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The Third International Conference on Circulatory Support Devices for Severe Cardiac Failure David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28-30, 1994 Circulatory Support 1994 will be a comprehensive mul- tidisciplinary meeting focusing on clinical applications for the entire spectrum of circulatory support devices. Sur- geons, cardiologists, anesthesiologists, intensivists, per- fusionists, engineers, and operating and intensive care nurses are encouraged to attend as individuals or as a team. The meeting is sponsored by The Society of Thoracic Surgeons under the direction of its Ad Hoc Committee on Circulatory Support and Thoracic Transplantation. An additional, optional program will be scheduled for Friday, October 28th, that will feature a site visit to two regional medical centers. Allegheny General Hospital will be vis- ited to review their cardiomyoplasty program. Afterward the program will feature a site visit to the University of Pittsburgh to review their mechanical circulatory support program. Space will be limited for this special program. The general program will begin on Saturday, October 29, at 8:00 AM and will conclude on Sunday, October 30, at 2:45 PM. The meeting will include a poster session and commercial exhibits including manufacturers and prod- ucts that will be reviewed during the meeting. Further details on this meeting will be mailed to all members of The Society in the future and may be re- quested from The Society of Thoracic Surgeons, 401 N Michigan Ave, Chicago, IL 60611; or call (312) 644-6610. Friday, October 28 OPTIONAL-PROGRAM SITE VISIT The Ad Hoc Committee on Circulatory Support and Thoracic Transplantation has chosen Pittsburgh, Pennsylvania, as the site of its third meeting to provide registrants with workshops sponsored by the Artificial Heart Program of the University of Pittsburgh and the cardiomyoplasty investigators at Allegheny General Hospital. 1:00-3:00 Cardiomyoplasty program per Magovern et al, to include video, patient visits and live operative teleconference of cardiomyoplasty from AGH OR/Laboratory. 3:30-5:30 Center for Biotechnology and Bioengineering Mechanical Circulatory Support Program, University of Pittsburgh, to include recent developments in use of "wearable" LVAS (operative video and patient visit), axial flow technology, and computer-generated design. Visits planned to large animal testing facility and Department of Defense flow visualization laboratory, Family House and Out Patient Housing. Saturday, October 29 David L. Lawrence Convention Center 8:00-8:05 Welcome and Opening Remarks D. Glenn Pennington, Chairman, Ad Hoc Committee on Circulatory Support and Thoracic Transplantation of The Society of Thoracic Surgeons Postcardiotomy Support Moderators: D. Glenn Pennington, St. Louis, MO Charles-Julien Hahn, Arzier, Switzerland 8:05-9:20 Experience With Generally Available Devices Centrifugal Pumps Personal and collective experience Lyle D. Joyce, Minneapolis, MN When to start, wean, stop George P. Noon, Houston, TX Techniques and anticoagulation Jack J. Curtis, Columbia, MO Abiomed BVS 5000 Experience, potential advantages G. Kimble [ett, Dallas, TX Discussion © 1994 by The Society of Thoracic Surgeons Ann Thorac Surg 1994;58:281--4 0003-4975/94/$7.00

The third international conference on circulatory support devices for severe cardiac failure: David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28–30, 1994

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Page 1: The third international conference on circulatory support devices for severe cardiac failure: David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28–30, 1994

The Third International Conference onCirculatory Support Devices forSevere Cardiac FailureDavid L. Lawrence Convention CenterPittsburgh, Pennsylvania, October 28-30, 1994

Circulatory Support 1994 will be a comprehensive mul­tidisciplinary meeting focusing on clinical applications forthe entire spectrum of circulatory support devices. Sur­geons, cardiologists, anesthesiologists, intensivists, per­fusionists, engineers, and operating and intensive carenurses are encouraged to attend as individuals or as ateam.

The meeting is sponsored by The Society of ThoracicSurgeons under the direction of its Ad Hoc Committee onCirculatory Support and Thoracic Transplantation. Anadditional, optional program will be scheduled for Friday,October 28th, that will feature a site visit to two regionalmedical centers. Allegheny General Hospital will be vis-

ited to review their cardiomyoplasty program. Afterwardthe program will feature a site visit to the University ofPittsburgh to review their mechanical circulatory supportprogram. Space will be limited for this special program.

The general program will begin on Saturday, October29, at 8:00 AM and will conclude on Sunday, October 30, at2:45 PM. The meeting will include a poster session andcommercial exhibits including manufacturers and prod­ucts that will be reviewed during the meeting.

Further details on this meeting will be mailed to allmembers of The Society in the future and may be re­quested from The Society of Thoracic Surgeons, 401 NMichigan Ave, Chicago, IL 60611;or call (312) 644-6610.

Friday, October 28

OPTIONAL-PROGRAM SITE VISITThe Ad Hoc Committee on Circulatory Support and Thoracic Transplantation has chosen Pittsburgh, Pennsylvania,as the site of its third meeting to provide registrants with workshops sponsored by the Artificial Heart Program ofthe University of Pittsburgh and the cardiomyoplasty investigators at Allegheny General Hospital.

1:00-3:00 Cardiomyoplasty program per Magovern et al, to include video, patient visits and live operativeteleconference of cardiomyoplasty from AGH OR/Laboratory.

3:30-5:30 Center for Biotechnology and BioengineeringMechanical Circulatory Support Program, University of Pittsburgh, to include recent developments in use of"wearable" LVAS (operative video and patient visit), axial flow technology, and computer-generated design. Visitsplanned to large animal testing facility and Department of Defense flow visualization laboratory, Family House andOut Patient Housing.

Saturday, October 29 David L. Lawrence Convention Center

8:00-8:05 Welcome and Opening RemarksD. Glenn Pennington, Chairman, Ad Hoc Committee on Circulatory Support and Thoracic Transplantation of TheSociety of Thoracic Surgeons

Postcardiotomy SupportModerators: D. Glenn Pennington, St. Louis, MO

Charles-Julien Hahn, Arzier, Switzerland

8:05-9:20 Experience With Generally Available Devices

Centrifugal Pumps

Personal and collective experienceLyle D. Joyce, Minneapolis, MN

When to start, wean, stopGeorge P. Noon, Houston, TX

Techniques and anticoagulationJack J. Curtis, Columbia, MO

Abiomed BVS 5000

Experience, potential advantagesG. Kimble [ett, Dallas, TX

Discussion

© 1994 by The Society of Thoracic Surgeons Ann Thorac Surg 1994;58:281--4 • 0003-4975/94/$7.00

Page 2: The third international conference on circulatory support devices for severe cardiac failure: David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28–30, 1994

282 CIRCULATORY SUPPORT DEVICES Ann Thorae Surg1994;58:281-4

9:05-9:55 Experience With Devices With Limited Availability

ThoratecReiner Korfer, Bad Oeynhausen, Germany

Toyobo, ZeonTetsuzo Akutsu, Kanazawa, Japan

HemopumpGilles D. Dreyfus, Neuilly, France

Discussion

10:40-11:30 ECMO for Cardiac Support

Heparin-bonded surfacesLudwig K. von Segesser, Zurich, Switzerland

Postcardiotomy support, adultGeorge J. Magovern, Jr, Pittsburgh, PA

Postcardiotomy support, childrenPedro J. del Nido, Pittsburgh, PA

Discussion

11:30-12:45 Luncheon and Lecture

Total Artificial Heart: From Bridge to Transplant to Permanent UseWilliamS. Pierce, Hershey, PA

Bridge to Transplant: Extended SupportModerators: Roland Hetzer, Berlin, Germany

Peer M. Portner, Oakland, CA

12:45-1:45 Univentricular Versus Biventricular Support

Physiology of univentricular versus biventricular supportChristian Cabrol, Paris, France

Ventricular interactionWilliam P. Santarnore, Louisville, KY

Clinical viewJ. Donald Hill, San Francisco, CA

Clinical viewRobert L. Kormos, Pittsburgh, PA

1:45-2:35 Infection

Device-related infectionRichard L. Simmons, Pittsburgh, PA

Clinical viewPatrick M. McCarthy, Cleveland, OH

Clinical viewWilliamL. Holman, Birmingham, AL

Discussion

3:20-4:10 Thromboembolism/Bleeding

Insights into the problemV. Paul Addonizio, Philadelphia, PA

Need for clinical standardsBenjamin Eidelman, Pittsburgh, PA

Page 3: The third international conference on circulatory support devices for severe cardiac failure: David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28–30, 1994

Ann ThoraeSurg1994;58:281-4

Clinical strategiesJack G. Copeland, Tucson, AZ

Discussion

4:10-4:50 Patient Selection: Too Early Versus Too Late for Bridge

Medical viewLynne W. Stevenson, Boston, MA

Surgeon's view (Europe/USA)Daniel Y. Loisance, Creteil, France

Discussion

4:50-5:40 Extended Bridge: Permanent Implant

Evolution of battery powered/vented VADsO. Howard Frazier, Houston, TX

CIRCULATORY SUPPORT DEVICES 283

Clinical experience (all devices) > 100 daysBartley P. Griffith, Pittsburgh, PA

Potential for percutaneous versus total implant systems: point/counterpointEric A. Rose, New York, NY, and D. Glenn Pennington, St. Louis, MO

Discussion

6:00-7:30 Reception

Sunday, October 30

9:00-9:50 Dynamic MyoplastyModerators: Ray Ci-]. Chiu, Montreal, Quebec, Canada

Albert Starr, Portland, OR

Cardiomyoplasty

European experienceAlain F. Carpentier, Paris, France

South American experienceLuiz F. P. Moreira, Sao Paulo, Brazil

USA experienceGeorge J. Magovern, Pittsburgh, PA

AortomyoplastyJuan-Carlos Chachques, Paris, France, and James A. Magovern, Pittsburgh, PA

Skeletal muscle ventricleLarry W. Stephenson, Detroit, MI

9:50-10:20 Panel Discussion

10:35-12:00 Pumps in ProgressModerators: Ernst Wolner, Vienna, Austria

Donald B. Olsen, Salt Lake City, UT

Pediatric Pierce DonachyBill B. Daily, St. Louis, MO

Ottawa HeartWilbert J. Keon, Ottawa, Ontario, Canada

Nimbus-Pitt VADHarvey S. Borovetz, Pittsburgh, PA

[arvik intracardiac axial flowRobert K. [arvik, New York, NY

AB 180-implanted centrifugal pumpRichard E. Clark, Pittsburgh, PA

Page 4: The third international conference on circulatory support devices for severe cardiac failure: David L. Lawrence Convention Center Pittsburgh, Pennsylvania, October 28–30, 1994

284 CIRCULATORY SUPPORT DEVICES

Roto dynamic pumpLeonard A. R. Golding, Cleveland, OH

Pulsatile rotary pumpJean R. Monties, Marseille, France

Discussion

Ann Thorac Surg1994;58:281-4

Nursing Session

10:00-11:00 Nursing Experience With the VAD Patient: What's Hot, What's NotModerator: S. Jill Ley, San Francisco, CADebra A. Moroney, St. Louis, MOW. Donald Rountree, Louisville, KYOther (TBA)

11:00-12:00 Clinical Problem-Solving: Multidisciplinary Case ReviewModerator: Carla J. Nastala, Pittsburgh, PAJane E. Reedy, St. Louis, MOStephen Winowich, Pittsburgh, PADouglas P. Lohman, St. Louis, MOOther (TBA)

12:30-2:30 Regulatory IssuesModerators: Walter E. Pae, Hershey, PA

Jack G. Copeland, Tucson, AZ

FDA Regulation of Medical Devices

Point/Counterpoint

FDA perspectiveBruce Burlington, FDA Center for Radiologic Health, Rockville, MD

Industry perspectiveDenise Shimokocki, Regulatory & Clinical Research, Sarns 3M Healthcare, Ann Arbor, MI

Legal perspectiveEllen J. Flannery, Covington and Burling, Washington, DC

Surgical aspectJ. Donald Hill, California Pacific Medical Center, San Francisco, CA

Discussion

2:30 Adjourn