Advanced Mechanical Circulatory Support: Perioperative Echocardiographic and Surgical Pearls and Pitfalls

There has been substantial progress in the field of mechanical circulatory support that have expanded the treatment options for patients with advanced-stage heart failure. Currently available MCS devices can be configured to support the left, right, or both ventricles, offering varying levels of circulatory support. Perioperative transesophageal echocardiography is a major component for surgical and anesthetic decision making during device implantation and for device function evaluation. The aim of this webinar is to comprehensively overview the echocardiographic assessment of patients receiving a temporary or durable MCS. In addition to the standard examination, device-specific pre-, intra-, and postoperative considerations will also be addressed from a surgical and Echocardiographic perspective.

Speaker(s):

• Ramesh Singh, MD, MRCS, FACS, FACC Cardiac Surgeon Surgical Director of Mechanical Circulatory Support and Cardiovascular ICU Inova Fairfax Hospital Assistant Professor of Medical Education, University of Virginia 
• Richard Sheu MD, FASE Assistant Professor Director, Perioperative Echocardiography Program Director, Adult Cardiothoracic Anesthesiology Fellowship Division of Cardiothoracic Anesthesiology Department of Anesthesiology and Pain Medicine University of Washington Medical Center Topic
• Kiran Belani, MD, FACC, FASE Director of Perioperative Echocardiography, Staff Cardiothoracic Anesthesiologist Inova Heart and Vascular Institute, Inova Fairfax Medical Center Assistant Professor, University of Virginia School of Medicine

Moderators:

• Richard Sheu MD, FASE Assistant Professor Director, Perioperative Echocardiography Program Director, Adult Cardiothoracic Anesthesiology Fellowship Division of Cardiothoracic Anesthesiology, Department of Anesthesiology and Pain Medicine, University of Washington Medical Center Member at Large, ASE COPE Council
• Qiong “Joan” Zhao, MD, PhD, FACC, FASE Medical Director of Echocardiography Inova Heart and Vascular Institute, Inova Fairfax Medical Center Associate Professor, University of Virginia School of Medicine Education Representative, ASE COPE Council

CME Information: 1.00 AMA PRA Category 1 Credits^TM (Pending Approval)

Activity Expiration Date: January 10, 2026

Learning Objectives:

• Review the guidelines for perioperative transesophageal Echocardiographic evaluation for the temporary and durable mechanical circulatory support implantation, function, and complications. 
• Review application of advanced Echo technique in the assessment of the function of the advanced mechanical circulatory support system. 

Disclosure:

ASE is committed to ensuring that its educational mission, and all accredited continuing educational programs provide a protected space to learn, teach, and engage in scientific discourse free from influence from organizations that may have an incentive to insert commercial bias into education.

While a monetary or professional affiliation with an ineligible company does not necessarily influence a speaker’s presentation, the Standards for Integrity and Independence in Accredited Continuing Education and policies of the ACCME require that all financial relationships with ineligible companies* be identified and mitigated prior to engaging in an accredited CE activity. In accordance with these policies, ASE actively identified relevant financial relationships between faculty in control of this accredited CE activity and ineligible companies and implemented mitigation strategies to eliminate any potential influence from persons or organizations that may have an incentive to insert commercial bias in this activity. (*Companies that are ineligible to be accredited in the ACCME System (“ineligible companies”) are those whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.)

The following faculty members have no relevant financial relationships with ineligible companies:

All relevant financial relationships with ineligible companies listed for the following faculty members have been mitigated:

Members of the ASE CME Committee members (not serving as faculty) do not have any financial relationships with ineligible companies.  Click here for a list of these members.

None of the ASE staff who were involved in the planning and implementation of this educational activity have relevant financial relationship(s) to disclose with ineligible companies.  Click here for a list of ASE staff members.

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