Scientific Program

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Cardiovascular disease (CVD) is a prevalent health issue affecting a large portion of the global population, particularly adults over the age of 60. According to the Centers for Disease Control and Prevention (CDC), CVD remains the leading cause of death and disability in the United States, with heart disease and stroke being responsible for 1 in every 3 deaths. As our understanding of CVD continues to evolve, there is a constant influx of new literature, technologies, and treatment options. In order to stay at the forefront of this field, it is crucial to engage in scientific exchange, disseminate and advance research, and educate and inform our cardiovascular community. With this in mind, our program is dedicated to facilitating dialogue, promoting innovation, and setting evidence-based policies in order to ultimately improve the prevention, diagnosis, and treatment of CVD.

Friday, November 17, 2023

7:30 am 8:00 am

Breakfast and Registration

Palmar Foyer

8:00 am 8:15 am

Welcome Remarks
Introduction & Course Overview

Valentin Del Rio
President, SPCI

Palmar A

Session A: Transcatheter Therapies for Aortic and Mitral Valve Disease

Moderator: Héctor Martínez
Panel: Alejandro López, Nelson Espinell, Edwin Pérez

8:15 am – 10:35 am

Case 1 – TAVR Navitor with Alternate Access
Live streaming from Bayamon Heart and Lung Institute

Pedro Colón ​& Rafael Rivera

Case 2 – TAVR Evolute Pro
Live streaming from Instituto Cardiovascular de Buenos Aires

Pablo Spaletra, Lucio Padilla & Santiago Ordoñez

TAVR vs SAVR: How Does Valve Durability Impact Decision-Making?

Héctor Martínez

Alternative Access for TAVR: Transcarotid | Transaxillary | Transcaval

Alejandro López

Mitral Valve Conundrums: How I Approach Valve in MAC | Ring | Valve

Jamie McCabe​

Case in a box: Interesting Mitra Clip or TMVR Case

Jamie McCabe​

10:35 am – 10:50 am

Coffee Break – Exhibitor visit

Session B: Left Atrial Appendage Closure

Moderator: Francisco Pérez
Panel: Héctor Banch, Mohamed Kanj, Edwin Rodríguez, Eric Avilés

10:50 am - 12:30 pm

Case 3 – Watchman
Live Streaming from Bayamon Heart and Lung Institute

Helder Hernández & Ricardo Pérez

Case 4 – Amulet
Live Streaming from Instituto Cardiovascular Buenos Aires

Pablo Spaletra, Lucio Padilla & Santiago Ordoñez

Is Ablation Enough for Stroke Prevention?

Mohamed Kanj​

There’s a Gap Around my Implanted LAAO: What do I do Now?

Mahamed Kanj

Case in a box (Electrophysiology): Hanging by a Thread: First Report of Treatment for a Rare Lead-less Pacemaker Complication

Joseph Maldonado Jr.

12:30 pm - 1:30 pm

Lunch – Sponsored Talk (Bayamón Medical Center) – Dr. Lorenzo Azzalini

Session C: “The Vascular Challenge”

Moderator: Edwin Pérez
Panel: Jorge Martínez-Trabal, Eric Carro, Jorge Weber

1:30 pm - 3:30 pm

Case 5 – Carotid Stenting
Live Streaming from Bayamon Heart and Lung Institute

Damián Grovas

Carotid Artery Stenting: Technique and Selection Criteria

Edwin Pérez


TransCarotid Artery Revascularization - TCAR

Jorge Weber

Lower Extremity Peripheral Vascular Disease:

When is Revascularization Indicated?

Jorge Martinez-Trabal

Case 6 – Peripheral Supera
Live Streaming from Bayamon Heart and Lung Institute

Damián Grovas

Case in a Box: Thermal Venous Ablation

Eric Carro

3:30 pm - 3:45 pm

Coffee Break – Exhibitor Visit

Session D: Fellows In Training

Moderator: Pedro Colón
Panel: Julio Valentin, Rafael Rivera, Edwin Rodríguez

3:45 pm – 4:15 pm

Transcatheter Mitral Valve Replacement: An Alternative Option for Patients with Prohibitive Surgical Risks and Severe Prosthetic Valve Dysfunction
Pablo Cantero Schaffer


Heart Aches & Coronary Breaks:

A Case of Complex Percutaneous Coronary Intervention

with Sudden Coronary Rupture
Darcy Diago

Percutaneous Management of Unusual

Cause of Right-to-Left Shunt in PFO-Induced Cardiac

Platypnea-Orthodeoxia Syndrome
Victor Molina

4:15 pm - 4:25 pm

Raffle Day 1 – Be there or be Square

4:25 pm - 4:30 pm

Day Conclusion – Adjourn

Valentin Del Rio

7:30 pm – 11:00 pm

Welcome Reception

Dress code: Casual


Saturday, November 18, 2023

7:30 am - 8:10 am

Breakfast and Registration

8:10 am - 8:15 am

Welcome & Day Overview

Valentin Del Rio
President, SPCI

Session E: CAD – LM Bifurcation / Physiology / 2ry Prevention

Moderator: Ajay Kirtane
Panel: Ricardo Santiago, Vladimir Dzavik, Hemal Gada, Orlando Rodríguez

8:15 am - 10:35 am

Case 7 – LM Calcified Bifurcation with Hemodynamic Support via
Percutaneous Axillary Access + Intravascular Lithotripsy
Live Streaming from Bayamon Heart and Lung Institute

Lorenzo Azzalini & Julio Valentin

Left main bifurcation PCI: When to choose provisional and when is an upfront two stent strategy better?

Vladimir Dzavik

Technical Success after complex PCI is not enough:

Secondary Prevention Needs To be Addressed in the Cath Lab!

Ajay Kirtane

Optimal DK-crush technique to achieve optimal patient outcomes

Vladimir Dzavik

Non-Invasive Physiology in the Cath Lab: How FFR Angio Will Change the Game

Ajay Kirtane

10:35 am - 10:50 am

Coffee Break – Exhibitor Visit

Session F: CAD – Advanced PCI Techniques in Routine Interventions

Moderator: Hector Martínez
Panel: Orlando Rodríguez, Neisser Morales, Miguel Campos

10:50 am - 12:00 pm

How Can I Get Better at Complex PCI in the Years Ahead?

Ajay Kirtane

Oh No! I'm Subintimal – What do I do Now?

Ricardo Santiago

Wire across but nothing will follow – What are the options?

Héctor Martínez

Guide Extensions and Microcatheters – When and How to Use Them

Mauro Echavarria

Case in a box – Putting It All Together

Neisser Morales

12:00 pm – 1:00 pm

Lunch – Sponsored Talk (Edwards) – Dr. Pedro Villablanca

Session G: CAD – CTO PCI in Post-CABG Patients / Toolbox / Complications

Moderator: Lorenzo Azzalini
Panel: Neisser Morales, Damián Grovas, Miguel Campos

1:00 pm – 3:00 pm

Case 8 – CTO PCI of Cx via Diseased Vein Graft

Live Streaming from Bayamon Heart and Lung Institute

Ricardo Santiago & Ajay Kirtane

Post-CABG ACS with Culprit Vein Graft: Do You Treat The Native or the Graft?

Lorenzo Azzalini

CTO PCI: “Must-have” Wires to Meet Your Needs

Neisser Morales

Managing Perforations During Complex PCI: New Tools and Techniques

Lorenzo Azzalini

3:00 pm – 3:15 pm

Coffee Break – Exhibitor Visit

Session H: Dr. Humberto Quintana’s Legacy Session: The Interventional Potpourri

Introduction: René Pérez

Moderator: Lorenzo Azzalini
Panel: Ismael Ortiz, Hemal Gada, Pedro Colón, René Pérez

3:15 pm – 4:20 pm

Case in a Box: Transitioning Spotlight

Its Not Over Until Its Over: PCI, CTO, TAVR

Sharlene Medina

Case in a Box: Transitioning Spotlight

Under Pressure: STEMI Case Chronicles
Carla Rosario

3:45 pm – 3:55 pm

My Most Complex Case of the Year: Structural – TAVR

Hemal Gada

3:55 pm – 4:05 pm

My Most Complex Case of the Year: Coronary

Lorenzo Azzalini

4:05 pm – 4:15 pm

My Most Complex Case of the Year: Structural – TEER / TMVR

Hemal Gada

4:15 pm – 4:30 pm

Recognition & Biographical Sketch

Valentin Del Rio & Hector Martínez

4:20 pm – 4:30 pm

Raffle Day 2 – Be there or be Square

4:30 pm – 4:35 pm

Day Conclusion – Adjourn

5:00 pm – 9:00 pm

Farewell Party

Dress code: Casual

Preciosa Ballroom

Recommended Audience

This scientific agenda has been designed for interventional cardiologists, electrophysiologists, advanced heart failure/transplant cardiologists, clinical cardiologists, cardiothoracic surgeons, cardiovascular disease fellows, and other healthcare professionals.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of “Academia Médica del Sur” and “Sociedad Puertorriqueña de Cardiología Interventional”. The “Academia Médica del Sur” is accredited with Commendation by the ACCME (0008230) to provide continuing medical education for physicians.” The Academia Médica del Sur designates this live event for a maximum of 15 AMA, PRA Category 1™ Credits.

Physicians should claim credits commensurate with the extent of their participation in the activity. 

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