Arrhythmias & Heart Failure:
Final Program
New Insights & Technological Advances
Palais du Pharo, Marseille, France
May 31 - June 1, 2013 Directors of the congress Patrick Attuel, CMC Parly II, Le Chesnay, France Claude Barnay, CH du Pays d’Aix, Aix-en-Provence, France Fiorenzo Gaita, Università degli Studi di Torino, Turin, Italy Jean-François Leclercq, CMC Parly II, Le Chesnay, France André Pisapia, St Joseph Hospital, Marseille, France
Main sessions in English Conferences & video cases Tricks and Tips in ablation techniques & devices implantation
LIVE BROADCAST OF MAIN SESSIONS ONLINE 9 European CME Accreditation
www.rhythmcongress.com
Endurity
™
Stimulateur cardiaque
Façonner l’avenir
Endurity, dispositif médical implantable actif, fabriqué par St.Jude Medical, certifié CE par TUV0123 est pris en charge par l’assurance maladie dans les indications suivantes : dysfonction du nœud sinusal avec insuffisance chronotrope (mode AAIR); bloc auriculo-ventriculaire du 2ème ou du 3ème degré avec insuffisance chronotrope (mode VVIR); bloc auriculo-ventriculaire du 2ème ou du 3ème degré nécessitant une stimulation ventriculaire permanente ou intermittente, dysfonction du nœud sinusal avec insuffisance chronotrope associée soit à des anomalies de la conduction auriculo-ventriculaire, soit à une maladie atriale (mode DDDR). Lire attentivement la notice d’utilisation. NIR 1305SJMPM001. Endurity, ST. JUDE MEDICAL et le symbole à neuf carrés sont des marques de St. Jude Medical, Inc. ou de ses filiales. ©2013 St. Jude Medical, Inc. Tous droits réservés.
Dear Friends and Colleagues, We are glad to welcome you to the RHYTHM 2013, dedicated to Arrhythmias & Heart Failure: New Insights & Technological Advances, for two days of interactive education in English with conferences and video cases. Friday May 31 will be dedicated to Atrial Fibrillation (AFib), offering a deep analysis of AFib perpetuation mechanisms and new tools such as MRI or high density mapping. High level conferences and video cases will accurately illustrate latest advances in ablation strategies, and tools now available. Saturday June 1 will start with the imaging session followed by conferences and videos on technical devices’ innovations and new antithrombotic treatments. To conclude this educational program, the free papers session will allow physicians to present their work on Saturday afternoon. Trans mediterranean cardiologists will benefit from a specific educational program in French through a satellite session held on Saturday afternoon. Paramedical education is also enlightened on Saturday with a French course dedicated to update theoretical knowledge and daily practices. Do not miss the chance to attend the official dinner on Friday evening. You are welcome to register at the desk on Friday morning. Once more, we are pleased to have you during two convivial days of fruitful teaching in the beautiful congress center of Palais du Pharo in Marseille. The RHYTHM Directors
Patrick Attuel, Claude Barnay, Fiorenzo Gaita, Jean-François Leclercq, André Pisapia
Scientific committee Maurits ALLESSIE, Cardiovascular Research Institute, Maastricht, The Netherlands Martin BORGGREFE, Universitätsklinikum, Mannheim, Germany Riccardo CAPPATO, Center of Clinical Arrhythmia & Electrophysiology, San Donato Milanese, Italy Jean-Pierre CEBRON, Nouvelles Cliniques Nantaises, Nantes, France Jean-Claude DEHARO, Hôpital La Timone, Marseille, France Franck HALIMI, CMC Parly II, Le Chesnay, France Jean-Yves LE HEUZEY, European Hospital Georges Pompidou, Paris, France Hervé POTY, Clinique de La Sauvegarde, Lyon, France Julien SEITZ, Hôpital Saint Joseph, Marseille, France
www.rhythmcongress.com
Chairmen & speakers Salima ABDELALI, Rabah, Morocco Maurits ALLESSIE, Maastricht, The Netherlands Antonio BERRUEZO, Barcelona, Spain Omer BERENFELD, Ann Arbor, USA Cathy BERTRAND, Le Chesnay, France Martin BORGGREFE, Mannheim, Germany Jean-Pierre CEBRON, Nantes, France Rafik CHETTAOUI, Tunis, Tunisia Jacques CLÉMENTY, Pessac, France Jean-Claude DEHARO, Marseille, France Thomas DESPLANTEZ, Bordeaux, France Luigi DI BIASE, Austin, USA Remi DUBOIS, Pessac, France Sabine ERNST, London, United Kingdom Franck HALIMI, Le Chesnay, France
Mélèze HOCINI, Bordeaux, France Nicolas JOHNSON, Le Chesnay, France Jean-Yves LE HEUZEY, Paris, France Nicolas LELLOUCHE, Paris, France Dominik LINZ, Hamburg, Germany Koonlawee NADEMANEE, Los Angeles, USA Hervé POTY, Lyon, France Nadir SAOUDI, Monaco Massimo SAVIANO, Cotignola, Italy Marco SCAGLIONE, Asti, Italy Julien SEITZ, Marseille, France Pierre SIÉ, Toulouse, France Antonio SORGENTE, San Donato Milanese, Italy Jérôme TAIEB, Aix-en-Provence, France
SYNOPTIC FRIDAY MAY 31 2013
SATURDAY JUNE 1 2013
MAIN SESSIONS
MAIN SESSIONS
« La Major » auditorium - level 2
« La Major » auditorium - level 2
08:30
Opening Address
08:40
AFib, from signal to imaging
08:30
Imaging
SESSION PARAMÉDICALE Salle « Grand large » - niveau 1 08:30 LES TROUBLES DU RYTHME
09:20 Technical devices’ Innovations
10:15 Coffee break on the exhibition hall 10:15 Coffee break on the exhibition hall 10:15 Pause café sur le hall d’exposition 10:45
10:45 Technical devices’ Innovations 10:45 AFib, from signal to imaging
12:00
11:20 Antithrombotic treatments of AFib
Lunch on the exhibition hall Luncheon symposium 12:30
« Symposium room Joliette » level 1 13:30
13:30 Clinical approach to treat atrial fibrillation
Lunch on the exhibition hall Session Francophone Trans-méditerranéenne
ECHANGES DE PRATIQUES. Gestion opératoire et périopératoire : complications, traitements…
12:30
Déjeuner sur le hall d’exposition
13:30
ATELIER PRATIQUE. Réanimation cardiaque
14:30 15:05 Symposium
15:30
16:05 Coffee break on the exhibition hall 16:00 16:35 Ablation of ventricular tachycardia 18:00
End of the sessions
17:00
EVOLUTION DU MATERIEL : gestion des risques et avancées technologiques pour le patient
Difficult cases Free papers Adjournment
17:00
Fin des communications Interactive voting
Friday May 31 08:30 I Opening address André Pisapia
08:40 I Atrial fibrillation, from signal to imaging
Chairmen: Patrick Attuel, Mélèze Hocini
08:40 I Deciphering body surface data reveals moving rotors during AFib Remi Dubois 09:00 I Cellular approach Thomas Desplantez 09:20 I Controversy Can we treat AFib without veins disconnection? - No Sabine Ernst - Yes: atrial substrate ablation by defragmentation Koonlawee Nademanee 10:00 I Discussion
10:15 I C offee break on the exhibition hall
10:45 I Video: Mediguide, the medical GPS, in practice for AFib Ablation and CRT applications Massimo Saviano 11:00 I C ontroversy Mechanisms of persistent AFib: do rotors have a role? - Yes Omer Berenfeld - No Maurits Allessie 11:40 I D iscussion
12:00 I L unch on the exhibition hall
12:00 I Medtronic luncheon symposium seated lunch included - « Symposium room Joliette » - level 1
How to improve CRT response? - I nterest of spontaneous QRS / paced QRS fusion Serge Cazeau - B enefits of the quadripolar technology Julien Seitz
« La Major » auditorium - level 2
13:30 I Clinical approach to treat atrial fibrillation
Chairmen: Fiorenzo Gaita, Melèze Hocini
13:30 I Rotor mapping from body surface recording Mélèze Hocini 13:50 I Faster PV isolation, Franck Halimi - Video: Using cryotherapy - Using multi-electrode ablation catheter PVAC - Video: Using nMarq - Discussion 14:35 I How to prevent reconnection after PV isolation? Antonio Sorgente 14:50 I Video: Substrate ablation on Carto 3 Julien Seitz
15:05 I St Jude Medical Symposium Advances in the treatment of Complex ablations
Chairmen: Jean-Pierre Cebron, Pierre Fiorello - Mediguide: towards ffluoroless ablation procedures Massimo Saviano - L atest imaging and lesion assessment advances Julien Seitz - S teerable sheath, benefits for VT and complex ablations Bertrand Pierre
16:05 I C offee break on the exhibition hall
16:35 I Ablation of ventricular tachycardia
Chairmen: Jean-François Leclercq, Jean-Claude Deharo
16:35 I Video: A totally sub-cutaneous ICD Jean-Claude Deharo 16:50 I Endocardial and epicardial ablation in ARVD: the scar dechanneling technique Antonio Berruezo 17:10 I Preventing VF episodes in Brugada syndrome by RF ablation Koonlawee Nademanee 17:30 I Discussion
18:00 I End of the sessions
www.rhythmcongress.com
Agilis™ NxT
Therapy™ Cool Flex™
Gaine orientable
Cathéter d’ablation
La maîtrise par excellence pour le cœur en mouvement
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Saturday June 1st
08:30 I Imaging
Chairmen: André Pisapia, Maurits Allessie
08:30 I MRI, Atrial fibrillation & fibrosis Julien Seitz 08:45 I Type of left atrial appendage and embolic risk Luigi Di Biase 09:00 I How to decrease thrombo-embolic risk after AFib ablation? Fiorenzo Gaita 09:15 I Discussion
09:20 I Technical devices’ Innovations
Chairmen: Nadir Saoudi, Hervé Poty
09:20 I Videos: Percutaneous left atrial appendage closure: - by Amplatzer cardiac plug, Nicolas Lellouche - by the Watchman device, François Brigadeau 10:00 I Vagus nerve stimulation Jacques Clémenty
10:15 I C offee break on the exhibition hall
10:45 I Renal denervation: its impact on arrhythmias Dominik Linz 11:00 I Video: CRT efficiency from implant to follow up Cathy Bertrand
11:20 I Antithrombotic treatments of AFib
Chairmen: Jacques Clémenty, Jean-Pierre Cebron
11:20 I New oral anticoagulants (NOACs) Jean-Yves Le Heuzey 11:35 I M onitoring, follow-up Pierre Sié 11:50 I The role of anticoagulants in peri-ablation AFib treatment Nadir Saoudi 12:05 I L atest trials and results about Dabigatran André Pisapia 12:20 I Discussion
www.rhythmcongress.com
« La Major » auditorium - level 2
12:30 I L unch on the exhibition hall
13:30 I Session francophone Trans-méditerranéenne
Modérateurs : Patrick Attuel, Claude Barnay
13:30 I Cours ECG Vote interactif Fiorenzo Gaita, Martin Borggrefe, Jean-François Leclercq 14:30 I Trucs et astuces pour parvenir à 100% de resynchronisation ventriculaire Cathy Bertrand 14:45 I L’état de l’ablation par radiofréquence en Tunisie Rafik Chettaoui 15:00 I Les techniques ablatives : l’expérience de la clinique Agdal au Maroc Salima Abdelali
15:30 I Questions to experts about difficult cases
Experts: Patrick Attuel, Fiorenzo Gaita, Koonlawee Nademanee - Case #1 Jérôme Taieb - Case #2 Nicolas Johnson - Case #3 Marco Scaglione
16:00 I Free papers
Chairmen: Cathy Bertrand, Jean-François Leclercq
17:00
I Adjournment
LIVE CONFERENCES ON WWW.RHYTHMCONGRESS.COM
Rewatch for free the plenary room conferences after the congress
Interactive voting
FACULTÉ SESSION PARAMÉDICALE Dr Claude BARNAY, CH Aix-en-Provence Claire BELMONT, Hôpital Saint Joseph, Marseille Dr Cathy BERTRAND, CMC Parly II, Le Chesnay Laurent BONAVITA, Boston Scientific Cécile BONERANDI, CHU La Timone, Marseille Dr Jérôme BOUET, CH Aix-en-Provence Annick BOURDELOIE, CH Aix-en-Provence François BRIGADEAU, Lille, France
Dr Arnaud DENIS, CHU Bordeaux Sophie DOLADILHE, CHU La Timone, Marseille Fiona DUCROT, CHU La Timone, Marseille Sophie GAUTIER-PLAINDOUX, Hôpital Saint Joseph, Marseille Françoise KOPP, CH Aix-en-Provence Patrick LAFOND, CH St Etienne Dr Bernard LALANNE, Hôpital Saint Joseph, Marseille Xavier LAROCHE, Biotronik
08:30 I LES TROUBLES DU RYTHME
Modérateurs : Claude Barnay, Annick Bourdeloie, Jean-Patrick Sauton
08:30 I L es bradycardies : PM/DAI & ECG types Jean-Patrick Sauton, Cathy Bertrand - Le dysfonctionnement sinusal - Le bloc auriculoventriculaire 09:10 I L es tachycardies : rappels & ECG types Jérôme Taieb, Annick Bourdeloie - Les tachycardies supraventriculaires • les tachycardies jonctionnelles • le fflutter auriculaire commun • la fibrillation atriale - les tachycardies ventriculaires 09:50 I T estons nos connaissances : QUIZZ ECG - Bradycardies, Jean-Patrick Sauton - Tachycardies, Jérôme Bouet, Annick Bourdeloie 10:15 I Pause café sur le hall d’exposition
10:45 I ECHANGES DE PRATIQUES. Gestion opératoire et péri-opératoire : complications, traitements… Modérateurs : Francine Quervelle, Patrick Lafond, Philippe Ricci, Marie Liguori
Gestion infirmière péri-opératoire
10:45 I … des ablations simples : Flutter, TJ Anne-Marie Simoni, Françoise Kopp 11:05 I … des ablations complexes : FA, TV Fiona Ducrot, Benoit Maruejouls 11:25 I … des implantations de prothèses : PM & DAI Claire Belmont, Julie Nicollet
Vote interactif
Salle « Grand large » - niveau 1 Marie LIGUORI, Hôpital Saint Joseph, Marseille Dr Alexandre MALUSKI, Hôpital Saint Joseph, Marseille Isabelle MARTEL, CH St Etienne Benoit MARUEJOULS, CHU La Timone, Marseille Julie NICOLLET, Hôpital Saint Joseph, Marseille Dr Eric PEYROUSE, CHU La Timone, Marseille Francine QUERVELLE, CHU La Timone, Marseille Philippe RICCI, CH St Etienne
Bernard SAMUEL, CH St Etienne Jean-Patrick SAUTON, CMC Parly II, Le Chesnay Christophe SHORJIAN, Hôpital Saint Joseph, Marseille Anne-Marie SIMONI, CH Aix-en-Provence Dr Jérôme TAIEB, CH Aix-en-Provence
Bloc opératoire
11:55 I A blation de Flutter gauche et cartographie : une «complication» classique de l’ablation de FA Patrick Lafond, Philippe Ricci 12:15 I Q uestions & discussion 12:30 I Déjeuner sur le hall d’exposition
13:30 I ATELIER PRATIQUE. Réanimation cardiaque Bernard Lalanne, Sophie Gautier-Plaindoux
14:30 I EVOLUTION DU MATÉRIEL : gestion des risques et avancées technologiques pour le patient Modérateurs : Christophe Shorjian, Bernard Samuel, Isabelle Martel
Cas matériovigilance
14:30 I D éfaillance de sonde : gestion et suivi de 219 patients de 2007 à 2013 Bernard Samuel, Isabelle Martel
Les matériels du futur
15:00 I L es nouveaux cathéters d’ablation : quels progrès ? Alexandre Maluski 15:30 I I mplantation défibrillateur sans sonde Laurent Bonavita, Cécile Bonerandi, Sophie Doladilhe 16:00 I Télécardiologie : développement en France et évolution de la règlementation Xavier Laroche, Eric Peyrouse 16:30 I Fin des communications
En partenariat avec l’IFSI Croix Rouge (nº 93 75 00153 13).
www.rhythmcongress.com
International Journal of Cardiovascular Medicine, Surgery, Pathology and Pharmacology
An invaluable aid in understanding and treating heart disease
Original Research 76 Pulmonary Arterial Dilatation in Pulmonary
Hypertension: Prevalence and Prognostic Relevance Badagliacca, R.; Poscia, R.; Pezzuto, B.; Papa, S.; Nona, A.; Mancone, M.; Mezzapesa, M.; Nocioni, M.; Sciomer, S.; Valli, G.; Cedrone, N.; Fedele, F.; Vizza, C.D. (Rome)
Short Communication 71 Phenotype and Genotype Characterization and
Twin Association in Patients with Anderson-Fabry Cardiomyopathy Gomez, M.; Molina, L.; Cladellas, M.; Ascoeta, S.; Soler, C.; Ble, M.; Ramirez, A.; Bruguera, J. (Barcelona)
Novel Insights from Clinical Experience 83 Extravascular Migration of a Guide Wire with
Perforation of the Heart Eight Months after Percutaneous Coronary Intervention: Consequence of a Conservative Approach De Praetere, H.; Di Bari, N.; Gutermann, H.; Van Kerrebroeck, C.; Dens, J.; Dion, R. (Genk)
Abstracts 87 Valves in the Heart of the Big Apple VII: Evaluation
Cardiology 2013: Volumes 124, 125, 126 4 issues per volume Language: English ISSN 0008–6312 (print) ISSN 1421–9751 (online) Listed in bibliographic services, including Current Contents®/ Life Sciences, MEDLINE, Biological Abstracts, EMBASE/Excerpta Medica
and Management of Valvular Heart Diseases 2012 Fourth Annual Joint Scientific Session of the Heart Valve Society of America and Society of Heart Valve Diseases, New York City, N.Y., April 12–14, 2012
Cardiology features first reports on original clinical, preclinical and fundamental research as well as instructive ‘Novel Insights from Clinical Experience’ and topical comprehensive reviews in selected areas of cardiovascular disease. Investigators from all over the world contribute to keep readers regularly informed of current strategies in the prevention, recognition and treatment of heart disease. Their articles not only describe but offer critical appraisals of new developments in non-invasive and invasive diagnostic methods and in pharmacologic, nutritional and mechanical/surgical therapies. Special sections in a variety of subspecialty areas reinforce the journal‘s value as a complete record of recent progress for all cardiologists, internists, cardiac surgeons, clinical physiologists, pharmacologists and professionals in other areas of medicine interested in current activity in cardiovascular diseases.
Editor-in-Chief Jeffrey S. Borer New York, N.Y. Associate Editors D. Atar Oslo H. Boudoulas Athens J.A. Franciosa New York, N.Y. I.J. Gelb Boca Raton, Fla. X. Huang Boca Raton, Fla.
S. Karger AG, P.O. Box CH–4009 Basel (Switzerland) Fax +41 61 306 12 34 E-Mail orders@karger.ch
J.T. Kassotis Brooklyn, N.Y. W. Ko New York, N.Y. B.S. Lewis Haifa A.B. Miller Jacksonville, Fla. D.J. Sahn Portland, Oreg. S. Sasayama Kyoto J. Somberg Chicago, Ill. H. Taegtmeyer Houston, Tex.
www.karger.com/crd
KI13239
International Journal of Cardiovascular Medicine, Surgery, Pathology and Pharmacology
Notes .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. .................................................................................................. ..................................................................................................
Information
Congress venue: Palais du Pharo - 58 Bd Charles Livon - Marseille HOTELS • Sofitel Vieux Port****
36, boulevard Charles Livon, 13007
• Novotel Vieux Port**** 36, boulevard Charles Livon, 13007
• New Hotel of Marseille****
71, boulevard Charles Livon, 13007
• Carré Vieux Port***
6, rue Beauvau, 13001
• Ibis Budget Vieux Port 46, rue Sainte, 13001
Organization divine [id] agency 17, rue Venture - 13001 Marseille - France Tel. +33 (0)4 91 57 19 60 - Fax +33 (0)4 91 57 19 61 www.divine-id.com
Information & registration desk Friday May 31 07.30 - 18.30 Saturday June 1 08.00 - 17.00
Faculty & General organization
Christine Arzouyan Tel +33 (0)6 13 960 870 carzouyan@rhythmcongress.com
Industry & Exhibition
Vérane Bergeron Moreau Tel +33 (0)6 21 78 87 16 vbergeron@rhythmcongress.com
Registration & Accommodation
Justine Crollard Tel +33 (0)4 91 57 19 65 assistant@divine-id.com
Michèle Caboste Tel +33 (0)4 91 57 19 60 mcaboste@rhythmcongress.com
LIVE CONFERENCES ON WWW.RHYTHMCONGRESS.COM
Rewatch for free the plenary room conferences after the congress
Exhibition hall PP : 93 x 280
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Symposium room
Grand Large
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Exhibition hours Friday May 31 08.30 - 18.30 Saturday June 1 08.30 - 17.00
La Major Auditorium
Acknowledgements
RHYTHM OFFICIAL DINNER FRIDAY MAY 31, 20.00
CNTL RESTAURANT O² Pointus - 44 Quai Marcel Pagnol - 13007 Marseille 60€ per person - More information at the registration desk
Viva® XT CRT-D
UC2012CRDM1585FF. Ref : 13/01/MDT/PM/002 - R.C.S. Nanterre 722 008 232 © Medtronic 2012. Tous droits réservés. Crédit photo : Medtronic. Réservé aux professionnels de santé. Imprimé en Europe par Medtronic
Design physiologique pour améliorer le confort du patient.1-2 Sans impact sur la longévité et la thérapie de défibrillation.3
1
Shapiro M, Hanon S, Schweitzer P. A rare, late complication after automated implantable cardioverter-defibrillator placement. Indian Pacing Electrophysiol J. 1er octobre 2004 ; 4(4):213-216. 2 Évaluation de l’impact en pressions de la forme du boitier CRT-D sur le tissu cutané: analyse comparative. Document Medtronic. 3 Manuel du dispositif Viva XT CRT-D pages 35-36
Viva XT CRT-D est un dispositif médical implantable actif (DMIA) fabriqué par Medtronic Inc. et dont l’évaluation de la conformité a été réalisée par l’organisme notifié N° 0123. Il est destiné au traitement électrique de l’insuffisance cardiaque et pris en charge par les organismes d’assurance maladie. Lire attentivement le manuel de référence et la notice Viva XT-CRT-D avant toute utilisation.
www.medtronic.fr Medtronic France S.A.S. 27, Quai Alphonse Le Gallo - CS 30001 92513 Boulogne-Billancourt Cedex Tél. : +33 (0)1 55 38 17 00 Fax : +33 (0)1 55 38 18 00
L’innovation, c’est la vie.