ELAACC 2025 - ON DEMAND

Friday 21st February:

Welcome to the 2nd European LAAC Club meeting

Chair: Philippe Garot & Ignacio Cruz Gonzalez

10 min - Overview of the meeting objectives and goals for collaboration - Philippe Garot

10 min - LAAC clinical update: Summary of the important publications since the last meeting - Ignacio Cruz Gonzalez

13:20-14:15 - SESSION 2 : Achievements Since Last Year

Chair: Jens Erik Nielsen-Kudsk and Adel Aminian

Panel: Liesbeth Rosseel & Joelle Kefer

10 min - Interventional LAA classification consensus paper - Adel Aminian

15 min - ELAACC at EuroPCR: Focus on education and the LAARC initiative - Philippe Garot

10 min - ELAACC Consensus: How to cope with device embolization - Joelle Kefer

10 min - ELAACC Consensus: Transseptal access for LAAC - Liesbeth Rosseel

10 min - Discussion

14:25-15:35 - SESSION 3 : Lifetime Management of Atrial Fibrillation: When and How to Propose LAAC

Chair: Philippe Garot and Tom De Potter

Panel: Jens Erik Nielsen-Kudsk, Jan Kovac & Sergio Berti

15 min - Long-term management of AF patients, from early symptoms through rhythm management and stroke prevention - Tom De Potter 15 min - When to introduce LAAC and its role in comprehensive AF management - Jan Kovac

15 min - Critical view on ESC AF2024 guidelines - Jens Erik Nielsen-Kudsk

15 min - Consensus & future perspectives/direction - Philippe Garot

10 min - Discussion

16:05-16:40 - SESSION 4: The ELAACC Registry

Chair: Xavier Freixa & Jens Erik Nielsen-Kudsk

Panel: Nina Wunderlich, Philippe Garot & Lorenz Raber

15 min - ELAACC Research Registry: How to get started, how to join & future directions - Xavier Freixa

10 min - The ELAACC RedCap research overview - Jens Erik Nielsen-Kudsk

10 min - Discussion

16:50-18:20 - SESSION 5. Combined LAAC and AF Ablation: A critical review of the OPTION trial and current evidence

Chair: Martin Bergmann and Lucas Boersma

Panel: Kasper Korsholm, Mathieu Lempereur, Laura Sanchis Ruiz & Claudio Tondo

15 min - Presentation of the OPTION trial results - Jens Erik Nielsen-Kudsk

10 min - Radio frequency, cryo- or pulse-field ablation energy: Does it matter for LAAC? - Claudio Tondo

10 min - LAAC combined with ablation: Concomitant or sequential? - Claudio Tondo

15 min - Who are the patients for combined ablation and LAAC? - Martin Bergmann

15 min - Who and how should the combined procedures be done? Can results be extrapolated to other LAAC devices? - Martin Bergmann

25 min - DISCUSSION - concerning indication, staged/hybrid, combination with DOAC, and reimbursement.

18:20-18:35 - SESSION 6: Summary of Day One - Adel Aminian

Saturday 22nd February 2025

09:00-10:05 - Session 7. Pre-procedural Imaging Options for LAAC

Chair: Xavier Freixa & Ole De Backer

Panel: Jordi Mill, Xavier Iriart & Ian Buysschaert

15 min - CT and 3D-TEE are the only valid options? - Xavier Iriart

15 min - Available pre-planning software - pros & cons - Ian Buysschaert

15 min - New available tools of flow dynamics - Jordi Mill

20 min - Defining guidelines, consensus and future directions - Ole De Backer

10:35-12:15 - Session 8. Intra-procedural Imaging Options for LAAC

Chair: Nina Wunderlich and Sergio Berti

Panel: Laura Sanchis Ruiz, Jens Erik Nielsen-Kudsk & Ignacio Cruz Gonzalez

5 min - What valuable information do we need from imaging? Sergio Berti

10 min - Miniaturized TEE 3D/4D probes: a game changer? - Laura Sanchis Ruiz

10 min - 3D/4D ICE catheters: Advantages and challenges - Sergio Berti

15 min - Conformal case study using advanced imaging - Jens Erik Nielsen-Kudsk

15 min - Phillips case study using advanced imaging - Jens Erik Nielsen-Kudsk

15 min - How to match ELAAC criteria TEE & CT - Nina Wunderlich

15 min - Consensus & future perspectives/direction - Ignacio Cruz Gonzalez

15 min - Discussion

13:30-15:00 - Session 9. Post-Procedural DRT and Leaks: From Detection to Management

Chair: Jens Erik Nielsen-Kudsk and Nina Wunderlich

Panel: Kasper Korsholm, Laura Sanchis Ruiz & Roberto Galea

15 min - Definitions of DRT and leaks on CT - Kasper Korsholm

15 min - Definitions of DRT and leaks on TEE - Nina Wunderlich & Laura Sanchis Ruiz

15 min - When to do imaging FU and how frequently? - Roberto Galea

15 min - Consensus and research proposals - Adel Aminian

30 min - Discussion

 

15:30-17:00 - Session 10. How to Manage DRT and Leaks

Chair: Lorenz Räber and Xavier Freixa

Panel: Domenico Della Rocca, Adel Aminian & Philippe Garot

15 min - DRT management - Xavier Freixa

15 min - Leak management: When to use medical or percutaneous treatment - Lorenz Räber

15 min - Leak management: How to close percutaneously - Domenico Della Rocca

15 min - Consensus and research proposals - Lorenz Räber

30 min - Discussion

17:00-17:30 - Session 11. Summary of Day Two, Closing Remarks and Future Directions - Ole De Backer

ELAACC 2024 - ON DEMAND

Friday 2nd February 2024 - DAY 1 - PART 1

13:00-13:20      Welcome to the European LAAC Club (ELAACC) - Philippe Garot

13:20-13:40      LAAO Landscape: Current State and Unmet Needs - Adel Aminian

13:40-15:00      Session 1: Introducing the 'ELAACC Research Registry'    

20 min - Description, background and aims - Jens Erik Nielsen-Kudsk

30 min - Proposal of relevant variables of the ELAAC registry - Xavier Freixa & Nina Wunderlich

20 min - Implementation of ELAAC Research Registry: the practical aspect - Jens Erik Nielsen-Kudsk

10 min - Conclusions/summary - Adel Aminian

Friday 2nd February 2024 - DAY 1 - PART 2

15:30-16:50 Session 2: An LAA Classification for Interventionists.

15 min - Background and aims - Sergio Berti

25 min - Proposal of relevant classification parameters - Jens Erik Nielsen-Kudsk & Philippe Garot

30 min -Consensus on a practical classification and vote with proposals - Ole De Backer, Ignacio Cruz-González & Lorenz Räber

10 min - Conclusions/summary - Sergio Berti

Friday 2nd February 2024 - DAY 1 - PART 3

17:00-17:30 Boston Scientific Symposium: Innovation in LAAC

5 min - Introduction & welcome - Philippe Garot

12 min - Innovative solutions to prevent DRT - Jens Erik Nielsen-Kudsk

5 min - Innovative solutions to simplify the procedure - Christoph Hammerstingl

5 min - Innovation in the clinical landscape - Marek Grygier

3 min - Conclusions & thank you - Philippe Garot

17:35-18:05 European Survey: Let's have a look into our practice - Philippe Garot

18:05-18:35 Where are we heading to in the transcatheter LAA closure field? And what can be the role of the ELAACC? - Ole De Backer

Saturday 3rd February 2024 - DAY 2 - PART 1

09:00-10:30 - Session 3: Transseptal Access with Case Illustrations

Panel: Ole de Backer and Adel Aminian

20 min - Different transseptal devices: real advantages - Mony Shuvy

20 min - Tips and tricks for complex septums - Luis Nombela

20 min - Tailored transseptal puncture (location) - Liesbeth Rosseel

30 min - Consensus and research proposals (interactive)

Saturday 3rd February 2024 - DAY 2 - PART 2

11:00-12:30 Session 4: Procedural Imaging with Case Illustrations

Panel: Xavier Freixa and Ignacio Cruz-González

15 min - Standard TEE will remain the best imaging modality - Nina Wunderlich

15 min - Miniaturized TEE guidance is the future for LAAC - Laura Sanchis

15 min - GE - CASE in a box - Adel Aminian & Philippe Garot

15 min - Intracardiac echocardiography is the future for LAAC - Dabit Arzamendi

30 min - Consensus and research proposals - Martin Swaans

Saturday 3rd February 2024 - DAY 2 - PART 3

13:30-14:30 - Session 5: LAAC in Complex Anatomies with Cases Illustrations

Panel: Lorenz Räber and Ole de Backer

15 min - Complex cases based on the 'new LAA classification' - Apostolos Tzikas

15 min - LAAC in sinus or AF: Do we have to act differently? - Christoph Hammerstingl

30 min - Conclusions and research proposals

14:40-16:00 - Session 6: Define optimal LAAC (implantation objectives) and ideal/worst LAA anatomies for different devices

Panel: Philippe Garot and Sergio Berti

15 min - Watchman - Claudio Tondo

15 min - Amulet - Fabian Nietlispach

20 min - Other devices: Omega and Lambre - Ole de Backer & Beatriz Vaquerizo

30 min - Conclusions, consensus & research proposals - Nina Wunderlich & Sergio Berti

Saturday 3rd February 2024 - DAY 2 - PART 4

16:30-17:45 - Session 7: Complications

Panel: Xavier Freixa and Ignacio Cruz-González

15 min - Pericardial effusion: prevention - Alexander Sedaghat

15 min - Pericardial effusion: treatment (tools & techniques) - Christoph Hammerstingl

15 min - Device embolization: prevention - Rodrigo Estevez

15 min - Device embolization: treatment (tools & techniques) - Joëlle Kefer

15 min - Consensus - Apostolos Tzikas

17:55-18:55 - Session 8: Research Proposals

Panel: Jens Erik Nielsen-Kudsk & Ignacio Cruz-González

18:55-19:10 - Future Directions and Closing - ELAACC board