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Escalating and De-Escalating Temporary Mechanical Circulatory Support: Pragmatic Approaches to the Patient in Cardiogenic Shock
Tuesday, 10 January, 2023 | 1:00 – 2:00 p.m. EST
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When confronted with a patient who presents in cardiogenic shock, as care providers we are faced with persistent high mortality that has not changed appreciably in the last few decades despite the use of temporary mechanical circulatory support (tMCS). During this webinar, speakers will discuss the pragmatic considerations in the escalation and de-escalation of tMCS in patients with cardiogenic shock. Additionally, speakers will propose standardized approaches to the use of tMCS. Lastly, the role of tMCS in LV recovery will be discussed.
Scientific Program
Moderators:
Phyllis Billia MD, PhD, Peter Munk Cardiac Center, Toronto, ON Canada
Antonio Loforte, MD, PhD, S. Orsola Hospital, Bolana, Italy
Welcome and Introduction
Phyllis Billia, MD, PhD, Peter Munk Cardiac Center, Toronto, ON Canada
Recommendations Outlined: Highlights from the 2022 AHA Statement of Escalation/De-escalation
Shashank Sinha, MD, MSc, Inova Heart & Vascular Institute, Falls Church, VA, USA
The presentation will discuss the major recommendations as outlined by the guideline AHA statement.
Part I Case Presentation by Moderators
Being Pragmatic: The Right Device in the Right Patient at the Right Time
Hannah Copeland, MD, Lutheran Medical Group, Fort Wayne, IN USA
The presentation will discuss the principles underlying the appropriate temporary MCS device selection in patients with cardiogenic shock.
Part II of Case Presentation by Moderators
Being Pragmatic: Escalation Strategies for tMCS in Patients with Refractory Cardiogenic Shock
Manreet Kanwar, MD, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
The talk will cover management strategies for the escalation of tMCS in patients with refractory cardiogenic shock that don’t respond to initial management strategies.
Part III of Case Presentation by Moderators
Being Pragmatic: De-escalation Strategies for tMCS in Patients with CS with an Exit Strategy or Recovery – Where Do We Go from Here?
Jose Gonzalez-Costello, MD, PhD, Bellvitge Hospital, Barcelona, Spain
The presentation will discuss the options for de-escalating tMCS as a bridge to recovery, transition from tMCS to more durable support or palliation.
Q&A Discussion with All Speakers
Led by Moderators
Closing Remarks
Antonio Loforte, MD, PhD, S. Orsola Hospital, Bolana, Italy
Continuing Education Information
There will be no continuing education available for this webinar.