minimal invasive techniques in adult cardiac surgeryicaa.ir/portals/0/icaa.pdf · 2013. 1. 25. ·...
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Minimal Invasive Techniques
In Adult Cardiac Surgery
Shaheed Rajaei Cardiovascular Medical
& Research Center, Tehran, Iran
Post-course wetlab training at Minimally Invasive
Surgery Research & Training Center, Tehran, Iran
www.eacts.org
7-9 Feb 2013
10-11 Feb 2013
Raising Standards through
Education and Training
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Organizer:
Surgical Training and Manpower Committee (STMP) of
European Association of Cardiothoracic Surgery (EACTS)
Course Director:
Peyman Sardari Nia, MD, PhD, Department of Cardiothoracic Surgery,
Academic Hospital Maastricht, Maastricht, Netherlands
Local Partners:
Iranian Association of Cardiac Surgeons
www.iscs.org.ir/home/
Shaheed Rajaei Cardiovascular Medical
and Research Center, Tehran, Iran
www.rhc.ac.ir/en/Index.php
Moheb Hospital, Tehran, Iran
www.mohebmed.com/index.html
Minimally Invasive Surgery Research
& Training Center, Tehran, Iran
www.lapsurg.ir/index.aspx
Tehran University of Medical Sciences
www.medicine.tums.ac.ir/en/
Minimal Invasive Techniques In Adult Cardiac Surgery
5 Days 7-11 Feb 2013
Programme Committee:
Pieter Kappetein, MD, PhD, Rotterdam, Netherlands
Mohammad Reza Rezaei, MD, Tehran, Iran
Rafael Sadaba, MD, Pamplona, Spain
Peyman Sardari Nia, MD, PhD, Maastricht, Netherlands
Mathias Siepe, MD, Freiburg, Germany
Local Organizing Committee:
Bahador Baharestani, MD
Alireza Alizadeh Ghavidel, MD
Gholamreza Omrani, MD
Abdolreza Pazouki, MD
Ali Sadeghpour Tabaii, MD
Mohammad Reza Rezaei, MD
Mohammad Ali Yousefnia, MD
Faculty:
Ottavio Alfi eri, MD, Milan Italy
Mohamed Bentala, MD, Breda Netherlands
Martin Czerny, MD, Berne, Switzerland
Gijs Geskes, MD, Maastricht, Netherlands
Carlos Mestres, MD, PhD, Barcelona, Spain
Peter Rosseel, MD, Breda, Netherlands
Rafa Sadaba, MD, Pamplona, Spain
Peyman Sardari Nia, MD, PhD, Maastricht, Netherlands
Registration of the Course:
On website of Iranian Society of Cardiac Surgery: http://iscs.org.ir
Registration fee: Course Fee
For Iranian Participants:
Residents/fellows: 500 000 Rial
Cardiac Surgeons/Cardiologists/Anesthesiologists: 1000 000 Rial
For Non-Iranian Participants:
Residents/fellows: 100 Euro
Cardiac Surgeons/Cardiologists/Anesthesiologists: 200 Euro
Dates and Venue:
The course: Shaheed Rajaei Cardiovascular Medical and Research
Center, Tehran, Iran 7-9 February 2013.
Focus and Audience:
Main focus: Residents and young surgeons
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Course Programme
Course Programme
Learning Goals
Day 1 - Thursday 7 February
08:00-08:15 Welcome
08:15-08:25 Course outlines and objectives (Peyman Sardari Nia, Netherlands)
Part I: Access and Fundamentals
Moderators: Ottavio Alfi eri, Italy and Hashemian, Iran
08:30-08:40 Surgical technique and considerations of minimal access: ministenotomy/minithoracotomy (Ottavio Alfi eri, Italy)
08:45-08:55 Catheter-based access (Rafa Sadaba, Spain)
09:00-09:10 Thoracoscopic access for cardiac operations (Peyman Sardari Nia, Netherlands)
09:15-09:35 Anesthesiologic preparations and necessities in minimal invasive cardiac surgery (Peter Rosseel, Netherlands)
09:35-09:45 Break
Learning goals of the course:
1. Review and indications of the following techniques:
a. Mini-AVR
b. Minimal invasive mitral valve surgery
c. Mini-MAZE procedure en concomitant Maze procedures
d. Transapical and transfemoral TAVI
e. TEVAR procedures isolated or in combination
with open surgery
f. Minimal Extracorporeal circulation
g. Minimal invasive coronary revascularization,
OPCAB, MIDCAB, ENDOCAB
2. Review and comparison of the above techniques with
the conventional techniques
3. Tips and tricks of above techniques with live surgery
of each procedure
4. Review of all the necessities for setting up the needed
infra-structure for starting such a program at
participant own institute
Raising Standards through Education and Training
Part II: Minimal Invasive Mitral Valve Surgery
Moderators: Carlos Mestres, Spain and Kalantar Motamedi, Iran
09:45-10:05 Minimal invasive mitral valve surgery: indications and results (Carlos Mestres, Spain)
10:10-10:30 Comparison of minimal invasive mitral valve surgery to conventional mitral valve surgery (Ottavio Alfi eri, Italy)
10:35-10:45 Anesthesiological preparations and considerations for port-access approach (Peter Rosseel, Netherlands)
10:50-11:00 Perfusionist’s considerations and preparations for port-access approach (Mohamed Bentala, Netherlands)
11:05-11:15 Instrumental necessities and applications for port-access approach (Carlos Mestres, Spain)
11:20-11:40 Endoclamp versus Chitwood clamp (Mohamed Bentala, Netherlands)
11:45-12:05 Surgical operations performed through port-access approach: video presentations (Mohamed Bentala, Netherlands)
12:10-13:10 Lunch
13:10-14:10 Live-in-box surgery of mitral valve repair through port-access (Mohamed Bentala, Netherlands)
14:15-15:35 Tips and tricks of mitral valve surgery through port-access (Ottavio Alfi eri, Italy)
15:40-16:00 Break
Part III: Minimal Invasive Aortic Valve Surgery
Moderators: Peyman Sardari Nia, Netherlands and Babazadeh, Iran
16:00-16:20 Minimal invasive aortic valve replacement (Ottavio Alfi eri, Italy)
16:25-16:45 Mini-AVR: technique and indications (Peyman Sardari Nia, Netherlands)
16:50-17:10 Live-in-box surgery for Mini-AVR with peripheral cannulation(Peyman Sardari Nia, Netherlands)
17:15-17:35 Live-in-box surgery with central cannulation (Martin Czerny, Switzerland)
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Course Programme
Day 3 - Saturday 9 February 2013
Part VI: MAZE Procedures
Moderators: Carlos Mestres, Spain and Reza Rezaei, Iran
08:00-08:20 Fundamentals regarding AF and Evolution of the Cox-Mazelesion set (Peyman Sardari Nia, Netherlands)
08:25-08:45 Surgical treatment of atrial fi brillation: indications and results (Carlos Mestres, Spain)
08:50-09:10 Usage of different energy source (Peyman Sardari Nia, Netherlands)
09:15-09:35 Indications and results of minimal invasive maze procedures (Carlos Mestres, Spain)
09:35-10:00 Break
10:00-11:00 Live-in-box surgery of left maze lesion sets in a concomitant cardiac surgery - Live-in-box surgery, Maze III (Carlos Mestres, Spain)
11:00-12:00 Live-in-box-Mini-Maze procedures (Peyman Sardari Nia, Netherlands)
12:00-13:00 Lunch
Part VII: TEVAR
Moderators: Martin Czerny, Switzerland and Mehrab Marzban, Iran
13:00-13:20 Endovascular treatment of thoracic aorta (Martin Czerny, Switzerland)
13:25-13:35 Endovascular treatment of thoracic aorta in emergency setting (Martin Czerny, Switzerland)
13:40-14:00 Live-in-box surgery of TEVAR procedure of thoracic (Martin Czerny, Switzerland)
14:00-14:20 Endovascular treatment combined with conventional surgical treament of extensive thoracic aortic pathology (Carlos Mestres, Spain)
14:25-14:45 Neuromonitoring for TEVAR (Carlos Mestres, Spain)
14:45-15:00 Break
15:05-15:25 Complications during and after TEVAR procedure (Martin Czerny, Switzerland)
15:30-16:30 Live-in-box: hybrid procedures of thoracic aorta (Martin Czerny, Switzerland)
Day 2 - Friday 8 February 2013
Part IV: TAVI
Moderators: Mohamed Bentala, Netherlands and Shakerian, Iran
08:00-08:20 Transcatheter aortic valve therapies (Ottavio Alfi eri, Italy)
08:20-08:40 Different Transcather aortic valve systems (Rafa Sadaba, Spain)
08:40-09:00 Comparison of the results of conventional, minimal invasive and transcatheter aortic valve therapies (Ottavio Alfi eri, Italy)
09:00-09:20 Indications, comparison and results of transapical and transfemoral approach (Rafa Sadaba, Spain)
09:20-09:40 Anesthesiological preparation and consideration for transcather aortic valve therapies (Peter Rosseel, Netherlands)
09:40-10:00 Break
10:00-10:20 Live-box surgery of transapical aortic valve insertion (Mohamed Bentala, Netherlands)
10:20-10:40 Complications during and after transcatheter aortic valve therapies (Rafa Sadaba, Spain)
10:45-11:05 Management of complications during and after transcatheter aortic valve therapies (Rafa Sadaba, Spain)
11.05-12.05 Live-in-box surgery of transfemoral aortic valve insertion (Mohamed Bentala, Netherlands)
12:10-13:10 Lunch
Part V: Minimal Invasive Coronary Revascularisation
Moderators: Rafa Sadaba, Spain and Ghaffarinejad, Iran
13:15-13:35 Coronary revascularisation: update on guidelines and studies (Gijs Geskes, Netherlands)
13:40-14:00 Minimal extracorporeal circulation (Peyman Sardari Nia, Netherlands)
14:05-14:25 Off-pump coronary revascularisation (Gijs Geskes, Netherlands)
14:30-15:00 Break
15:00-15:20 Minimal access, off-pump revascularisation: MICAB, Endocab, Robotics (Rafa Sadaba, Spain)
15:25-15:45 Hybrid revascularisation (Gijs Geskes, Netherlands)
15:50-16:10 Anesthesiological considerations in off-pump coronary bypass(Peter Rosseel, Netherlands)
16:15-16:35 Minimal invasive graft-harvesting (Gijs Geskes, Netherlands)
16:40-17:15 Live-in-box, endocab (Rafa Sadaba, Spain)
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Skill Lab Training - Minimal Invasive Techniques In Adult Cardiac Surgery
2 Days 10-11 Feb 2013
Learning GoalsPart I: Basics in VATS: Dry and Wetlab
Learning Goals of the Skill Lab Session:
- Functional and surgical anatomy of the thorax,
heart and vascular system
- Demonstration of instruments
- Basics in thoracoscopy
- Thoracoscopic suturing
- Thoracoscpic knotting with knot-pusher
- Hands-on training of basic techniques in thoracoscopy
Course Programme
08:30-09:00 Welcome and coffee
09:00-10:45 Surgical anatomy of the thoracic cavity, the heart and the great vessels (Gijs Geskes, Netherlands)
10:45-11:00 Break
11:00-11:30 VATS instrumentation (Gijs Geskes, Netherlands)
11:30-12:30 Live-in-box video presentations of use of endoscopy in various cardiac operations (Peyman Sardari Nia, Netherlands)
12:30-13:30 Lunch
13:30-17:30 Drylap VATS
- Handling of the instruments
- Endoscopic knotting with needle
- Endoscopic knotting with knot-pusher
- Exercises for enhancing thoracoscopic dexterity
Day 1 - Sunday 10 FebruaryModerators: TBC
Course Directors:
Abdolreza Pazouki, MD
Mohammad Reza Rezaei, MD
Peyman Sardari Nia, MD, PhD
Dates and Venue:
Minimally Invasive Surgery Research and Training Center, Tehran,
Iran 10-11 February 2013
Focus and Audience:
Residents and young surgeons
Registration for all participants:
On website of Iranian Society of Cardiac Surgery: www.iscs.org.ir
Regsitration fee: Course Fee
For Iranian Partcipants: 12 000 000 Rial
For Non-Iranian Participants: 500 Euro
Tehran, Iran
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Course Programme
Day 2 - Monday 11 February 2013
08:30 Welcome and coffee
08:30-08:45 Surgical anatomy of the thoracic cavity, the heart and the great vessels of Dog (Abdolreza Pazouki, Iran)
08:45-09:30 Demonstration of procedures on Dog (Abdolreza Pazouki, Iran)
09:30-10:00 Break
10:00-12:00 Hands on training on Dogs:
- Port-placement
- Handling of the instruments
- Endoscopic knotting with needle
- Endoscopic knotting with knot-pusher
- Exercises for enhancing thoracoscopic dexterity
12:00-13:00 Lunch
13:00-15:00 Hands on training on Dogs:
- Opening of Pericardium
- Exposure of Hart
- Tissue dissection around the heart and great vessels
Course Details
and Registration
www.iscs.org.ir
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Iran Office:
Tel: +98 21 44412437 - 88644567
P.O. Box: 14655-149 Tehran - Iran
www.iscs.org.ir
Raising Standards through Education and Training