Catheter Based Treatment of Severe Mitral Regurgitation & UPMC Transcatheter Mitral Program

In this presentation, A.J. Conrad Smith, MD, and Saurabh Sanon, MD, FACC, discuss the UPMC Transcatheter Mitral Program and the management of mitral valve regurgitation.

Target Audience

This course is intended for primary care physicians, hospitalists, general medicine internists, family practitioners, physician assistants, nurse practitioners, nurses, and other allied health professionals.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Recall diagnostic skills by differentiating between primary and secondary mitral regurgitation
  • Implement management of mitral valve repair through the use of the MitraClip and by understanding the changes shown in imaging after the procedure
  • Identify which patients are best suited for use of the MitraClip and which can expect suboptimal outcome
  • Identify mitral valve disorders by understanding the spectrum of associated procedures
  • Implement management of stenotic valve by understanding the utility of balloon mitral valvuloplasty
  • Implement selection of appropriate candidates for the MitralClip procedure
  • Implement selection of appropriate candidates for the transcatheter mitral valve implantation procedure
  • Implement management of mitral valve conditions where a previous procedure has already been completed

Suggested Additional Reading:

  • Enriquez-Sarano M et al. NEJM 2005;352:875-83
  • Goliasch G et al. EHJ 2018; 39:39-46.
  • Rossi A et al. Heart 2011; 97:1675-1680.
  • Bursi F et al. Eur J Heart Fail 2010; 12:382-388.
  • Otto C et al. J Am Coll Cardiol. 2021; 77(4) e25-e197.
  • Stone GW et al NEJM 2018
  • Nkomo et al. Lancet, 2006; 368: 1005-11.
  • Mirabel et al. Euro Heart J. 2007; 28-1358.
  • Enriquez-Sarano M et al. NEJM 2005; 352:875-83.
  • Lim et al. JACC 2014; 64:182.
  • Rossi et al. Heart 2010; 97(20): 1675-80.
  • Nishimura et al. ACC AHA Guidelines for Management of Valvular Heart Disease 2020.
  • Mack et al. JACC 2021; 77:1029-40.

 

Course summary
Available credit: 
  • 1.25 AAPA Category I CME
  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 Attendance
Course opens: 
03/24/2022
Course expires: 
12/31/2024

Planning Committee Members:

  • Michael Fallert, MD, FACC - Clinical Assistant Professor of Medicine, Division of Cardiology, University of Pittsburgh School of Medicine
  • Katie Scollon, PAC - Lead Cardiovascular Physician Assistant at UPMC Health Plan
  • Lisa Henry, DNP - Clinical Project Director, UPMC Center for Aortic Valve Disease

Course Directors:

ANSON CONRAD SMITH, MD - Associate Professor, University of Pittsburgh School of Medicine, Associate Chief of Cardiology for Diversity, Equity, and Inclusion, Medical Director, Center for Heart Valve Disease, Director, Cardiac Catheterization Labs

SAURABH SANON, MD - Director of Interventional Cardiology Research, Center for Heart Valve Disease; Assistant Professor, University of Pittsburgh School of Medicine

All individuals in a position to control the content of this education activity have disclosed all financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All of the relevant financial relationships for the individuals listed below have been mitigated.  Dr. Sanon has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Consultant: Medtronic, Baylis Medical, Boston Scientific, Edwards Lifessciences, W.L. Gore, JenaValve
  • CE Speakers’ Bureau: Medtronic, Baylis Medical, Boston Scientific, Edwards Lifessciences, W.L. Gore, JenaValve

No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician (CME)

The University of Pittsburgh designates enduring material activity for a maximum of 1.25 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)

The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 contact hours.

Physician Assistant (AAPA)

The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Other Health Care Professionals

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Disclaimer Statement:

The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

 

 

Available Credit

  • 1.25 AAPA Category I CME
  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 Attendance
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