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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

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

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)

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)

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

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

Iran Office:

Tel: +98 21 44412437 - 88644567

P.O. Box: 14655-149 Tehran - Iran

www.iscs.org.ir

info@iscs.org.ir

Raising Standards through Education and Training