International Coronary Congress
2015 Program
FRIDAY, AUGUST 21, 2015
7:00 am
Registration and Coffee Break in Exhibit Area
7:50 am
Welcome and Introduction to the AATS International Coronary Congress and Keynote Speaker
John D. Puskas and David P. Taggart

Session I: Evidence Base for CABG in 2015
Moderators: John D. Puskas and David P. Taggart
8:00 am
Keynote: Indications for CABG in 2015 and Beyond
Valentin Fuster
8:20 am
PCI and Medical Therapy in 2015 and Beyond: The Future of Non–Surgical Treatment of Coronary Artery Disease
Samin Sharma
8:35 am
PCI and CABG: The Facts, 2015 and the Role of the Heart Team
David P. Taggart
8:50 am
Moderated Discussion and Audience Q&A: Evolving Indications for CABG and the Role of the Heart Team
Moderator: John D. Puskas
Panel: Valentin Fuster, Samin Sharma, and David P. Taggart

Session II: Indications for CABG
Moderators: Valentin Fuster and Bruce D. Lytle
9:00 am
Measuring Myocardial Ischemia Outside the Cath Lab: Nuclear Perfusion Studies, MRI, etc.
Jagat Narula
9:12 am
Measuring Myocardial Ischermia in the Cath Lab: Angiography, FFR, IVUS
Anapoorna Kini
9:24 am
Updated US CABG Guidelines
John D. Puskas
9:32 am
Updated European CABG Guidelines
Paul T. Sergeant
9:40 am
Indications for CABG in China in 2015
Sheng–Shou Hu
9:48 am
Discussion: Indications for CABG
Valentin Fuster, Bruce D. Lytle, Jagat Narula, Anapourna Kini, John D. Puskas, Paul T. Sergeant, and Shen–Shou Hu
10:00 am
Coffee Break

Session III: Moving BITA Grafting Into the Main Stream
Moderators: Stephen E. Fremes and Brian F. Buxton
10:20 am
The 2015 STS Guidelines on Arterial Conduits for Coronary Artery Bypass Grafting
Stephen E. Fremes
10:28 am
The History of BITA Grafting
Bruce D. Lytle
10:36 am
BITA Grafting: The Evidence in 2015
David P. Taggart
10:45 am
BITA Grafting in the Elderly
Rafael Mohr
10:52 am
Can BITA Adequately Supply the Entire Heart?
David Glineur
11:00 am
BITA Grafting in Patients with Diabetes: When to Do It and When Not to Do It
John D. Puskas
11:08 am
Moderated Panel Discussion: When to do BITA Grafting
Moderators: Stephen E. Fremes and Brian F. Buxton
Panel: Stephen E. Fremes, Bruce D. Lytle, David P. Taggart, Rafael Mohr, David Glineur and John D. Puskas

Session IV: BITA Grafting: How to Harvest and Use BITA Grafts (Moderated Videos); Mitigating Risk of Mediastinitis
Moderators: David P. Taggart and Joseph F. Sabik, III
11:15 am
Skeletonized Harvest: What are the Advantages?
David P. Taggart
11:23 am
BITA Harvest and Preparation with the Harmonic Scalpel
Teresa M. Kieser
11:31 am
BITA Configurations in all Arterial Grafting
Brian F. Buxton
11:39 am
BITA Configurations: In Situ versus Composite Grafting
Junjiro Kobayashi
11:47 pm
The 2015 STS Guidelines for Prevention of Mediastinitis
Harold L. Lazar
11:55 pm
How I Minimize Risk of Mediastinitis
Michael DiMaio
12:03 pm
Panel Discussion: How I use BITA Condiuits and avoid Mediastinitis
James Tatoulis, Joseph F. Sabik, III, Teresa M. Kieser, Brian F. Buxton, Junjiro Kobayashi, Harold L. Lazar, and Michael DiMaio
12:11 pm
Lifetime Achievement Awards
John D. Puskas and David P. Taggart
12:20 pm
Lunch

Session V: Radial Artery Conduits
Moderators: Stephen E. Fremes and Brian F. Buxton
1:45 pm
The RAPCO Trial and Other Evidence for Radial Artery Conduits in 2015
Brian F. Buxton
1:53 pm
Outcomes with RA vs. RITA as 2nd Arterial Conduit
Robert Tranbaugh
2:01 pm
Endoscopic Radial Artery Harvest—Techniques and Outcomes
Helbert DeCastro and John D. Puskas
2:09 pm
Single versus Sequential Radial Artery Grafting
Thomas A. Schwann
2:17 pm
How I use Radial Artery Grafts: In–flow Alternatives for Radial Artery Conduits
James Tatoulis
2:25 pm
The RAPS Trail: Management of Radial Artery Conduits, Patient Selection and Pharmacology to Prevent Graft Spasm
Stephen E. Fremes
2:33 pm
Panel Discussion: When and How I Use Radial Artery Conduits. How I Avoid and/or Treat Graft Spasm
Stephen E. Fremes, Brian F. Buxton, Robert Tranbaugh, John D. Puskas, Thomas A. Schwann, and James Tatoulis

Session VI: State-of-the-Art Saphenous Vein Grafting in 2015 and Beyond
Moderators: David Taggart and Ki–Bong Kim
2:41 pm
When is a Saphenous Vein Graft the Preferred Conduit?
Ki–Bong Kim
2:49 pm
Impact of Harvest Technique on Long-Term Vein Graft Patency
Stephen E. Fremes
2:57 pm
Saphenous Vein Harvest, Open versus Endoscopic: The Evidence
Joseph F. Sabik, III
3:05 pm
The Importance of Storage Solutions and their Effect on Patency after Vein Graft Harvest
Louis P. Perrault
3:13 pm
Role of External Stenting of Saphenous Vein Grafts
David P. Taggart
3:21 pm
Panel Discussion: When and How to use Saphenous Vein Grafts
Louis P. Perrault, Ki–Bong Kim, Joseph F. Sabik, III, John D. Puskas, David P. Taggart, and David Holmes
3:30 pm
Coffee Break

Session VII: Gastroepiploic Artery Conduits (Parallel Session): Part 1
Moderators: Sheng–Shou Hu and Giuseppe Tavilla
3:50 pm
The Evidence for GEA Grafting in 2015
Tohru Asai
3:56 pm
GEA: How to Harvest and Avoid Spasm
Giuseppe Tavilla
4:02 pm
How I Harvest and Utilize the GEA
Tohru Asai
4:08 pm
GEA: Which Targets? Free Graft or In–Situ?
Giuseppe Tavilla
4:16 pm
Moderated Q&A: What would it take to make GEA Grafting Routine?
Frederico Benetti

Session VII: Abstracts/Videos (Parallel Session): Part 2
Moderators: Brian Buxton and Robert Tranbaugh
3:50 pm
Panel Discussion: Abstract Q&A
Brian Buxton, Robert Tranbaugh, and Presenting Authors

Session VIII: Endarterectomy and Full Metal Jacket (Parallel Session): Part 1
Moderators: Thoralf M. Sundt and Thierry–Pierre Carrel
4:22 pm
How I Perform Endarterectomy and Manage Full Metal Jacket
Shuichiro Takanashi
4:28 pm
How I Perform Endarterectomy and Manage Full Metal Jacket
Thoralf M. Sundt
4:36 pm
How I Perform Endarterectomy and Manage Full Metal Jacket
Ki–Bong Kim
4:42 pm
How I Perform Endarterectomy and Manage Full Metal Jacket
Thomas A. Schwann
4:50 pm
Panel Discussion: What is the Future of Surgical Management of Full Metal Jacket? What Progress Have We Made in Coronary Endarterectomy?
Thoralf M. Sundt, Thierry–Pierre Carrel, Shuichiro Takanashi, and Thomas A. Schwann

Session VIII: Abstracts/Videos (Parallel Session): Part 2
Moderators: Tohru Asai and Giuseppe Tavilla
4:22 pm
Panel Discussion: Abstract Q&A
Tohru Asai, Giuseppe Tavilla, and Presenting Authors

SATURDAY, AUGUST 22, 2015
6:30 am
Breakfast

Session IX: Case Presentations/Abstract Session
Moderators: David P. Taggart and Bruce W. Lytle
7:00 am
Panel Discussion: Abstract Q&A
David P. Taggart, Bruce W, Lytle, and Presenting Authors

Session X: On–PUMP CABG: Cardiopulmonary Bypass and Myocardial Protection
Moderators: Joseph F. Sabik, III and Thoralf M. Sundt
8:00 am
Why I Like To Do All My CABGs on Pump
Thoralf M. Sundt
8:10 am
Fundamentals of Cardiopulmonary Bypass for CABG (Standard versus Mini Circuits)
Thierry-Pierre Carrel
8:20 am
Myocardial Preservation Strategies for CABG for On-Pump CABG
Joseph F. Sabik, III
8:30 am
Blood Cardioplegia, Crystalloid Cardioplegia, Del Nido Solution and Others
Thierry-Pierre Carrel
8:40 am
The STS Guidelines for Blood Conservation in CABG
Gaetano Paone
8:50 am
Panel Discussion: How I Conduct CPB and Protect the Heart during On–Pump CABG
Joseph F. Sabik, III, Thoralf M. Sundt, Thierry-Pierre Carrel, and Gavin Murphy

Session XI: Distal Anastomosis Suture Techniques (Moderated Videos)
Moderators: Naresh K. Trehan and Raphael Mohr
9:00 am
How I do Distal Anastomoses: Running vs Interrupted; 7/0 vs 8/0
Bruce D. Lytle
9:10 am
How I do Distal Anastomoses to the Anterior Inferior and Lateral Walls
James Tatoulis
9:20 am
How I do Distal Anastomoses: U-clips and Cardica Flex-A
Husam H. Balkhy
9:30 am
Single vs Sequential Anastomosis (Myths and Data)
David Glineur
9:40 am
Panel Discussion: Best Practices in Constructing Distal Anastomoses
Raphael Mohr, David P. Taggart, John D. Puskas, Joseph F. Sabik, III, David Glineur and Husam H. Balkhy
9:50 am
Coffee Break

Session XII: Proximal Anastomosis Techniques (Moderated Videos)
Moderators: Teresa M. Kieser and Tohru Asai
10:15 am
Why I always Image the Ascending Aorta Intraoperatively
Hirokuni Arai
10:23 am
How I do Proximal Anastomoses on CPB
Joseph F. Sabik, III
10:31 am
How I do Proximal Anastomoses
Husam H. Balkhy
10:39 am
How I do (Selected) Proximal Anastomoses (Clampless *Piggy–back Proximals with the Heart String)
John D. Puskas
10:47 am
Panel Discussion: Best Practices in Constructing Proximal Anastomoses
Teresa M. Kieser, Hirokuni Arai, Joseph F. Sabik, III, Husam H. Balkhy, John D. Puskas, and Tohru Asai

Session XIII: Off–Pump CABG via Median Sternotomy: Part 1
Moderators: Federico Benetti and Harold L. Lazar
10:55 am
The History of OPCAB
Federico Benetti
11:03 am
OPCAB: The Evidence in 2015
David P. Taggart
11:11 am
The Evidence for All–Arterial OPCAB in 2015
John D. Puskas
11:19 am
How I Choose OPCAB vs ONCAB in 2015
Joseph F. Sabik, III
11:27 am
How I Choose OPCAB vs ONCAB in 2015
Sheng–Shou Hu
11:35 am
Teaching On–Pump and Off–Pump CABG to Surgical Residents and Practicing Surgeons
Paul T. Sergeant
11:43 am
Expert Opinion: Why hasn’t OPCAB lived up to Expectations?
Bruce D. Lytle
11:53 pm
Panel Discussion: Best Practices for OPCAB in 2015
Federico Benetti, Harold L. Lazar, David P. Taggart, John D. Puskas, Joseph F. Sabik, III, Sheng–Shou Hu, Paul T. Sergeant, and Bruce D. Lytle
12:15 pm
Lunch

Session XIII: Off–Pump CABG via Median Sternotomy: Part 2
Moderators: Enio Buffolo and Paul T. Sergeant
1:30 pm
The Evolution of OPCAB
Enio Buffolo
1:38 pm
Tips and Tricks for OPCAB
John D. Puskas
1:46 pm
Coronary Shunting and Other Adjuncts to OPCABG
Paul T. Sergeant
1:54 pm
Common Pitfalls of OPCAB
Claudio Muneretto
2:02 pm
Off-Pump Plication of Post MI Left Ventricular Aneurysm: Improve Cardiac Function and Mitral Regurgi
Ajeet Bana
2:08 pm
Panel Discussions: My Tips and Tricks for State–of–the–art OPCAB
Enio Buffolo, Paul T. Sergeant, John D. Puskas, Claudio Muneretto, and Ajeet Bana

Session XIV: Abstracts/Videos (Parallel Session)
Moderators: Harold L. Lazar and Kim Ki-Bong
2:20 pm
Panel Discussion: Abstract Q&A
Harold L. Lazar, Kim Ki-Bong, and Presenting Authors

Session XV: Graft Assessment with Transit Time Flow Measurement
Moderators: Hirokuni Arai and James Tatoulis
2:20 pm
Intraoperative Doppler Graft Assessment Should Be Standard of Care
David P. Taggart
2:28 pm
How Does TTFM Actually Work?
Gabriele Di Giammarco
2:36 pm
Graft Flow Measurement: What Do The Numbers Mean and When to Revise the Graft
Gabriele Di Giammarco
2:44 pm
High Frequency Ultrasound Interrogation of the Anastomoses
Hirokuni Arai
2:52 pm
Graft Flow Measurements with Transit Time Doppler: (How I Use it and Why the Medi–Stim is Important to My Patients)
Teresa M. Kieser
3:00 pm
Best Practices for Graft Assessment and Surgical Guidance with TTFM and Ultrasound Imaging in CABG
Hirokuni Arai, James Tatoulis, David P. Taggart, Gabriele Di Giammarco, and Teresa M. Kieser
3:15 pm
Coffee Break

Session XVI: MIDCAB, Hybrid Revascularization, Multivessel CABG via Thoracotomy (Parallel Session): Part 1
Moderators: Francis P. Sutter and Naresh K. Trehan
3:35 pm
Outcomes with MIDCAB
David Glineur
3:43 pm
Tips and Tricks for MIDCAB via Thoracotomy
Marc Ruel
3:55 pm
Multi–Vessel CABG via Left Thoracotomy: When and How I Do It
Marc Ruel
4:03 pm
Angiographic Outcomes with ‘Minimally Invasive’ CABG from Around the World
Naresh K. Trehan
4:11 pm
Is There Any Real Advantage of Mini Thoracotomy vs Median Sternotomy for CABG
Michael E. Halkos
4:19 pm
Current Role of Hybrid Coronary Revascularization: Chinese Perspective
Sheng–Shou Hu
4:27 pm
Current Role of Hybrid Coronary Revascularization: North American Perspective
Francis P. Sutter
4:35 pm
Panel Discussion: What is the Role for MIDCAB via Thoracotomy? My Tips and Tricks for State–of–the–art MIDCAB
Francis P. Sutter, Naresh K. Trehan, David Glineur, Michael E. Halkos, Sheng–Shou Hu, and Marc Ruel

Session XVI: Abstracts/Videos (Parallel Session): Part 2
Moderators: James Tatoulis and Hirokuni Arai
3:35 pm
Panel Discussion: Abstract Q&A
James Tatoulis, Hirokuni Arai, and Presenting Authors

SUNDAY, AUGUST 23, 2015
6:30 am
Breakfast

Session XVII: Breakfast is Served: Dine and Discuss Abstract Session
Moderators: John D. Puskas and Rephael Mohr
7:00 am
Panel Discussion: Abstract Q&A
John D. Puskas, Rephael Mohr, and Presenting Authors

Session XVIII: Robotic Assisted MIDCAB, TECAB
Moderators: Michael E. Halkos and Chanqging Gao
8:00 am
Current Evidence for Endoscopic Mid CABG, Robotic Assisted CABG and TECABG
Michael E. Halkos
8:08 am
Robotic–Assisted CABG: How I Do It
Husam H. Balkhy
8:16 am
Robotic–Assisted CABG: How I Do It
Francis P. Sutter
8:24 am
Robotic–Assisted CABG: How I Do It
Michael E. Halkos
8:32 am
Robotic TECAB: How I Do It
Husam H. Balkhy
8:40 am
Robotic TECAB: How I Do It
Chanqging Gao
8:48 am
Panel Discussion: The Role of Robotic–Assisted CABG in 2015 and Beyond
Michael E. Halkos

Session XIX: Redo CABG (Parallel Session)
Moderators: Bruce D. Lytle and David Glineur
8:00 am
Indications for Re–Op CABG
Ramchandra C. Reddy
8:08 am
Redo CABG on CPB
Bruce D. Lytle
8:16 am
Myocardial Protection for Redo CABG: Antegrade, Retrograde, Crystalloid, Blood, DelNido
Lorenzo A. Menicanti
8:24 am
Redo CABG Off–Pump
John D. Puskas
8:32 am
Management of Patent Grafts and Grafts Crossing the Midline
Bruce D. Lytle
8:40 am
Graft “Recycling”: When and How to Do It
David Glineur
8:48 am
Panel Discussion: Tips and Tricks for Safe Re–do CABG
Bruce D. Lytle, Ramchandra C. Reddy, Lorenzo A. Menicanti, John D. Puskas, and David Glineur

Session XX: Stroke, CABG and Atrial Fibrillation
Moderators: Gil Bolotin and Ralph J. Damiano
9:05 am
The Facts About Stroke And CABG In 2015
Thoralf M. Sundt
9:08 am
Best Practices and New Devices to Minimize Stroke in On-Pump CABG
Gil Bolotin
9:16 am
Perioperative Prophylaxis and Management of New Postop AF in the CABG Patient: Best Practices
Vivek Reddy
9:24 am
What is the Evidence for AF Ablation in the CABG Patient?
Ralph J. Damiano
9:32 am
How I Do AF Ablation in the CABG Patient
Ralph J. Damiano
9:40 am
Should the Left Atrial Appendage be Routinely Occluded in CABG Patients Over Age 70?
Claudio Muneretto
9:48 am
Panel Discussion: How I Minimize Stroke during CABG
Gil Bolotin, Thoralf M. Sundt, Vivek Reddy, Ralph J. Damiano, and Claudio Muneretto
10:00 am
Coffee Break

Session XXI: CABG with Ischemic Mitral Regurgitation and/or Heart Failure
Moderators: Michael A. Acker and Lorenzo Menicanti
10:20 am
Moderate Ischemic MR: CABG or CABG–plus–MV Repair?
Robert E. Michler
10:28 am
Severe Ischemic MR: Repair or Replace?
Michael A. Acker
10:36 am
How To Repair Ischemic MR: Which Ring? Tips and Tricks
Michael A. Acker
10:44 am
CABG and Heart Failure: When and how to Reconstruct the LV during CABG?
Lorenzo A. Menicanti
10:52 am
Panel Discussion: Best Practices in 2015 for Ischemic MR and Heart Failure during CABG
Lorenzo Menicanti, Robert E. Michler, John D. Puskas, and Michael A. Acker

Session XXII: Optimal Medical Management of CABG Patients: What Surgeons Must Know
Moderators: David Holmes and Harold L. Lazar
11:05 am
Incidence and Adverse Impact of Inferior Medical Therapy on CABG Outcomes
David Holmes
11:15 am
Guidelines–Directed Medical Management of Patients after CABG: Here is your Cookbook
David Holmes
11:25 am
Anti–Platelet Medication at Time of CABG: Single? Dual? When to Stop? When to Restart? STS Perspective
Marc Ruel
11:33 am
What is the Role in 2015 for Intraoperative Anti–Fibrinolytics During CABG?
Bradley S. Taylor
11:41 am
Managing Postoperative Pain in CABG Patients
Salvatore Vitale
11:49 am
Anti–Inflammatory Medications (Why the Black Box Warning?) and Medical Management of Heart Failure after CABG
Michael Domanski
11:57 am
Panel Discussion: Best Practices in Medical Management for CABG Patients—an Opportunity for Improvement
Harold L. Lazar, Teresa M. Kieser, David Holmes, Marc Ruel, Bradley S. Taylor, Salvator Vitale, and Michael Domanski
12:15 pm
Lunch

Session XXIII: TMR: Part 1
Moderators: Keith Allen and Omar M. Lattouf
12:30 pm
The Role of TMR (Stand Alone and Concomitant with CABG) in 2015 and Beyond: The U.S. Experience
Keith Allen
12:40 pm
Bypassing the Un-Bypassable: The Role for Complex CABG plus TMR
Omar M. Lattouf
12:50 pm
Stand Alone TMR for Ischemic Heart Disease: State of the Art
V. Seenu Reddy

Session XXIII: Abstracts/Videos (Parallel Session): Part 2
Moderators: Chanqging Gao and David Glineur
12:30 pm
Panel Discussion: Abstract Q&A
Sheng-Shou Hu, David Glineur, and Presenting Authors

Session XXIV: CABG From Around the World: Prospects and Challenges: Part 1
Moderators: Shuichiro Takanashi and Marc Ruel
1:05 pm
The View from China
Chanqging Gao
1:10 pm
The View from South America
Federico Benetti and Enio Buffolo
1:15 pm
The View from India
Kunal Sarkar
1:20 pm
The View from the Middle East
Rafael Mohr
1:25 pm
The View from Japan
Junjiro Kobayashi
1:30 pm
The View from Europe
Giuseppe Tavilla
1:35 pm
The View from Australia
James Tatoulis
1:40 pm
The View from North America
Bruce D. Lytle
1:45 pm
Discussion: World Trends in CABG, Arterial Grafting, OPCAB/Less Invasive CABG, Hybrid and PCI

Session XXIV: Abstracts/Videos (Parallel Session): Part 2
Moderators: Thomas A. Schwann and Stephen E. Fremes
1:05 pm
Panel Discussion: Abstract Q&A
Thomas A. Schwann, Stephen E. Fremes, and Presenting Authors

Session XXV: Key Highlights from AATS ICC 2015 and Wrap Up
Moderators: John D. Puskas and David P. Taggart
2:00 pm
Is it Time for Surgical Coronary Revascularization to be a Subspecialty? A Conversation
Bruce D. Lytle and David Holmes
2:15 pm
Summary of Highlights and Key Messages from the ICC (In Case You Missed It…) and Announcement of ICC, 2016
John D. Puskas and David P. Taggart
2:30 pm
Adjourn