Structural Heart Imaging by the Bay: Contemporary Approaches and Methods in Adult Clinical Practice

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Structural Heart Imaging by the Bay: Contemporary Approaches and Methods in Adult Clinical Practice March 23, 2019 University of South Florida Center for Advanced Medical Learning and Simulation (CAMLS) 124 S. Franklin St. 33602 Provided by Course Director Bibhu D. Mohanty, MD Director, Neuro-Cardiology Program Associate Director of Structural Intervention

Overview Structural heart intervention by trans-catheter technology has rapidly grown into a distinct subspecialty of cardiology over the last decade. This unprecedented ascent has been driven not only by advances in device technology, but largely due to advances in cardiac imaging, which now offers the spatial resolution and real-time anatomical detail to permit structural intervention without direct surgical visualization. Structural heart imaging, primarily employing CT and TEE, require additional time, training and knowledge, which are not conventionally taught in general cardiology fellowship and are often not part of routine clinical cardiovascular practice. It is not possible even for an experienced clinical imager to participate in structural heart procedures without additional training. This presents both the need and opportunity to share our experience with our colleagues, both to stream line patient diagnostic evaluation and facilitate appropriate referral when necessary. Target Audience Physicians, Cardiologists, imaging-lab staff, and cardiovascular disease fellows Learning Objectives After participating in this activity, the learner should be able to. Describe the advanced imaging techniques utilized to inform use of approved devices for structural heart intervention in the United States. Identify the pre-, intra-, and post- procedural imaging required for structural heart intervention. Discuss potential challenges to optimal imaging, as well as counter-measures for successful completion. Explain the diagnostic imaging, documentation and logistical steps necessary to support referral of a patient for structural heart care and avoid redundant testing. Competencies Addressed ACGME: Patient Care and Procedural Skills, Systems-based Practice, Medical/Pharmacotherapy Knowledge, Interpersonal Communication Skills, Professionalism. IOM: Provide patient-centered care, Work in interdisciplinary teams, Employ evidence-based practice, Apply quality improvement, Utilize informatics. 1

Accreditations ACCME Physicians: USF Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. USF Health designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physician Assistants: AAPA accepts certificates of participation for educational activities approved for AMA PRA Category 1 Credit by ACCME accredited providers. Physician Assistants who participate will receive a certificate of completion commensurate with the extent of their participation. Advanced Practice Registered Nurses (APRN): AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 Credit by ACCME accredited providers. APRNs who participate will receive a certificate of completion commensurate with the extent of their participation. Florida Board of Medicine USF Health is an approved provider of continuing education for physicians through the Florida Board of Medicine. This activity has been reviewed and approved for up to 5.25 continuing education credits. Licensee numbers are required prior to the issuance of certificates. Planning Committee Allan Chen, MD Advanced Cardiac Imaging Bibhu D. Mohanty, MD (Course Director) Director, Neuro-Cardiology Program Director, Structural Intervention Aarti Patel, MD, FACC Advanced Cardiac Imaging Director, Non-Invasive Cardiology & James A. Haley VA Medical Center 2

Faculty Adam Cohen, MD General Cardiology Rachel Harris, MD Fellow, Advanced Cardiac Imaging Alberto Morales, MD Cardiologist South Tampa Cardiology Disclosures USF Health adheres to ACCME and ANCC Standards regarding commercial support of continuing medical and nursing education. It is the policy of USF Health that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflicts of interest are resolved and that speakers will disclose any unlabeled/unapproved use of drugs or devices during their presentations. Detailed disclosure will be made in the course syllabus. Equal Opportunity/ Affirmative Action/ Equal Access USF is an Equal Opportunity/ Affirmative Action/ Equal Access Institution. For disability accommodations, contact mcalexander@health.usf.edu within five days of the event. Disclaimer The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient s medical condition. Contact Information/ Concerns If you have questions, please contact cpdsupport@health.usf.edu, or call 813-224-7860. 3

Registration Physician: $250.00 Fellow: $150.00 APRN and PA: $150.00 Other: $150.00 ONE EASY WAY TO REGISTER; TWO EASY WAYS TO PAY ONE EASY WAY TO REGISTER: Go to www.cme.hsc.usf.edu and click on Course Calendar Registration includes attendance at the continuing medical education activity, breakfast, lunch, dinner and a morning food and beverage break. TWO EASY WAYS TO PAY: 1. Pay by Credit Card Online: A payment confirmation will be sent via email. 2. Pay by Check: After registering online, a payment voucher with instructions will be emailed to the participant. Registration will not be confirmed until payment is received. Please Note: Payment will not be accepted onsite. Cancellation and Refund Policy Cancellation USF Health Office of Continuing Professional Development reserves the right to cancel this activity due to unforeseen circumstances. USF Health is not responsible for travel expenses incurred by the participants in the unlikely event that this activity is canceled. Refund Cancellations must be requested in writing via fax to 813-224-7864 or e-mail to cpdsupport@health.usf.edu, and received by March 15, 2019 in order to receive a refund. A $50.00 cancellation fee will be assessed to cover administrative costs. There are no refunds for no-shows or for cancellations received after March 16, 2019, however, participant substitutions are welcome without penalty. Location USF Center for Advanced Medical Learning and Simulation (CAMLS) 124 S. Franklin St. 33602 4

Structural Heart Imaging by the Bay: Contemporary Approaches and Methods in Adult Clinical Practice March 23, 2019 University of South Florida Center for Advanced Medical Learning and Simulation (CAMLS) 124 S. Franklin St. 33602 Schedule March 23, 2019 Speaker and Topic AGENDA 7:00-8:00 AM Registration and Breakfast/ Exhibits 8:00-8:10 AM Introduction: The Structural Heart Revolution: A Tale of Advanced Imaging Bibhu D. Mohanty, MD 8:10-9:00 AM TAVR: Imaging for Balloon Expandable and Self Expanding Systems Aarti Patel, MD 9:00-9:30 AM Left Arterial Appendage Closure with Watchman Adam Cohen, MD 9:30-10:20 AM PFO Closure: Return of an Old Foe+ Alberto Morales, MD & Rachel Harris, MD 10:20-10:40 AM Break/ Exhibits 10:40-11:30 AM Percutaneous Mitral Valve Repair: Mitraclip Allan Chen, MD 11:30 AM - 12:20 PM Role of CT Imaging in Structural Interventions TBA 12:20-1:20 PM Lunch/ Exhibits 1:20-2:10 PM The Future of Structural Imaging TBA 2:10-4:00 PM Industry Breakout Sessions: Case Based Imaging Practicum (no credit) 5:00-6:00 PM Cocktail Interactive/ Exhibits 6:30 8:30 PM Dinner 7:00 7:30 PM Speaker and Topic TBA 5