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Preliminary Program

International Coronary Congress 2017:
State-of-the-Art Surgical Coronary Revascularization
New York Marriott Marquis, Times Square, New York, NY
August 18-20, 2017

Course Directors:
John D. Puskas, MD, New York, New York
David P. Taggart, MD, PhD, University of Oxford, United Kingdom
Chair, Program Committee:
Joseph Sabik, MD, Cleveland, Ohio
Chair, Hands-on Interactive Sessions:
Paul Sergeant, MD, Leuven, Belgium
Co-Director for Surgical Assistant Curriculum:
Robert F. Carlucci, PA-C, New York, New York
Surgical Assistant Workshop

FRIDAY, AUGUST 18, 2017
7:00 Continental Breakfast
7:30 - 7:35 Welcome & Introduction to the 2017 International Coronary Congress
Session 1: Evidence Base for CABG in 2017
7:35 - 8:00 Special Keynote Address: CABG in the Context of Cardiovascular Disease Worldwide
8:00 - 8:15 PCI and Medical Therapy in 2017 and Beyond: The Future of Non-Surgical Treatment of Coronary Artery Disease
8:15 - 8:30 SYNTAX, EXCEL and NOBLE: PCI and CABG in 2017
8:30 - 8:45 Can We Improve CABG? Quality Initiatives in CABG
8:45 - 9:00 Moderated Discussion and Audience Q & A: Evolving Indications for CABG and the Role of the Heart Team
Session 2: Indications for CABG in 2017
9:00 - 9:10 Stress Tests, Nuclear Perfusion Studies, MRI, etc: What Do They Tell Us?
9:10 - 9:20 FFR and iFR: What is the Definition of 3VD in 2017?
9:20 - 9:30 Updated U.S. CABG Guidelines, Including CABG for Acute MI, Shock and Failed PCI
9:30 - 9:40 Updated European CABG Guidelines: When and How We Should Perform CABG
9:40 - 9:50 Progression of Native Disease After CABG: What Does it Mean For The Patient, Cardiologist and Surgeon?
9:50 - 10:00 Discussion: Indications for CABG in 2017
10:00 - 10:20 COFFEE BREAK - Exhibits
Session 3: BITA Grafting: When, Why and How to Do It
10:20 - 10:28 STS Guidelines on Arterial Conduits for Coronary Artery Bypass Grafting
10:28- 10:36 BITA Grafting: ARTS and The Evidence in 2017
10:36 - 10:44 Can BITA Adequately Supply the Entire Heart?
10:44 - 10:52 BITA Grafting in Patients with Diabetes: When to Do It and When Not to Do It
10:52 - 11:00 Skeletonized BITA Harvest: What are the Advantages?
11:00 - 11:08 BITA Harvest and Preparation with the Harmonic Scalpel
11:08 - 11:16 BITA Configurations: In-Situ versus Composite Grafting
11:16 - 11:24 Moderated Panel Discussion: When and How to do BITA Grafting
Session 4: Avoiding Mediastinitis and Managing It When It Occurs
11:24 - 11:32 STS Guidelines for Prevention of Mediastinitis
11:32 - 11:40 Best Practices for Antibiotic Prophylaxis, Skin Preparation, Antisepsis, Opening and Closing a Sternotomy, Alternative Dressings/Vacuums, and Routine Postop Care; Insights From the NIH Cardiothoracic Surgical Trials Network and Other Recent Data
11:40 - 11:48 A Survey of New Technologies and Devices to Close and Stabilize the Sternum After CABG
11:48 - 11:56 A Surgeon’s View on Management of Mediastinitis: When To Debride, When To Apply a Vacuum Dressing
11:56 - 12:12 Special Invited Lecture: An Experienced Plastic Surgeon’s Perspective on Sternotomy Problems
12:12 - 12:20 Panel Discussion: Best Practices to Avoid Mediastinitis and Manage It When It Occurs
12:25 - 1:45 INDUSTRY LUNCH SYMPOSIA
Luncheon Symposia are not part of the ICC scientific program and are not eligible for CME credits through the ICC joint provider, Cinemed.
Session 5: Radial Artery Conduits
1:45 - 1:53 Update on the RAPCO and RAPS Trials and Other Evidence for Radial Artery Conduits in 2017
1:53 - 2:01 Management of Radial Artery Conduits, Patient/Target Selection and Pharmacology to Prevent Graft Spasm
2:01 - 2:09 Outcomes with RA vs. RITA as 2nd Arterial Conduit
2:09 - 2:17 The Incremental Benefit of a Radial Artery Graft as a Second or Third Arterial Conduit: New Insights from the ART Trial
2:17 - 2:25 How To Use Radial Artery Grafts: In-flow Alternatives and Graft Configurations for Radial Artery Conduits
2:25 - 2:33 Endoscopic Radial Artery Harvest—Techniques and Outcomes
2:33 - 2:41 Panel Discussion: When and How I Use Radial Artery Conduits. How I Avoid and/or Treat Graft Spasm
Session 6: State-of-the-Art Saphenous Vein Grafting in 2017 and Beyond
2:41 - 2:49 When is a Saphenous Vein Graft the Preferred Conduit?
2:49 - 2:57 Impact of Harvest Technique on Long-Term Graft Patency
2:57 - 3:05 Saphenous Vein Harvest, Open Versus Endoscopic: The Evidence
3:05 - 3:13 The Importance of Storage Solutions & their Effect on Patency after Vein Graft Harvest
3:13 - 3:21 Role of External Stenting of Saphenous Vein Grafts
3:21 - 3:30 Panel Discussion: When and How to Use Saphenous Vein Grafts
3:30 - 3:50 COFFEE BREAK - Exhibits
Session 7A: Gastroepiploic Artery Conduits (Simultaneous Session)
3:50 - 3:56 The Evidence for GEA Grafting in 2017
3:56 - 4:02 GEA: How I Harvest and Avoid Spasm (VIDEO)
4:02 - 4:08 How I Harvest and Utilize the GEA (VIDEO)
4:08 - 4:16 GEA: Which Targets? Free Graft or In-Situ?
4:16 - 4:22 Moderated Q&A: What would it take to make GEA Grafting Routine?
Session 7B: Abstracts/Videos (Simultaneous Session)
3:50 - 4:22 Abstracts
Abstracts followed by Expert Panel Discussion
Session 8A: Diffuse CAD, Endarterectomy and Full Metal Jacket (Simultaneous Session)
4:22 - 4:28 How I Manage Diffuse CAD
4:28 - 4:36 How I Perform Endarterectomy
4:36 - 4:42 How I Perform Endarterectomy
4:42 - 4:50 How I Perform Endarterectomy and Manage Full Metal Jacket
4:50 - 4:56 Panel Discussion: What is the Future of Surgical Management of Full Metal Jacket? What Progress Have We Made in Coronary Endarterectomy?
Session 8B: Abstracts/Videos (Simultaneous Session)
4:22 - 5:00 Abstracts and then a Panel Discussion
Special Evening Session: Disasters (R.I.P.) From The Operating Rooms Of Master Coronary Surgeons: My Worst CABG Case And What I Learned From It
5:00 - 5:20 All-Arterial Revascularization Gone Bad
5:20 - 5:40 Case 2 - TBD
5:40 - 6:00 Case 3 - TBD
6:00 - 7:00 Welcome Reception and Poster Viewing
7:00 - 9:00 Friday Night at the Movies: Video Presentations From Around the World of Difficult/Unusual Cases, Innovative Techniques and Novel Devices in CABG
 
SATURDAY, AUGUST 19, 2017
6:30 Continental Breakfast
Session 9 Case Presentations/Abstract Session
7:00 - 8:00 Abstracts followed by Expert Panel Discussion
Session 10 On-Pump CABG Part 1: Non-Tuberculous Mycobacterial Infections and State-of-the-Art Cardiopulmonary Bypass for CABG
8:00 - 8:20 Special Invited Lecture: Non-Tuberculous Mycobacterial Infections: What Every Surgeon Needs to Know
8:20 - 8:28 Fundamentals of Cardiopulmonary Bypass for CABG (Standard versus Mini Circuits)
8:28 - 8:36 How Low Should We Go? (Temperature and Hematocrit on CPB)
8:36 - 8:44 Best Practices & New Devices to Minimize Stroke in On-Pump CABG
8:44 - 8:52 STS Guidelines for Blood Conservation in CABG
8:52 - 9:00 Panel Discussion: State-of-the-Art CPB and Blood Conservation for CABG
Session 11: On-Pump CABG Part 2: Myocardial Protection/Cardioplegia for CABG
9:00 - 9:10 Myocardial Preservation Strategies for On-Pump CABG: Antegrade, Retrograde, Combined to Protect RV and LV
9:10 - 9:20 Blood Cardioplegia, Crystalloid Cardioplegia: What Are Their Advantages?
9:20 - 9:30 Is Del Nido Solution Safe for CABG? If So, How Should We Use It?
9:30 - 9:40 Difficult Scenarios for Myocardial Protection and How To Avoid Stone Heart Every Time
9:40 - 9:50 Panel Discussion: Best Practices in Myocardial Protection for CABG
09:50 - 10:15 COFFEE BREAK - Exhibits
Session 12: Suture Techniques for Proximal and Distal Anastomoses (Moderated VIDEOS by Master Surgeons)
10:15 - 10:23 Distal Anastomoses to the Anterior, Inferior and Lateral Walls
10:23 - 10:31 Single vs Sequential Anastomosis (Myths & Data)
10:31 - 10:39 Sequential and Y/T Graft Anastomoses
10:39 - 10:47 Epiaortic Scanning and Clampless Proximal Anastomoses
10:47 - 10:55 Panel Discussion: Best Practices in Constructing Anastomoses
Session 13: Off-Pump CABG via Median Sternotomy Part 1
10:55 - 11:05 OPCAB: The Evidence in 2017
11:05 - 11:13 The Evidence for All-Arterial OPCAB in 2017
11:13 - 11:21 How I Choose OPCAB vs ONCAB in 2017
11:21 - 11:41 Special Invited Lecture: Teaching On-Pump and Off-Pump CABG to Surgical Residents and Practicing Surgeons
11:41 - 11:49 Expert Opinion: Why Hasn’t OPCAB Lived up to Early Expectations?
11:49 - 12:00 Panel Discussion: Best Practices for OPCAB in 2017
12:00 - 12:10 LIFETIME ACHIEVEMENT AWARD
12:10 - 1:30 INDUSTRY LUNCH SYMPOSIA
Luncheon Symposia are not part of the ICC scientific program and are not eligible for CME credits through the ICC joint provider, Cinemed.
Session 14: Off-Pump CABG via Median Sternotomy: Part 2 (VIDEO SESSION)
1:30 - 1:40 The Evolution of OPCAB
1:40 - 1:50 Tips and Tricks for OPCAB
1:50 - 2:00 Coronary Shunting and Other Adjuncts to OPCABG
2:00 - 2:10 Common Pitfalls of OPCAB
2:10 - 2:20 Panel Discussions: My Tips and Tricks for State-of-the-Art OPCAB
Session 15A: Graft Assessment with Transit Time Doppler & High Frequency Ultrasound (Simultaneous Session)
2:20 - 2:28 Should Intraoperative Doppler Graft Assessment Be Standard of Care?
2:28 - 2:36 How Does TTFM Actually Work?
2:36 - 2:44 Graft Flow Measurement: What do the Numbers Mean & When Should I Revise the Graft?
2:44 - 2:52 High Frequency Ultrasound Interrogation of Anastomoses
2:52 - 3:00 3 of My Own Cases Where Graft Flow Measurement Made A Difference
3:00 - 3:15 Discussion: Best Practices for Graft Assessment in CABG
Session 15 B: Abstracts/Videos (Simultaneous Session)
2:20 - 3:15 Abstracts followed by Panel Discussion
3:15 - 3:35 COFFEE BREAK - Exhibits
Session 16 A: MIDCAB, Hybrid Revascularization, Multivessel CABG via Thoracotomy (Simultaneous Session)
3:35 - 3:43 Outcomes with MIDCAB
3:43 - 3:55 Tips and Tricks for MIDCAB via Thoracotomy
3:55 - 4:03 Multi-Vessel CABG via Left Thoracotomy: When and How I Do It
4:03 - 4:11 Angiographic Outcomes with ‘Minimally Invasive’ CABG from Around the World
4:11 - 4:19 Is There Any Real Advantage of Mini Thoracotomy vs Median Sternotomy for CABG?
4:19 - 4:27 Current Role of Hybrid Coronary Revascularization: Chinese Perspective
4:27 - 4:35 Current Role of Hybrid Coronary Revascularization: North American Perspective
4:35 - 4:50 Panel Discussion: What is the role for MIDCAB via Thoracotomy? My Tips and Tricks for State-of-the-art MIDCAB
Session 16 B: Abstracts/Videos (Simultaneous Session)
3:35 - 4:50 Abstracts followed by Panel Discussion
 
SUNDAY, AUGUST 20, 2017
6:30 Continental Breakfast
Session 17: Abstracts/Case Presentations
7:00 - 8:00 Cases followed by Panel Discussion
Session 18A: Robotic Assisted MIDCAB, TECAB (Simultaneous Session)
8:00 - 8:08 Current Evidence for Endoscopic Mid CABG, Robotic Assisted CABG and TECABG (FOUR INVITED EXPERTS SHOW US THEIR TIPS AND TRICKS—VIDEO SESSION)
8:08 - 8:16 Robotic-Assisted CABG: How I Do It
8:16 - 8:24 Robotic-Assisted CABG: How I Do It
8:24 - 8:32 Robotic-Assisted CABG: How I Do It
8:32 - 8:40 Robotic TECAB: How I Do It
8:40 - 8:48 Robotic CABG: Role of Anastomotic Connectors
8:48 - 9:00 Panel Discussion: The Role of Robotic-Assisted CABG in 2017 and Beyond
Session 18B: Redo CABG (Simultaneous Session)
8:00 - 8:08 Indications for Re-Op CABG
8:08 - 8:16 Redo CABG on CPB
8:16 - 8:24 Myocardial Protection for Redo CABG: Antegrade, Retrograde, Crystalloid, Blood, DelNido
8:24 - 8:32 Redo CABG Off-Pump
8:32 - 8:40 Management of Patent Grafts and Grafts Crossing the Midline
8:40 - 8:48 Graft “Recycling”: When and How to Do It
8:48 - 9:00 Panel Discussion: Tips and Tricks for Safe Redo CABG
Session 19: CABG and Atrial Fibrillation
9:00 - 9:08 The Facts about Stroke and CABG In 2017: What is the Role of AF?
9:08 - 9:16 Perioperative Prophylaxis and Management of New Postop AF in the CABG Patient: Best Practices and Impact of New Postop AF on Long-Term Survival
9:16 - 9:24 What is the Evidence for AF Ablation in the CABG Patient?
9:24 - 9:32 What Lesion Set? How To Do AF Ablation for the CABG Patient in 2017
9:32 - 9:40 Alternative Technologies for AF Ablation in On-Pump and Off-Pump CABG
9:40 - 9:48 Should the Left Atrial Appendage be Routinely Occluded in CABG Patients Over Age 70?
9:48 - 10:00 Panel Discussion: How to Manage AF in CABG Patients
10:00 - 10:20 COFFEE BREAK - Exhibits
Session 20: CABG with Ischemic Mitral Regurgitation and/or Heart Failure
10:20 - 10:28 Moderate Ischemic MR: CABG or CABG-plus-MV Repair?
10:28 - 10:36 Severe Ischemic MR: Repair or Replace?
10:36 - 10:44 How To Repair Ischemic MR: Which Ring? Tips and Tricks
10:44 - 10:52 CABG and Heart Failure: When and how to Reconstruct the LV during CABG?
10:52 - 11:05 Panel Discussion: Best Practices in 2017 for Ischemic MR and Heart Failure during CABG
Session 21: Periop Management of the CABG Patient: Managing Preoperative Anti-platelet and Anticoagulant Medications, Recognition and Treatment of Acute Graft Closure/Periop MI and the Impact of Long-term Optimal Medical Management
11:05 - 11:15 Anti-platelet and NOAC Agents Prior to CABG: How Long To Wait? (Do I Need To Bridge?)
11:15 - 11:25 Special Tricks to Avoid/Manage Bleeding in CABG Patients in 2017 (Antifibrinolytic, Sealants, Glues, Factors)
11:25 - 11:33 Recognition and Management of Acute Graft Closure (When Does a Fresh Postop CABG Patient Need To Go To The Cath Lab?)
11:33 - 11:41 Comprehensive Fast-Track Management of the CABG Patient
11:41 - 11:49 Guidelines-Directed Medical Management of Patients after CABG: Here is your Cookbook
11:49 - 11:57 Incidence and Adverse Impact of Sub-Optimal Medical Therapy on CABG Outcomes
11:57 - 12:15 Panel Discussion: Best Practices in Medical Management for CABG Patients—An Opportunity for Improvement
12:15 BREAK AND GRAB BOX LUNCH
Session 22A: TMR, Stem Cells and Mechanical Support for CABG (Simultaneous Session)
12:30 - 12:40 The Role of TMR (Stand Alone and Concomitant with CABG) in 2015 and Beyond: The U.S. Experience
12:40 - 12:50 Bypassing the Un-Bypassable: The Role for Complex CABG plus TMR
12:50 - 1:00 The Role of Stem Cells in Treating CAD in 2017
1:00 - 1:10 When Should a CABG Patient Have an IABP Preop? Intraop?
1:10 - 1:30 Special Invited Lecture: Options for Mechanical Support for High Risk CABG (Impella, ECMO, LVAD, RVAD, BIVAD)
1:30 - 1:40 Management of Anomalous Coronary Arteries in 2017
1:40 - 1:50 Management of Coronary Ectasia and Coronary Aneurysms in 2017: Bypass, Ligate or Ignore?
Session 22B: Abstracts/Videos (Simultaneous Session)
12:30 - 1:50 Abstracts followed by Panel Discussions
Session 23: Coronary Surgery as a Subspecialty
1:50 - 2:10 Is it time for Surgical Coronary Revascularization to be a Subspecialty? And How?
Pro:
Con:

Moderated Discussion and Audience Response
2:10 - 2:20 Summary of Highlights and Key Messages from the ICC 2017 (In Case You Missed It…)
2:30 ADJOURN



Endorsed by:
The Society of Thoracic Surgeons


Co-sponsored by:
Association of Physician Assistants in Cardiovascular Surgery (APACVS) The International Society for Minimally Invasive Cardiothoracic Surgery Japanese Association for Coronary Artery Surgery
Brazilian Society of Cardiovascular Surgery Fu-Wai Hospital of Beijing Indian Association of Cardiovascular-Thoracic Surgeons