Endovascular Skills Programme
A 3-Course programme for cardiac surgeons wishing to embark into the era of endovascular technology for a more complete form of treatment of major aortic pathologies. All courses will combine invited lectures with practical training.
Course 1
8-9 May, Windsor, UK
Course 2
3-4 July, Windsor, UK
Course 3
11-12 December, Geneva, Switzerland
Please see below for the programmes
The EACTS Endovascular Skills Programme Course 1 will run from 8-9 May 2020, in Windsor, UK.
Learning objectives
After this course you will be able to:
- understand the importance of transcatheter surgery
- describe the basic principles and indication for CT, MRI, echocardiography and angiography
- learn diagnostic methods in structural heart and aortic diseases and transcatheters skills
- define and measure the landing zone, the aortic valve annulus
FRIDAY 8 MAY
| 09:00 | Welcome | D Pacini, Bologna |
| Indications | ||
| 09:10 | Why we need transcatheter surgery: An overview on aortic and valve disease |
D Pacini, Bologna |
| 09:20 | Current indication for TEVAR | S Ronchey, Rome |
| 09:40 | Current indication for transcatheter AV and MV replacement | M Thielmann, Essen |
| Preoperative examinations | ||
| 10:00 | Basic principles of CT and MRI scanning – an overview | L Lovato, Bologna |
| 10:20 | Basic principles of TEE | F Saia, Bologna |
| 10:40 | Break | |
| Preoperative imaging – Case examples and discussion | ||
| 11:00 | Diagnostic preoperative aortic imaging methods: CT, MRI, ultrasound with clinical examples | |
| – | Aorta | M Lescan, Tübingen |
| – | Valve | To be announced |
| Workflow in a Hybrid -OR | ||
| 12:00 | The endovascular team | |
| Topics to be addressed: Preop – interdisciplinary discussion; intraop – co-working; postop – control |
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| 12:30 | Lunch | |
| Artery Access | ||
| 13:30 | Femoral artery as the most common access site: Diameter and calcification evaluation |
F Saia, Bologna |
| 13:50 | Alternative access sites: | |
| – | Iliac artery access | S Ronchey, Rome |
| – | Supraaortic arteries access | To be announced |
| – | Transapical access | K Tsagakis, Essen |
| 14:20 | Percutaneous artery closure devices | B Rylski, Freiburg |
| Introduction of the endovascular armamentarium | ||
| 14:40 | Wires, catheters and sheaths – make your store | |
| – | Aorta | L Lovato, Bologna |
| – | Valve | M Thielmann, Essen |
| 15:10 | Break | |
| 15:30 | Drylab | |
| 18:00 | Close |
SATURDAY 9 MAY
| 08:00 | Summary of Day 1 and learning objectives for Day 2 | K Tsagakis, Essen |
| 08:10 | Introduction – endoprostheses | |
| 08:10 | Overview of endografts | M Lescan, Tübingen |
| 08:30 | Overview of transcatheter valves | M Lescan, Tübingen |
| Treatment planning on PC | ||
| 08:50 | CT imaging analysis with MPR reconstruction: Principles of pre- and postoperative measurements with clinical examples – aorta | B Rylski, Freiburg |
| 09:10 | CT imaging analysis with MPR reconstruction: Principles of pre- and postoperative measurements with clinical examples – valve | F Saia, Bologna |
| 09:30 | Sizing – endograft | K Tsagakis, Essen |
| 09:45 | Sizing – aortic valve | To be announced |
| 10:00 | Break | |
| 10:30 | Drylab: Case presentation and practice | |
| 13:30 | Lunch and close |
The Endovascular Skills Programme Course 2 will run from 3-4 July 2020, in Windsor, UK.
Learning objectives
After this course you will be able to:
- make an individual draft including aortic anatomy and plan for endovascular treatment
- describe the surgical options for extending the proximal landing zone into the aortic arch
- report on consequences of no revascularisation of the left subclavian artery in TEVAR zone 2
- make an indication for treatment in patients with type B and non-A non-B dissection
- report on complications related to endovascular aortic treatment
- plan a surgical procedure on PC
FRIDAY 3 JULY
| 09:00 | Welcome | K Tsagakis, Essen |
| Endo treatment | ||
| 09:10 | Covered and uncovered stents: What we need to know | S Ronchey, Rome |
| 09:30 | Nomenclature/definitions of endovascular techniques | T Kratimenos, Athens |
| 09:50 | Planning of endovascular procedure including landing zone evaluation and drawing an individual draft | M Kolowka, Rzeszow |
| Hybrid arch repair, limited LZ | ||
| 10:10 | Challenges in stent graft deployment in short landing zone, branched/fenestrated grafts | T Kratimenos, Athens |
| 10:20 | Creating a landing zone: Carotid-subclavian bypass/transposition, double transposition, total debranching | K Tsagakis, Essen |
| 10:30 | Non-A non-B aortic dissection: Indication and treatment | B Rylski, Freiburg |
| 10:40 | Break | |
| Endo aortic procedures | ||
| 11:00 | TEVAR for acute type B dissection: Indication, results petticoat, stabilize concept. Live-in-a-box: Navigation through the true lumen |
S Ronchey, Rome |
| 11:15 | Through and through wire for TEVAR | M Lachat, Zurich |
| 11:30 | Transcarotid catheterisation for Zone 0 treatment | B Rylski, Freiburg |
| 11:45 | Open surgery in acute Type A dissection in combination with TEVAR and uncovered stents |
K Tsagakis, Essen |
| Complications and prevention | ||
| 12:00 | Acute and chronic stent graft related complications | J Tomasi, Rennes |
| 12:20 | Prevention of stroke and paraplegia in endo treatment | M Lachat, Zurich |
| 12:40 | How to plan a stent graft extension | S Ronchey, Rome |
| 13:00 | Lunch | |
| Planning a complex endo procedure | ||
| 14:00 | Endovascular treatment in Zone 0: Planning, tips and tricks | B Rylski, Freiburg |
| 14:40 | Endovascular treatment of the thoracoabdominal aorta: Patient selection and techniques | M Kolowka, Rzeszow |
| 15:00 | Patient selection for arch and thoracoabdominal treatment- industry planning | |
| 15:30 | Break | |
| 15:45 | Drylab: Stent graft implantation planning on PC (Case Example) | |
| Group 1: Aortic aneurysm | ||
| Group 2: Acute and chronic dissection | ||
| Group 3: Two stent grafts | ||
| 18:30 | Close |
SATURDAY 4 JULY
| 08:00 | Review of Day 1 | K Tsagakis, Essen |
| 08:10 | Course on radiation exposure: Basic radiation physics; how to reduce the exposure | T Kratimenos, Athens |
| 09:10 | Case examples – short presentations | |
| 10:00 | Break | |
| 10:30 | Training on simulators | |
| Case 1: Aneursym | ||
| Case 2: Dissection | ||
| Case 3: Two stent grafts | ||
| Case 4: Zone 0 | ||
| 13:00 | Lunch and close |
The Endovascular Skills Programme Course 3 will run from 11-12 December 2020, in Geneva, Switzerland.
Learning objectives
After this course you will be able to:
- work in a hybrid room
- use angiographic table and C-arm
- protect the team against ionising radiation
- know methods, results, perspectives of surgical and endovascular treatment (participants will have to follow the scientific programme of EACTS vascular domain)
- partake in first examination
FRIDAY 11 DECEMBER
| 08:00 | Welcome | D Pacini, Bologna |
| 08:10 | C-arm driving | S Ronchey, Rome |
| 08:20 | Catheterisation basic (sheath, wires and catheters) | To be announced |
| 08:30 | Catheterisation advanced (wires and catheters) | B Rylski, Freiburg |
| 08:40 | Prepare SG deployment (stiff wire, LZ) | K Tsagakis, Essen |
| 08:50 | Relining, flaring SG (ballooning and extension) | M Lachat, Zurich |
| 09:00 | Training on cadavers | |
| J-wire, Pigtail in descending aorta | ||
| Stiff-wire and stent graft in LZ | ||
| Stent graft deployment | ||
| LSA catheterization | ||
| 16:50 | Discussion | |
| 17:00 | Close |
SATURDAY 12 DECEMBER
| 08:00 | Review of Day 1 | D Pacini, Bologna |
| 08:10 | Advanced simulators | |
| 13:00 | Lunch | |
| 14:00 | Examination: Plan a case | |
| 15:00 | Close |
All programmes and faculty are subject to change
