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2025 SCAI SHOCK
SCAI SHOCK: Home of the Shock Team
Breakfast Satellite: Complex PCI – Nothing Is Simple in Shock Patients!
Introductory Remarks
Behnam N. Tehrani, M.D.
What is Complex and High Risk? – Patient Population and Tools/Skillsets Needed to Treat
Vicente Jimenez-Franco, MD
Getting In and Out Safely - Vascular Access and Closure in AMI-CS
Vikas Aggarwal, M.B.B.S., FSCAI
To Support or Not to Support – MCS in AMI-Shock
Behnam N. Tehrani, M.D.
Chipping Away – Calcium Modification in Complex PCI
Saraschandra Vallabhajosyula, MD MSc, FSCAI
Keeping Your Eyes Open – Role of Intravascular Imaging in Complex PCI
Hayder D. Hashim, M.D., FSCAI
CTO’s in AMI-Shock – When and How to Treat
Rhian E. Davies, DO MS, FSCAI
Breakfast Session: Mapping the Maze of Cardiogenic Shock – Shock Phenotypes, Stages, and Hemodynamics
Introductory Remarks
One Shock Doesn’t Fit All - Cardiogenic Shock Phenotypes
Michael A Solomon, MD MBA
SCAI DLC Initiative: Definition, Hypothesis and Call to Action
Srihari S. Naidu, MD, MSCAI
IABP: Inflated Hopes or Deflated Use? SCAI Staging and Cardiogenic Shock Controversies in Clinical Trials
Shashank S Sinha, MD, MSc
Shocking Developments: Hemodynamics & Treatment in CS
Howard A Cooper, M.D.
Panel Discussion
Breakout Session – The Advanced Practitioner's Role in the Critical Care Unit
Investing in APPs in the ICU
Mr. Andrew Shunk, MHA
Benefits of Having APPs in the ICU: From a Surgeon/HF Attending Perspective
Duc Thinh T Pham, MD
Expanding Into an MCS APP Team
Colleen LaBuhn
How to Utilize APPs in an ICU
Katie Dye, MSN
Discussion
Breakout Session – The People’s Ventricle: Right Ventricular Cardiogenic Shock
MCS for Treatment of RV-Predominant Cardiogenic Shock
Said Ashraf, MD, FSCAI
Epidemiology and Initial Medical Management of RV Shock
Vicente Jimenez-Franco, MD
RV Shock Due to CTEPH: BPA vs. Surgery
Vikas Aggarwal, M.B.B.S., FSCAI
CICU Management of RV-Predominant Cardiogenic Shock
Eric P Cantey, MD, FSCAI
Breakout Session – This Job is Stressful! Maintaining Your Own Wellbeing
Dealing with Complications and Unexpected Outcomes
Frank J. Amico Jr., D.O.
The Second Victim Syndrome
Kimberly A. Skelding, M.D., FSCAI
Can I Prevent Moral Injury and Compassion Fatigue?
Joaquin E. Cigarroa, M.D., MSCAI
Don’t Suffer in Silence: Finding a Support Network
David Howard
Discussion
Breakout Session: The Shock Coordinator Playbook – Practical Strategies for Optimal Care
Shock Coordinators 101: Navigating the Frontlines of Cardiogenic Shock Care
Stephanie Koepke, MSN, ACNS-BC
Building a Shock Network: Connecting Care Inside and Out
Vika Kagan, ARNP, MSN
Shock Tracking: Harnessing the Right Tools for Better Outcomes
Charlie Nix
Shock Case Review: Turning Data into Impactful Care
Robyn Mitchell, DNP, ACNPC-AG, E-AEC
Panel Discussion
Challenging Shock Cases: Escalation and De-escalation
CASE: AMI Shock with Escalation to Impella 5.5
Ilan Vavilin, MD
CASE: HF-CS
Arushi Singh, MD, MSc
Dinner Program: ECMO Workshop – When and How to Use a Powerful Tool
Introductory Remarks
Allison G. Dupont, M.D., FSCAI
Venoarterial ECMO Indications
Amy Hackmann, MD
Tips for Safe Cannulation
Allison G. Dupont, M.D., FSCAI
Discussion
Getting Your Hospital Administrators on Your Team
Optimizing Hub and Spoke Model: The Financial Benefits of a Shock Program
Mr. Andrew Shunk, MHA
How to get Support From the C- Suite
Ruth Fisher, MBA
Physician Compensation Models / RVUs and Shock Call
Colleen LaBuhn
Finances of ECMO
John R Mehall, MD
Panel Discussion
Lunch Program: Optimizing Antiplatelet Therapy in Cardiogenic Shock
Introductory Remarks and Polling Questions
Sandeep Nathan, M.D., FSCAI
Case Presentation and Initial Clinical Course
Michele L Esposito, M.D., FSCAI
Pharmacodynamics of Antiplatelet Therapies With and Without CS
Frank J. Amico Jr., D.O.
Data for use of Cangrelor in AMI-CS and High-Risk PCI
Jennifer A Rymer, MD, MBA, MHS
Optimal Antiplatelet Strategies in High-risk Patients
Srihari S. Naidu, MD, MSCAI
Case Continuation and Conclusion
Michele L Esposito, M.D., FSCAI
Concluding Remarks and Polling Questions
Sandeep Nathan, M.D., FSCAI
Lunch Satellite: Management of Shock in Patients With Pulmonary Embolism (CME)
Introductory Remarks
Vikas Aggarwal, M.B.B.S., FSCAI
Normotensive Does Not Mean Low Risk: Insights from the FLASH Registry
Sripal Bangalore, MD, MHA, FSCAI
Choosing the Right Treatment for the Right PE Patient
Oren Friedman, MD
What Role does a Surgeon Have on the PERT Team?
Amy Hackmann, MD
Questions Remaining Unanswered in Published Thrombectomy Trials, Where Do We Go from Here?
Said Ashraf, MD, FSCAI
Mechanical Circulatory Support in Pulmonary Embolism
Allison G. Dupont, M.D., FSCAI
Panel Discussion
Managing Cardiogenic Shock in Patients with Valvular Heart Disease
At the Intersection of Valvular Disease and Cardiogenic Shock – Common Clinical Scenarios and Contemporary Outcomes
Ioana Dumitru
CASE 1: Critical AS and Cardiogenic Shock
Hiram G Bezerra, M.D., Ph.D.
CASE 2: Emergent M-TEER for Severe MR and Cardiogenic Shock
Rebecca Chester, MD
Shock Case Poster Presentations
Access without available arterial access options in an ECMO Patient: A Case Report
Samuel Moore, D.O.
Two Hearts in Shock: Impella CP in a Complex Pregnancy
Neal Patel, DO
Systems of Care in Cardiogenic Shock: Teams, Networks and Post Discharge Management
Time is Tissue: EMS and ED Protocols for the Shock Patient
Dr. Aditya Bharadwaj, M.B.B.S., FSCAI
From Shock Teams to Shock Networks: The Hub and Spoke Model
Behnam N. Tehrani, M.D.
When to Call the Shock Team: Protocol Dissemination in the Community
David A. Baran, M.D., FSCAI
CS Management in 2025: Optimizing CICU Staffing Models
Saraschandra Vallabhajosyula, MD MSc, FSCAI
Shock Survivorship: The Role of Cardiogenic Shock Clinics Post-Hospital Discharge
Iyad N Isseh, MD
Panel Discussion
Top Shock Cases
VA-ECMO as a Bridge to Transplant Following Apical Wall Rupture
Hannah Every, MD
Regurgitation, Reperfusion, Rescue: ECMO in the Setting of Aortic Valve Catastrophe
Shazil Mahmood, MD
Cardiac Arrest During Acute MI Revascularization: Mobile VA-ECMO and Progressive Mechanical Support Enable Survival
Robby Wu, DO, FACC