Insights and Innovations in Heart & Vascular Care 2018

Hackensack University Medical Center

8TH ANNUAL HEART & VASCULAR SYMPOSIUM Insights and Innovations in Heart & Vascular Care 2018

Wednesday, November 7, 2018 7:15 a.m. – 5 p.m. David and Alice Jurist Research Lecture Hall Hackensack University Medical Center 40 Prospect Avenue, Hackensack, NJ Registration Information

REGISTRATION FEE: • Complimentary to Hackensack University Medical Center employees/physicians/house staff/students and members of Hackensack Meridian Health – ID required. • $75 registration fee for all non-Hackensack Univeristy Medical Center physicians and a $50 registration fee for all non-Hackensack University Medical Center non-physicians. • Members of the American College of Cardiology may pay the $50 registration fee which includes conference and lunch/coffee breaks.

FOR MORE INFORMATION: Email: [email protected] Heart & Vascular Hospital

8TH ANNUAL HEART & VASCULAR SYMPOSIUM Insights and Innovations in Heart & Vascular Care 2018

Wednesday, November 7, 2018 7:15 a.m. – 5 p.m. David and Alice Jurist Research Lecture Hall Hackensack University Medical Center 40 Prospect Avenue, Hackensack, NJ

heart.HackensackUMC.org/2018Symposium PURPOSE: This symposium is designed to provide internists, cardiologists, surgeons, nurse practitioners and other healthcare providers with a review of the current approaches in the treatment of cardiac and vascular disease to improve their knowledge base so that they may employ the latest approaches. This program will provide a review of the rapid changes in heart and vascular disease, atrial fibrillation, ischemic heart disease, interventional procedures, structural heart disease, heart failure and valvular disease.

OBJECTIVES: At the conclusion of this learning activity the participants should be able to: ■■ Cite indications and complications of catheter- based transaortic valve replacement (TAVR) in patients with aortic stenosis ■■ Review indications and management of mitral valve disease using mitral clips and minimally invasive surgery ■■ Describe indications and management for mechanical ventricular assist devices (VADs) ■■ Review the indications and contraindications for Extracorpreal Membrane Oxygenation (ECMO) ■■ Describe new programs in the Emergency Department Center for the management and treatment of chest pain and analyze the outcomes of a cardiologist in the ETC. ■■ Review management of aortic, carotid, and peripheral vascular disease ■■ Review medical, catheter-based and surgical options for treating patients with abdominal aortic aneurysms, peripheral arterial disease and acute stroke

■■ Differentiate the factors for selection of pharmacologic and interventional approaches in the diagnosis and management of select cardiovascular and neurovascular diseases

■■ Evaluate lifestyle management issues such as obesity, smoking, sleep apnea, alcohol consumption, and exercise effect the course of atrial fibrillation and effect prognosis after various treatments including ablation and the treatment course of directing patients to consider lifestyle issues before proceeding to invasive procedures. ■■ Review genetic basis for important cardiac arrhythmias

■■ Review diagnostic criteria, conventional treatment and new interventional therapies for venous thrombotic disease.

■■ State the need for high quality cardiovascular care during and after cancer therapy.

■■ Describe the importance of physical activity, exercise and cardio-respiratory fitness for protecting against major cardiac morbidity and mortality. Review data on optimal cardiac prevention and discuss potential benefits of cardiac rehabilitation and exercise training

■■ Evaluate contemporary data on the indications, safety and efficacy of carotid revascularization. Review outcomes of Trans-Carotid Artery Revascularization (TCAR) and anatomic limitations of TCAR technology.

■■ Describe the difference between Type A and Type B Aortic dissection and the difference between complicated and uncomplicated Type B Aortic Dissections and the urgency for treatment for each of them.

■■ Identify the accelerating changes in cardiovascular disease outcomes and the impact of new interventions on management of structural heart disease, heart failure, and atrial fibrillation.

ACCREDITATION STATEMENT: Hackensack University Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians. AMA CREDIT DESIGNATION STATEMENT: Hackensack University Medical Center designates this live activity for a maximum of 8 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NURSING CONTACT HOURS: 7.75: Hackensack University Medical Center, is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses. Symposium Agenda

7:15 a.m. REGISTRATION/CONTINENTAL BREAKFAST 7:45 a.m. INTRODUCTION/OVERVIEW JOSEPH E. PARRILLO, M.D. Chairman, Heart & Vascular Hospital (HVH) Hackensack University Medical Center

VALVULAR, STRUCTURAL AND CONGENITAL HEART DISEASE MODERATOR: DAVID B. LANDERS, M.D. Vice Chairman, Heart & Vascular Hospital Hackensack University Medical Center

8 a.m. Mitral Valve: Non-Surgical Repair and Clipping CARLOS E. RUIZ, M.D. Describe mitral valve unique pathology and the methods to repair the valve using catheters, wires, clips and other non-surgical techniques. 8:15 a.m. Mitral Valve: Surgical - Minimally Invasive Repair MARK B. ANDERSON, M.D., FACS Explain pathogenesis of mitral valve disease and review minimally invasive surgical techniques to repair the valve. 8:30 a.m. Aortic Valve: TAVR in 2018 ELLIE ELMANN, M.D. Review current state of transcatheter aortic valve repair (TAVR) nationally, internationally and at Hackensack University Medical Center. 8:45 a.m. Echo Imaging in Interventional Procedures LUCY SAFI, D.O. Evaluate and describe current interventional echocardiographic techniques to optimally image the heart valves and chambers to guide structural heart interventions. 9 a.m. Questions/Discussion KEYNOTE ADDRESS MODERATOR: ANTHONY J. PASSANNANTE JR., M.D., FACC President, Palisades Medical Center Hackensack Meridian Health

9:15 a.m. Special Speaker Healthcare & Physicians in 2018 J. SANFORD SCHWARTZ, M.D. Professor of Medicine, University of Pennsylvania/Wharton 9:45 a.m. Questions/Discussion

ARRTHYMIAS AND STROKE MODERATOR: FLORIAN THOMAS, M.D. Chairman, Neurosciences Hackensack University Medical Center 10 a.m. Atrial Fibrillation and Lifestyle Management TAYA GLOTZER, M.D. Review the most common arrhythmia, atrial fibrillation, and evaluate role of lifestyle modification in management. 10:15 a.m. Atrial Fibrillation: Pharmacotherapy and Ablation JOHN ZIMMERMAN, M.D. Evaluate treatment of atrial fibrillation using phamaceutical agents versus catheter ablation methodology. 10:30 a.m. Atrial Fibrillation: Treatment with LA Appendage Occlusion GUNJAN SHUKLA, M.D. State the role of left atrial appendage occlusion devices (such as Watchman) in management of atrial fibirillation patients. 10:45 a.m. Stroke Prevention using Patent Foreman Ovale Closure ZOLTAN TURI, M.D. Review importance of closing patent foreman ovale (PFOs) using catheter techniques in prevention of stroke. 11 a.m. Treating Acute Stroke with Catheter Intervention DANIEL WALZMAN, M.D. Describe use of catheter based methods in treatment of acute strokes in evolution. 11:15 a.m. Questions/Discussion

ARRTHYMIA ADVANCES MODERATOR: JOSEPH E. PARRILLO, M.D. Chairman, Heart & Vascular Hospital Hackensack University Medical Center 11:30 a.m. Ventricular Tachycardia Ablation Using pVAD Support GRANT SIMONS, M.D. Review treatment of ventricular tachycardia using catheter ablation techniques supplemented by support with a percutaneous ventricular assist device (pVAD). 11:45 a.m. Genetic Arrthymias: Clinical Management DIMITRY NEMIROVSKY, M.D. Cite the current understanding of genetically linked arrhythmia syndromes and review appropriate management. Noon Questions/Discussion

12:15 p.m. Lunch Break

HEART FAILURE AND SHOCK IN 2018 MODERATOR: KERI BICKING, PHARM D, BCPS Clinical Pharmacy Specialist, Critical Care Heart & Vascular Hopsital, Hackensack University Medical Center 1 p.m. Shock Program at Hackensack University Medical Center in 2018 JOSEPH E. PARRILLO, M.D. Evaluate the pathogenesis and management of shock patients who present to Hackensack University Medical Center. 1:15 p.m. Percutaneous Mechanical Assist Devices KUMAR SATYA, M.D. Review the currently available and future percutaneous mechanical assist devices (VADs).

1:30 p.m. When Should HF Patients Receive VADs? BERNARD KIM, M.D. Describe the population of heart failure patients who should receive permanent VADs. 1:45 p.m. Long Term Mechanical Assist Devices (VAD’s) GEORGE BATSIDES, M.D. Review the structure and function of permanent VADs. Identify which devices are idea for specific patients. 2 p.m. VAD Mangement in ICU’s and Home SCOTT STEWART, APN Evaluate the types of complications and outcomes that VAD patients develop. 2:15 p.m. Questions/Discussion

VASCULAR DISEASE MODERATOR: TAMMY RUSSO, MS, APN Director of Clinical Operations, Heart & Vascular Hospital, Hackensack University Medical Center

2:30 p.m. Special Speaker Surgical Education in the Current Era of Technology: The Lost Art of Open Surgery GREGORIO SICARD, M.D., FACS Eugene Bricker Professor Emeritus of Surgery and Radiology Washington University, St. Louis MO 3 p.m. Alternative Access in Vascular Intervention DAVID O’CONNOR, M.D. State the types of alternative vascular access now available and identify the ideal patients for each access method. 3:15 p.m. Type B Aortic Dissection MICHAEL WILDERMAN, M.D. Describe the difference between type A and B dissection. Review optimal management of each type of disorder. 3:30 p.m. Aortic Surgery in 2018 GEORGE BATSIDES, M.D. Review current state of advanced aortic surgery including aneursym repair, aortic valve and arch surgery. 3:45 p.m. Questions/Discussion

CORONARY ARTERY DISEASE MODERATOR: AARON FEINGOLD, M.D. Chief of Cardiology JFK Medical Center Hackensack Meridian Health 4 p.m. Coronary Artery Disease Prevention Using Advanced Cardiac Assessment Program (ACAP) WILLIAM B. SALERNO. M.D Describe the best methods to detect early cardiovascular disease (CVD). Review best methods to prevent progression of CVD using lifestyle modification, exercise, diet and pharmacology. 4:15 p.m. Left Main Coronary Artery Stenting PRANAY VAIDYA, M.D. Identify idea candidates for left main stenting. Review the different techniques to approach severe stenosis of left main coronary artery. 4:30 p.m. Questions/Discussion 5 p.m. Adjourn Directions

FROM GEORGE WASHINGTON BRIDGE EAST Follow Route 80 West, staying local lanes, to Exit 64 B. Turn right onto Polifly Road and travel north on Polifly Road. At second light, turn left onto Essex Street. At first light, turn right onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM PATERSON AREA AND WEST Follow Route 80 East, staying in local lanes to Exit 63 B for Rochelle Park and Paramus. (Exit ramp sign says Exit 63.) Turn left off exit ramp, and turn right at light onto Essex Street. Follow Hospital Signs. At fourth light, turn left onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM SOUTHERN NEW JERSEY VIA THE NEW JERSEY TURNPIKE Follow Route 95-NJ Turnpike north to the junction of Route 80. Take 80 west, stay in lanes for “Local Exits” to Exit 64 B for Hasbrouck Heights and Newark. Turn right at light on Polifly Road. At second light, turn left onto Essex Street. At first light, turn right onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM SOUTHWESTERN NEW JERSEY ON ROUTE 17 Follow Route 17 North to Polifly Road turnoff. Go under the Route 80 overpass and turn left at the second light onto Essex Street. Turn at the first right onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM NORTHWESTERN NEW JERSEY ON ROUTE 17 Follow Route 17 South to Essex Street exit. Turn left onto Essex Street. At fourth light, turn left onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM THE LINCOLN TUNNEL Take Route 3 West to Route 17 North. Proceed on Rt 17N to Essex Street exit. Make a right onto Essex Street. At fourth light, turn left onto Prospect Avenue. Hackensack University Medical Center is on the right. FROM THE GARDEN STATE PARKWAY From the Garden State Parkway (north or south), take Route 80 East (Exit 159). Follow Route 80 East, staying in local lanes, to Exit 63 B for Rochelle Park and Paramus. (Exit ramp sign says Exit 63.) Turn left off exit ramp, and turn right onto Essex Street. Follow Hospital signs. At fourth light, turn left onto Prospect Avenue. Hackensack University Medical Center is on the right. Heart &Vascular Care2018 HEART &VASCULAR SYMPOSIUM Insights and Innovations in Insights andInnovationsin heart.HackensackUMC.org/2018Symposium Hackensack UniversityMedicalCenter

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