• Course Overview

    The SCAI 2016 Fall Fellows Courses will provide an engaging, informal and relaxing environment in which attendees can interact with internationally recognized faculty. Attendees of the course will gain an in depth knowledge of indications, techniques, and expected outcomes for interventional cardiac, carotid, and endovascular procedures. The program will present a variety of practical case-based content as well as material of immediate value to attendees as they plan their post-fellowship practices.

    Learning Objectives

    At the conclusion of this activity participants will be able to demonstrate the ability to:

    Adult Interventional Cardiology Fellows Course

    1. Understand the fundamentals of interventional equipment selection; guidewires, guide catheters, stents and balloons utilized in day-to-day interventional practice, utilizing case presentation and didactic format.

    2. Apply recent randomized trial data related to PCI for left main and multivessel disease, with representative case presentations.

    3. Integrate appropriate use criteria with day-to-day practice, particularly for PCI therapy utilization.

    4. Integrate the use of various imaging modalities, including IVUS, OCT and FFR.

    5. Understand the mechanics of support devices, including the rationale for device selection, prophylactic and bailout support.

    6. Analyze case selection for surgical compared to transcatheter aortic valve replacement.

    7. Understand the benefits and risks of radial versus femoral access, and assess management of complications.

    8. Apply techniques for complex coronary intervention including rotational atherectomy, bifurcation stenting, and chronic total occlusions, including case presentations.

    9. Recognize the indications for intervention in acute coronary syndromes.

    10. Apply appropriate utilization of adjunctive pharmacotherapy for coronary intervention, including anti-thrombin and anti-platelet strategies.

    11. Discuss ethical issues involved in selecting or turning down patients for complex coronary and structural heart disease interventions. Understand some tools that are useful in speaking to patient families under difficult situations.

    12. Define approaches to preventing complications, including case presentations highlighting methods for getting out of trouble when complications do occur.

    Congenital / Structural Heart Disease Interventional Cardiology Fellows Course

    1. Know how to stock the cardiac cath lab with appropriate equipment and tools so that a procedure can be performed effectively.

    2. Apply the proper radiation protection measures for the patients and operators in the cath lab, as well as how to improve safety.

    3. Understand the complete hemodynamic assessment of congenital cardiac defects, including left to right shunt and right to left shunt lesions.

    4. Understand what hemodynamics are critical for Pre-Glenn and Pre-Fontan procedures.

    5. Recognize the various diseases that present in adults with congenital heart disease and their management.

    6. Recognize the various aspects of angiographic assessment of congenital cardiac defects and the best angiographic projections for each defect.

    7. Integrate new advanced imaging used during interventional cardiac procedures.

    8. Recognize the essential echocardiographic assessments, device selection and procedural requirements and pitfalls for the most common congenital procedures including:

      1. ADS's with both the Amplazter and Helex devices
      2. PDA's with both devices and coils
      3. Transcatheter VSD closure
      4. Balloon aortic valvuloplasty
      5. Balloon pulmonary valvuloplasty
      6. Trasncatheter replacement of the pulmonary valve
      7. Coil embolization of AV malformations and collaterals
      8. Interventions for aortic coarctation and pulmonary artery stenosis 
    9. Discuss available fetal cardiac procedures.
    10. Understand the procedures that are often needed in the setting of HLHS
    11. Understand the role of ECMO and other ventricular support devices in the cath lab.