internal ligation, stapled excision and surgical excision, found a 57% failure rate, characterized by Bleeding, Persistent/recurrent blood flow, or Residual stump. The results underscore that standard surgical techniques, which are not specifically designed for the appendage, often fail.
  23. Select one*  


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  24. 7. Which outcome and assessment are accurate regarding data from the 71 patient prospective trial, Exclusion of the left atrial appendage with a novel device: Early results of a multicenter trial?
  25. Select one*  





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  26. 8. As concluded by Dr. A. Marc Gillinov within the presentation, Closure of the LAA: A Surgical Perspective; It is time to be to be more aggressive with mechanical closure of the LAA, as it is a surgical target that should be managed to ensure the best possible patient outcomes.
  27. Select one*  


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  28. 9. The report from the Society of Thoracic Surgeons, Left Atrial Appendage Occlusion for Treatment of Patients with Atrial Fibrillation undergoing Cardiac Surgery, concluded in a nationally representative cohort of older patients with AF undergoing cardiac surgery, Surgical Left Atrial Appendage Occlusion was associated with lower rates of thromboembolism and all-cause mortality.
  29. Select one*  


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  30. Although optional, we respectfully request that you complete the activity evaluation form, since your feedback assists in the development of future educational activities.

  31. Background

    Please rate each question using a scale of 1 to 5 (1 = Beginner, 5 = Advanced)


  32. I would consider my level of expertise in the subject matter prior to the webcast as:
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  33. I would consider my level of expertise in the subject matter after the activity
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  34. Considering my experience and background, the material presented was:
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  35. Extent to which activity met the identified objectives
    Please rate each question using a scale of 1 to 5 (1 = Not Met, 5 = Completely Met)

  36. Review the role of the LAA in systemic thromboembolism.
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  37. Examine current atrial appendage elimination techniques and consequences of incomplete LAA exclusion.
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  38. Evaluate outcomes data to determine the safety and efficacy of epicardial LAA clip occlusion for achieving optimal outcomes.
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  39. Information Presented
    Please evaluate the information that was presented by answering Yes, No, Maybe or Not Applicable

  40. Reinforced my current practice/treatment habits:
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  41. Will improve my practice/patient outcomes:
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  42. Enhanced my current knowledge base:
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  43. Provided new ideas or information that I expect to use:
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  44. Information gained from this conference will result in making a change in your practice:
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  45. Future activities on this subject matter is important to my practice:
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  46. Addressed a professional practice gap:
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  47. Was free of commercial bias/influence:
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  48. What barriers do you anticipate in incorporating best practices learned in this activity into clinical activities or quality improvement initiatives at your institution?
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  49. What mechanisms can you identify to overcome these barriers?
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  50. (*) Required Fields
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Cardiac Rhythm Management