Programme for 2018

This year’s TALS happened Saturday, 29th September 2018.
We have prepared a knowledge-packed meeting with both national and international top performers of our area to discuss the latest advances since last year.

8H00

REGISTRATION

9H00

WELCOME

ÁLVARO LARANJEIRA SANTOS

9H05

1ST SESSION: TAVI AND RAPID DEPLOYMENT AORTIC VALVE CHALLENGING TREATMENTS FOR AORTIC STENOSIS

TAVI has been more and more an attractive technique, with the overall outcomes continuously improving. However, we have been witnessing a true revolution, in the surgical approach to the degenerative aortic stenosis. New prosthesis and less invasive methods are already routine procedures in a few Centers. How can we compare results and discuss special indications? This 1st Session will be very provocative and we are going to demonstrate the potential complementarity of both approaches.

MODERATORS

LINO PATRÍCIO | Interventional Cardiology, Hospital de Santa Marta, Lisboa, Portugal
JOÃO CARLOS MOTA | Cardiac Surgery, Casa de Saúde da Boavista, Porto, Portugal

TOPICS IN DISCUSSION

– Sizing and Positioning
– Durability
– Performance in unfavourable anatomies
– Bicuspid AV
– Multiple Valvular Disease
– Pacemaker
– Rates
– Paravalvular leaks
– Stroke

CLINICAL CASES

A. TAVI
Hospital de Santa Marta

B. RAPID DEPLOYMENT PROSTHESIS
Hospital de Santa Maria

1.1. THE BEST TREATMENT FOR DEGENERATIVE AORTIC BIOPROSTHESIS IN TAVI ERA

RÚBEN RAMOS | Interventional Cardiology, Hospital de Santa Marta, Lisboa, Portugal

1.2. AORTIC VALVE REPLACEMENT IN YOUNG PATIENTS IN THE TAVI ERA

PEDRO CANAS DA SILVA | Interventional Cardiology, Hospital de Santa Maria, Lisboa, Portugal

1.3. BICUSPID VALVE AND AORTIC DILATATION IN PATIENT WITH CONTRAINDICATION TO SURGERY

PEDRO BRAGA | Interventional Cardiology, Hospital de Gaia, Gaia, Portugal

1.4. MINIMALLY INVASIVE APPROACH FOR CARDIAC SURGERY

MIGUEL GUERRA | Cardiac Surgery, Hospital de Gaia, Gaia, Portugal

1.5. UPDATE IN SUTURELESS AORTIC VALVE REPLACEMENT

CARMELO MIGNOSA | Cardiac Surgery, Palermo, Italy

1.6. HIGHLIGHTS IN TAVI AND RAPID DEPLOYMENT AORTIC VALVE PROSTHESIS. COMPETITIVE OR COMPLEMENTARY OPTIONS?
(What we learned from the CAVALIER and PARTNER II trials)

ALFREDO CERILLO | Cardiac Surgery, Massa, Italy

DISCUSSANTS

DUARTE CACELA | Interventional Cardiology, Hospital de Santa Marta, Lisboa, Portugal
MANUEL MAGALHÃES | Cardiac Surgery, Hospital de Santa Marta, Lisboa, Portugal

11H00

COFFEE-BREAK

11H30

2ND SESSION: EVOLUTION IN THE TREATMENT OF TYPE A ACUTE AORTIC DISSECTION

The methods of diagnosis, indications, timings and surgical options are in constant evolution. To keep the patient alive at the end of the intervention is not the only concern anymore. More and more we know long term results and those are clearly influenced by the surgical options in the operating room. What to do with the resources and logistics of our Hospitals and SNS? We´ll have a debate, for sure very enlightening with a guest expert panel in this area. The percutaneous intervention in this specific acute pathology could be an imminent reality in patients unfit for surgery?

MODERATORS

ÁLVARO LARANJEIRA SANTOS | Cardiac Surgery, Hospital de Santa Marta, Lisboa, Portugal
ADELINO LEITE MOREIRA | Cardiac Surgery, Hospital de São João, Porto, Portugal

The moderators will introduce several topics to provoke a 45 minute discussion around type A dissection.

TOPICS IN DISCUSSION

– Diagnostic Exams before surgery in an Acute Situation
– Proximal Repair vs. Total Arch Repair
– What are the best options when there is no Hybrid Room or Dedicated Team available
– How important is it to treat the false lumen
– 2nd Stage Elective Procedures: When and How
– Paraplegia after FET

CLINICAL CASES

C. TYPE A ACUTE DISSECTION – ELECTIVE HYBRID PROCEDURE
Jorge Pinheiro Santos
Hospital de Santa Marta

D. TYPE A ACUTE DISSECTION – FET
Hospital de Santa Maria

2.1. TYPE A AORTIC DISSECTION. OUTCOMES AFTER SURVIVING THE ACUTE PHASE
Post-operative imaging lecture

ARTURO EVANGELISTA | Imaging Cardiology, Hospital Valle de Hebron, Madrid, Spain

2.2. THE FROZEN ELEPHANT TRUNK IN ACUTE TYPE A AORTIC DISSECTIONS: IS IT FEASIBLE IN LOW-VOLUME CARDIAC SURGERY CENTERS?

LUIS FERNANDO LÓPEZ ALMODÓVAR | Cardiac Surgery, Toledo, Spain

PANEL OF EXPERTS

KONSTANTINOS TSAGAKIS | Cardiac Surgery, Essen, Germany
OLIVER BERNECKER | Cardiac Surgery, Sankt Pölten, Austria
JACQUES TOMASI | Cardiac Surgery, Rennes, France
JUAN JOSÉ LEGARRA | Cardiac Surgery, Vigo, Spain

12H30

CONFERENCE

CHAIRMAN

LUIS VOUGA | Cardiac Surgery, Hospital de Gaia, Gaia, Portugal

TYPE A ACUTE DISSECTION, TOTAL ENDOVASCULAR APPROACH, WHEN AND HOW?

ANDREAS MITSIS | Interventional Cardiology, Brompton Hospital, London, UK

13H00

LUNCH

14H15

3RD SESSION: ARCH & FROZEN ELEPHANT TRUNK.
CURRENT SURGICAL OPTIONS

The complex thoracic aorta pathology has been increasingly frequent, probably due to a refined diagnosis. The surgical challenge to intervene in the arch and proximal descending aorta is in rapid evolution. Total endovascular arch repair is available for selected patients, still there are shadows to overcome.

MODERATORS

KONSTANTINOS TSAGAKIS | Cardiac Surgery, Essen, Germany
ÂNGELO NOBRE | Cardiac Surgery, Hospital de Santa Maria, Lisboa, Portugal

CLINICAL CASES

E. CONVENTIONAL REPAIR FET
Daniela Varela Afonso
Hospital de Santa Marta, Lisboa

F. TOTAL ENDOVASCULAR
Hospital de São João, Porto

3.1. THE PORTUGUESE EXPERIENCE WITH FET

ANTÓNIO TOMÁS | Cardiac Surgery, Hospital de Santa Marta, Lisboa, Portugal

3.2. THE SPANISH EXPERIENCE WITH FET

ÁLVARO ORTÍZ DE SALAZAR | Cardiac Surgery, Hospital de Basurto, Bilbao, Spain

3.3. THE FRENCH EXPERIENCE WITH FET

JACQUES TOMASI | Cardiac Surgery, Rennes, France

3.4. THE EVITA OPEN REGISTRY RESULTS

KONSTANTINOS TSAGAKIS | Cardiac Surgery, Essen, Germany

DISCUSSANTS

OLIVER BERNECKER | Cardiac Surgery, Sankt Pölten, Austria
CARMELO MIGNOSA | Cardiac Surgery, Palermo, Italy
JOSÉ PEDRO NEVES | Cardiac Surgery, Carnaxide, Portugal

16H15

CONFERENCE

CHAIRMEN

JOSÉ FERNANDO TEIXEIRA | Vascular Surgery, Hospital de São João, Porto, Portugal
PAULO PINHO | Cardiac Surgery, Hospital de São João, Porto, Portugal

TOTAL ENDOVASCULAR ARCH REPAIR: CURRENT BRIGHTS AND SHADOWS

VINCENTE RIAMBAU | Vascular Surgery, Barcelona, Spain

DISCUSSANT

PAULO PINHO | Cardiac Surgery, Hospital de São João, Porto, Portugal

16H45

COFFEE-BREAK

17H00

CONFERENCE

CHAIRMAN

LUIS MOTA CAPITÃO | Vascular Surgery, CUF Descobertas, Lisboa, Portugal

UNDERSTANDING THE ANATOMY AND PHYSIOLOGY OF THE SPINAL CORD VASCULARIZATION WHEN PLANNING DESCENDING AORTA INTERVENTIONS

GERMANO MELISSANO | Vascular Surgery, Ospedale San Raffaele, Milan, Italy

17H20

4TH SESSION: DESCENDING AORTA DISEASE MANAGEMENT

Understanding the vascular anatomy and physiology of the spinal cord is fundamental to draw the correct strategy, supported by an adequate monitoring, to ensure our desired excellent outcomes. Indications and strategies to treat type B dissections, both acute and chronic, are today quite anchored in random and prospective studies. We will have the privilege of having international pioneers in endovascular intervention and in the rationalization and characterization of patient subgroups where endovascular treatment is superior to the best medical therapy.

MODERATORS

GERMANO MELISSANO | Vascular Surgery, Ospedale San Raffaele, Milan, Italy
LUÍS MENDES PEDRO | Vascular Surgery, Hospital de Santa Maria, Lisboa, Portugal

CLINICAL CASES

G. HOSPITAL DE SANTA MARIA, LISBOA
Vascular Surgery Resident

H. HOSPITAL DE SÃO JOÃO, PORTO
Vascular Surgery Resident

4.1. THE ART OF STRATIFYING PATIENTS WITH TYPE B AORTIC DISSECTION

ANDREAS MITSIS | Interventional Cardiology, Brompton Hospital, London, UK

4.2. CURRENT STATE OF THE ART IN SPINAL CORD PROTECTION

BAREND MEES | Vascular Surgery, Maastricht, The Netherlands

4.3. IVUS IN TYPE B DISSECTION AND PETTICOAT TECNIQUE

ANGEL FLORES | Vascular Surgery, Toledo, Spain

4.4. CREATIVE ENDOVASCULAR SOLUTIONS FOR COMPLEX THORACOABDOMINAL ANEURYSMS

FREDERICO GONÇALVES | Vascular Surgery, Hospital de Santa Marta, Lisboa, Portugal

4.5. HYBRID STRATEGIES FOR AORTIC DISEASE MANAGEMENT

JOSÉ FERNANDO TEIXEIRA | Vascular Surgery, Porto, Portugal

DISCUSSANTS

JOÃO ALBUQUERQUE E CASTRO | Vascular Surgery, Évora, Portugal
SÉRGIO SAMPAIO | Vascular Surgery, Porto, Portugal
GONÇALO CABRAL | Vascular Surgery, Lisboa, Portugal

19H00

FINAL CONSIDERATIONS AND TALS4 ADJOURNS

ÁLVARO LARANJEIRA SANTOS
JOSÉ FERNANDO TEIXEIRA

* Please note that the Programme might still suffer minor changes.