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ESC Congress 2011

Overview
Overview
Satellite Symposium
Satellite Symposium
Hands-on Tutorials
Hands-on Tutorials
Floor Plan
Floor Plan
Customer Experiences
Customer Experiences

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European Society of Cardiology Congress

Paris, France
27 - 31 August 2011

Learn about the most recent developments – even if you did not come to Paris. Please review the recorded presentations of our Satellite Symposium on Controversies in the Management of Cardiovascular Disease.

Are you ready for the long run?
Discover a long-term partner that enables cardiovascular caregivers to efficiently deliver the highest quality outcomes amidst the continuously changing dynamics in healthcare. And find out more about Customer Experiences and their partnership with Siemens.

Listen to opinion leaders debating controversial topics in the management of cardiac patients. Get answers to your questions about the role of innovation in the diagnosis and treatment of cardiovascular disease.

Please review the recorded presentations below.

Controversies in the Management of Cardiovascular Disease

Chairperson: U. Sechtem (Stuttgart, DE), F. Civaia (Monte Carlo, MC)

Satellite Symposium organised by Siemens AG, Healthcare Sector

G.S. Werner (Darmstadt, DE)

Recanalization of chronic total occlusion – Worth the effort … And what multi-slice computed tomography might aid?¹

K.P. Kaiser (Koblenz, DE)

Fast cardiac single-photon emission computed tomography – Advantages for the daily clinical work?

J. Schoepf (Charleston SC, U.S.)

Myocardial perfusion computed tomography - Ready for primetime?

C. DeFilippi (Baltimore MD, U.S.)

Increasing troponin sensitivity - Better care or more confusion?

P. Croisille (Lyon, FR)

Fibrosis assessment with cardiovascular magnetic resonance – Emerging technologies and impact on management of patients with heart failure?²

A. Goncalves (Porto, POR)

3D echo mitral regurgitation evaluation - A real and more accurate quantification?

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¹ The statements by Siemens’ customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.

² The product/feature mentioned herein is not commercially available. Due to regulatory reasons its future availability cannot be guaranteed.

Cardiovascular CT

Technical principles, clinical indications and analysis of Cardiac CT-datasets

T. Pflederer (Erlangen, GER)

Coronary CT angiography (CTA) has undergone intensive study and rapid evolution. In this hands-on session we will inform you about the current main indications and about tips and tricks on how to guarantee diagnostic image quality in CTA examinations. As cardiac CT is now frequently used as a diagnostic tool in certain patient populations, ways to reduce the accompanying radiation dose plays an important role. This session will provide several practical recommendations how to lower radiation dose. Furthermore, in this Hands-on tutorials we will present 3 to 4 cases that allow the introduction of workstations and the syngo.via software as well as basics in CTA analysis.

Saturday 27 August, 16:00 - 17:20
Sunday 28 August, 09:00 - 10:20
Monday 29 August, 10:45 - 12:05
Tuesday 30 August, 12:30 - 13:50

Cardiovascular MR

Cardiac MRI in Ischaemic Heart Disease

G. von der Recke (Bonn, GER)

This hands-on tutorials offers the opportunity to read cardiac magnetic resonance (CMR) studies together with an experienced interpreter. This session focuses on ischemic heart disease. Current standard protocols will be demonstrated, including evaluation of cardiac function, adenosine stress perfusion, and delayed enhancement. Many practical tips and tricks will be presented, for example, on how to speed up data acquisition or standardized interpretation. Multiple clinical cases will be demonstrated on MR workstations. The participants of this tutorial will be able to read the studies themselves and interpret the findings.

Sunday 28 August, 14:15 - 15:35
Monday 29 August, 14:15 - 15:35

Cardiac MRI in Cardiomyopathies

G. von der Recke (Bonn, GER)

This hands-on tutorials offers the opportunity to read cardiac magnetic resonance (CMR) studies together with an experienced interpreter. This session focuses on cardiomyopathies and myocarditis. Standard protocols will be demonstrated, including evaluation of cardiac function, and typical delayed enhancement phenomena for specific cardiac diseases (e.g. HCM, DCM, cardiac amyloidosis etc.). Multiple clinical cases will be demonstrated on MR workstations. The participants will be able to read the studies themselves and interpret the findings.

Sunday 28 August, 16:00 - 17:20
Tuesday 30 August, 16:00 - 17:20

Echocardiography

Full Volume Color Flow Quantification with Echocardiography

A. Goncalves (Porto, PT)

Three-dimensional echocardiography (3DE) is becoming part of everyday clinical practice worldwide.
In this tutorial we will review the contribution of 3DE to our knowledge of anatomic and functional left ventricle valvular anatomy and the potential advantages of instantaneous full-volume eSie LVA™ to analyse the left ventricular function and instantaneous full-volume color Doppler echocardiography.
The complex anatomy of the mitral valve gets simpler with 3DE examination from the left ventricle or with the generation of "surgeon's eye" views images. Mitral regurgitation is assessed with colour flow in "One Heartbeat", and the entire surface of a jet separately analyzed with the desired view orientated according to the preferred direction. The 3DE visualization of PISA surface and vena contracta, allows to evaluate if its real configuration is spherical or either elliptical. This same principle is applied for tricuspid and aortic regurgitation.
In this Hands-on Tutorials this new approach for valvular disease evaluation will be performed and the concept of 3DE in valve disease will be finally clarified.

Sunday 29 August, 12:30 - 13:50
Monday 29 August, 09:00 - 10:20

Right ventricular assessment by real-time 3-dimensional echocardiography

H.B. van der Zwaan (Rotterdam, NL)
J. Vletter-McGhie (Schipluiden, NL)

The assessment of right ventricular size and function based on 2-dimensional echocardiography is used as a decision-making tool, for example in patients with congenital heart disease. The accurate quantification of RV volumes and ejection fraction is therefore essential. Volumetric calculations based on 2-dimensional echocardiography turned out to be unreliable however, because of the need of geometric assumptions that were impossible to fit onto the complex shaped right ventricle. Therefore, a 3-dimensional image technology, such as real-time 3-dimensional echocardiography, is mandatory. Various studies have shown that real-time 3-dimensional echocardiography can assess right ventricular volumes and ejection fraction in various patient groups. If proven to be a robust and reliable technique, real-time 3-dimensional echocardiography might replace cardiac magnetic resonance imaging for right ventricular functional assessment in a substantial proportion of the patients.
The goal of the Hands-on Tutorials will be to get a good understanding of the clinical potential of the assessment of the right ventricle and to understand the workflow of the RVA analysis with Full Volume RV data.

Monday 29 August, 16:00 - 17:20
Tuesday 30 August, 10:45 - 12:05

Interventional Cardiology

3D guided interventions for structural and coronary heart disease

3D guided aortic valve implantation
G. Brockmann (Munich, GER)

Transcatheter aortic valve implantation (TAVI) provides a promising non-surgical treatment option for patients with severe aortic stenosis who are at high or prohibitive risk for open heart surgical aortic valve replacement. This technique represents a new alternative for patients of advanced age and increased operative risk, severe calcifications of the aorta, or previous coronary revascularization. Delineation of the aortic root geometry is essential. The use of DYNA CT Cardiac allows for intraprocedural 3D imaging directly in the hybrid operating room using the C-arm of the imaging system. It allows determining the width of the aortic annulus and has the added ability of measuring the distance from the aortic annulus to the coronary ostia. In addition the 3D information can be overlaid onto live fluoroscopy not only to determine the optimal projection angle but also to guide the actual valve deployment.

3D guided coronary interventions
H. Rittger (Coburg, GER)

Chronic total occlusions (CTOs) are a subset of lesions that present a considerable burden to cardiovascular patients. There exists a strong clinical desire to improve nonsurgical options for CTO revascularization. While several techniques, devices, and guide wires have been developed and refined for use in CTOs, the inability of angiography to adequately visualize occluded arterial segments makes interventions in this setting technically challenging. MSCT may facilitate improved image guidance during CTO revascularization, with the goals of improving procedure safety and efficacy while reducing the time required to complete these interventions.

Sunday 28 August, 10:45 - 12:05
Monday 29 August, 12:30 - 13:50
Tuesday 30 August, 09:00 - 10:20
Tuesday 30 August, 14:15 - 15:35

European Society of Cardiology Congress
Paris, France
27 - 31 August 2011

Floor Plan

This section is where our customers have shared their experiences with Siemens as a Cardiology partner in interviews conducted by professional journalists.

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The University of Brescia, Italy, speeds up cardiovascular reading with syngo.via

February, 2011 | Cases that previously required 45 minutes for a thorough analysis are now completed in only 4 minutes. The Automated Pre-Processing allows to rule out CAD in less than a minute.