MULTIDISCIPLINARY ENDOCARDITIS WORK UP JUNE 11-13, 2020 - CONGRESS VENUE Centro Congressi Humanitas Via Manzoni 113 - Rozzano, MI - Italy ...
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MULTIDISCIPLINARY ENDOCARDITIS WORK UP JUNE 11-13, 2020 CONGRESS VENUE Centro Congressi Humanitas Via Manzoni 113 - Rozzano, MI - Italy
COURSE PRESIDENT Endocarditis is a complex clinical pathology with a high mortality rate despite diagnostic and therapeutic
Michele Lagioia, MD improvements. In recent years, we have seen significant changes in its epidemiological and clinical profile,
Chief Medical Officer
Humanitas Research Hospital with a variation in the population at risk and increase in nosocomial formes of endocarditis with antibiotic-
Rozzano, MI - Italy resistent or fastidious bacteria. Endocarditis is a great simulator when it occurs with an embolic event that
might lead diagnosis towards other pathologies, or it may in turn be simulated by disparate diseases. Rapid
COURSE DIRECTORS
Giovanni La Canna, MD diagnostic recognition and appropriate therapy are crucial to eradicate the infection, prevent embolism, and
Department of Applied Diagnostic treat cardiac failure.
Echocardiography
Guidelines provide useful support even though based mainly on the opinions of experts rather than on
Humanitas Research Hospital
Rozzano, MI - Italy randomized studies with some inconsistencies between varying medical scientific societies. Diagnostic and
Lucia Torracca, MD therapeutic management is therefore an important clinical challenge that often requires a tailored approach.
Cardiac Surgery Unit Multi-specialist involvement with structured pathways may optimize the outcome.
Humanitas Research Hospital
Rozzano, MI - Italy
The congress aims to analyze perspectives on prevention in the panorama of a mutated epidemiology,
CO-DIRECTORS provide the state-of-the-art of microbiological diagnostic techniques, evaluate clinically integrated
Gilbert Habib, MD
Service de Cardiologie multidisciplinary approaches, focus on differentiated pathways in the context of extracardiac involvement or
Hospital La Timone comorbidities of endocarditis patients.
Marseille - France
Giuliano Rizzardini, MD We will also present multispecialist work-flow models through interactive “live in the box” clinical case
Department of Infectious Diseases
discussions.
Luigi Sacco Hospital
Milano - Italy
The expected outcome is the improvement of multidisciplinary clinical methodology to optimize patient-
SCIENTIFIC SECRETARIAT
Iside Scarfò centred workup and increase sensibility towards preventive measures to reduce the epidemiological burden
Department of Applied Diagnostic in the emergent population at risk.
Echocardiography
Humanitas Research Hospital
Rozzano, MI - ItalyTHURSDAY
8.30 Registration
JUNE 11
9.30 Introduction and opening of the Meeting
Michele Lagioia, Giovanni La Canna, Lucia Torracca, Gilbert Habib, Giuliano Rizzardini
THE NEW SCENARIO
OF ENDOCARDITIS PREVENTION
Chairpersons: Pio Caso, Naples and Giuliano Rizzardini, Milan
10.00 Epidemiological burden Enrico Cecchi, Turin
10.15 Community Prevention: dentist and beyond Fabio Chirillo, Bassano del Grappa
10.30 Nosocomial prevention: a neglected issue Michele Lagioia, Rozzano
10.45 The emerging risk of antibiotic resistance Alessandra Rossodivita, Milan
11.00 Discussion
NEW INSIGHT INTO THE DEVELOPMENT
OF INFECTIVE ENDOCARDITIS
Chairpersons: Enrico Cecchi, Turin and Paola Morelli, Rozzano
11.15 Mechanisms of infective endocarditis: pathogen–host interaction Paolo Grossi, Varese
11.30 Systemic immune response in endocarditis Maria De Santis, Rozzano
11.45 Health-care associated endocarditis Fabio Chirillo, Bassano del Grappa
12.00 The emerging microbiologic profile of infective endocarditis Francesco Luzzaro, Lecco
12.15 Discussion
12.30 LECTURE.
What has become of “medical clinical eye” in the age of the technique? Umberto Galimberti, Milan
13.00 Lunch
E N D O C A R D I TI S | 3PERSPECTIVES FOR THE MICROBIOLOGICAL DIAGNOSIS
IN INFECTIVE ENDOCARDITIS
Chairpersons: Erminia Casari, Rozzano and Giuliano Rizzardini, Milan
14.00 State-of-the-art and open issues Edoardo Carretto, Reggio Emilia
14.15 Implementation of novel technology for rapid identification of bloodstream infections Erminia Casari, Rozzano
14.30 Fastidious microrganisms in infective endocarditis: the case of HACEK, Fungi and much more Claudio Farina, Bergamo
14.45 Molecular techniques after valve surgery for culture negative infective endocarditis Pier Giulio Conaldi, Palermo
15.00 The nightmare of Mycobacterium chimera Stefania Torri, Milan
15.15 Discussion
15.45 Coffee Break
ENDOCARDITIS DIAGNOSTIC WORK-UP
Chairpersons: Raffaele Giubbini, Brescia - Antonella Moreo, Milan and Carlo Tascini, Udine
16.15 Clinical probability of infective endocarditis Enrico Cecchi, Turin
S D AY
11
16.30 Proposed diagnostic algorithm in a Hospital setting without an infectiologist Paolo Trambaiolo, Rome
UR
TH JUNE
16.45 Duke criteria specificity: a test-bench for clinical echocardiography Giovanni La Canna, Rozzano
17.00 Nuclear Imaging: is it ready to be a major diagnostic criterium? Paola Erba, Pisa
17.15 CT scan: systematic or focused use? Lorenzo Monti, Rozzano
17.30 Discussion
CLINICAL PATHWAY OF ENDOCARDITIS EMBOLIC SYNDROME
Chairpersons: Ilaria Caso, Naples and Fabio Chirillo, Bassano del Grappa
17.45 Comprehensive embolic risk assessment Enrico Cecchi, Turin
18.00 Metastatic septic localization: PET imaging Raffaele Giubbini, Brescia
18.15 Metastatic septic localization: CT and MRI Antonio Esposito, Milan
18.30 Pre-existing and new-onset anticoagulant treatment Corrado Lodigiani, Rozzano
18.45 Discussion
19.00 End of the first day sessions
4 | E N D OCARDIT ISFRIDAY
JUNE 12
MANAGEMENT
CHALLENGES
Chairpersons: Carlo Antona, Milan and Pierluigi Viale, Bologna
8.30 Conventional and new antimicrobial stewardship in infective endocarditis Pierluigi Viale, Bologna
8.45 Complicated endocarditis Antonella Moreo, Milan
9.00 The three triggers for surgery and beyond Giovanni La Canna, Rozzano
9.15 New antimicrobials for the treatment of endocarditis Mario Venditti, Rome
9.30 Surgical treatment of active or complicated endocarditis Lucia Torracca, Rozzano
9.45 Discussion
10.00 Coffee Break
HIGHLIGHT LECTURES
Chairpersons: Gilbert Habib, Marseille and Giovanni La Canna, Rozzano
10.15 Up-to-date on the pathology and risk factors of the infective endocarditis Gaetano Thiene, Padua
10.40 News from EURO-ENDO Registry Gilbert Habib, Marseille
11.05 The changing face of infective endocarditis Pierluigi Viale, Bologna
11.30 Transcatheter implanted cardiac valve endocarditis: an emerging issue in the elderly population
Norman Mangner, Dresden
11.55 Endocarditis and cancer Bernard Cosyns, Bruxelles
12.20 When to operate in the presence of neurological complication?
- The hopes of the cardiologist Gilbert Habib, Marseille
- The fears of the surgeon Josè L. Pomar, Barcelona
12.55 Concluding remarks
13.00 Lunch
E N D O C A R D I TI S | 5CLINICAL PATHWAY OF
BLOOD CULTURE NEGATIVE ENDOCARDITIS
Chairpersons: Maria De Santis, Rozzano and Mariateresa Librera, Naples
14.00 Fastidious and mycotic microrganisms Federica Tordato, Rozzano
14.15 Wipple’s disease Iside Scarfò, Rozzano
14.30 Unexpected endocarditis: an emerging subtle clinical phenotype Giovanni La Canna, Rozzano
AY 2
14.45 Diagnostic work-up in patients with non-bacterial thrombotic endocarditis Laura Andreoli, Brescia
15.00 Athero-embolic syndrome Francesco Scolari, Brescia I D
15.15 Discussion FR NE 1
JU
EXTRACARDIAC COMPLICATIONS:
OTHER SPECIALISTS ON THE PITCH
Chairpersons: Efrem Civilini, Rozzano and Patrizia Presbitero, Turin
15.30 Mycotic aneurysms Gaetano Thiene, Padua
15.45 Percutaneous treatment of mycotic aneurysms in the peripheral gross arteries Vittorio Pedicini, Rozzano
16.00 Percutaneous treatment of mycotic cerebral aneurisms Paolo Nuzzi, Rozzano
16.15 Spondylodiscitis Alessandro Ortolina, Rozzano
16.30 Discussion
16.45 Coffee Break
6 | E N D OCARDIT ISCLINICAL PATHWAY
FOR CARDIAC DEVICE INFECTIONS
Chairpersons: Riccardo Cappato, Rozzano and Carlo Tascini, Udine
17.00 Epidemiological burden and risk factors of cardiac implantable electronic devices Riccardo Cappato, Rozzano
17.15 Ventricular Assist Device Infections Alessandro Barbone, Rozzano
17.30 Microbiology and antibiotic therapy Carlo Tascini, Udine
17.45 Clinical Echocardiography Umberto Conti, Pisa
18.00 Nuclear Imaging Paola Erba, Pisa
18.15 Discussion
18.30 Lead extraction and reimplantation issues Pierpaolo Lupo, Rozzano FRIDAY
18.45 Surgery Enrico Citterio, Rozzano JUNE 12
19.00 Proposed management and prevention algorithms Carlo Tascini, Udine
19.15 Discussion
19.30 End of the second day sessions
E N D O C A R D I TI S | 78.30-9.45
LIVE IN THE BOX
ENDOCARDITIS TEAM AT WORK
Chairpersons: Vincenzo Montericcio, Erba and Antonella Moreo, Milan
Team at work: Erminia Casari, Enrico Citterio, Giovanni La Canna, Paola Morelli, Daria Pocaterra, Iside Scarfò,
Federica Tordato, Lucia Torracca
Case 1 DRESS Syndrome Maria De Santis, Rozzano
Case 2 A strange pain in the back Iside Scarfò, Rozzano
Case 3 A case of Endocarditis in cancer patient Iryna Arendar, Milan
Case 4 A case with headache and fever Iside Scarfò, Rozzano
Case 5 Clinical Case Matilde Nardi, Brescia
9.45 HIGHLIGHT LECTURE.
DAY
Infective endocarditis: an ongoing global challenge Jose M. Miro, Barcelona
U R
PROSTHETIC VALVE ENDOCARDITIS SATNE 13
JU
Chairpersons: Giovanni Corrado, Como and Andrea Fumero, Rozzano
10.15 Microbiological profile Daria Pocaterra, Rozzano
10.30 Echo-Imaging Giovanni Dialetto, Naples
10.45 Nuclear Imaging -PET Raffaele Giubbini, Brescia
11.00 Prosthetic masses discovery in acute neurological patients
Giovanni La Canna, Rozzano
11.15 Early biological valve failure: thrombosis, rejection or endocarditis?
Manuela Muratori, Milan
11.30 Discussion
11.45 Coffee Break
8 | E N D OCARDIT ISRIGHT-SIDED VALVE ENDOCARDITIS
Chairpersons: Daniela Pavan, Pordenone and Lucia Torracca, Rozzano
12.00 Right-sided valvular endocarditis: Clinical contexts and microbiological profile Paolo Scarpellini, Milan
12.15 Echo-Imaging Sergio Severino, Naples
12.30 High-risk and pulmonary complicated patients Paola Morelli, Rozzano
12.45 Use of AngioVac for Removal of Valve right Vegetation Piero Armigliato, Prato
13.00 Surgical indications and techniques Mauro Rinaldi, Turin
13.15 Discussion
13.30 LECTURE.
Valvular endocarditis in intravenous drug users: changes, challenges, chances Giuliano Rizzardini, Milan
14.00 CLOSING REMARKS AND PERSPECTIVES
Giovanni La Canna and Lucia Torracca
(on the behalf of Humanitas Endocarditis Team)
SATURDAY
JUNE 13
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