Breakfast Program: Complex PCI – Nothing is Simple in SHOCK!

Opening Remarks

Haroon Faraz, M.D.

Case Presentation: High Risk PCI

Haroon Faraz, M.D.

To Support or Not to Support: MCS Decision-Making in Shock PCI

Saraschandra Vallabhajosyula, MD MSc, FSCAI

Access and Closure in Shock PCI – Navigating Large-Bore Safely

Sandeep Nathan, M.D., FSCAI

Intracoronary Imaging & Physiology – Does It Matter in Shock PCI?

Jennifer A Rymer, MD, MBA, MHS

Calcium Modification in Shock PCI – Defining the Limits

Perwaiz M. Meraj, M.D., FSCAI

Case Integration, Panel Discussion & Key Takeaways

Haroon Faraz, M.D.

Breakfast Session: Incorporating Hemodynamic Profiling, Phenotyping and Staging into Care Across the CS Spectrum

Shock in the Wild – Recognition of CS in the Prehospital Setting and Direct Transport to Shock Centers

Emily Gundert, MD

Discussion

SCAI-ED: Staging and Triaging of CS in the Emergency Department and Transfer from Level 2 to Leve 1 Shock Centers

Max Hockstein

Discussion

The Shock Lab: Hemodynamic Profiling and PAC-Guided Care in the Cath Lab

Rachna Kataria, MD

The Many Faces of Shock: Applying SCAI Stage and CS Phenotype to Guide Care in the CICU

Jacob C Jentzer, MD

Discussion

Breakout Session A: Care Models in the Management of MCS

STEMI-Call in 2026: Large Bore Access and Contemporary Skillsets for AMI-CS Care

Leah M Raj, MD, FSCAI

Discussion

Who is the Ring Leader?: MCS Management in the CICU

Mohit Pahuja, MD, FSCAI

Discussion

ECMO Cannulation: All for One or One for All?

Allison G. Dupont, M.D., FSCAI

Discussion

Plug-and-Play: MCS Escalation and Weaning in the Contemporary Era of CS Care

Erin A Bohula May, MD

Discussion

Breakout Session A: The Shock Coordinator Playbook: Practical Strategies for Optimal Care

Panel Discussion and Audience Polling

Erin Davis, BSN

Operationalizing Shock Activation and Escalation

Michelle Ferri, NP

Discussion

The Shock Coordinator in Modern Shock Care

Laura Geer, RN, BSN, CCRN, VAD-C

Discussion

Driving Quality Improvement and Program Growth in Cardiogenic Shock

Penny Wilton, MD

Discussion

Breakout Session B: Shock Teams vs. Shock Protocols: Which one is More Important?

Beyond Activation: Building a High-Performing Cardiogenic Shock Team

Karthikeyan Ranganathan, M.D., FSCAI

Discussion

Standardization Saves Lives: Designing Effective Cardiogenic Shock Protocols

Filio Billia, MD PhD

Discussion

Case Presentation: In CS, Outcomes are Driven More by the Team Than by the Protocol

Rachna Kataria, MD

Discussion

Case Presentation: A Protocolized Approach is More Important than Multidisciplinary Teams for Improving Outcomes

Dr. Aditya Bharadwaj, M.B.B.S., FSCAI

Discussion

Breakout Session B: The Essentials of MCS Management and Complication Avoidance in the ICU

The Cannula is the Culprit: Preventing & Managing Vascular Access Site Complications of Temporary MCS

Allison G. Dupont, M.D., FSCAI

Discussion

Walking the Tightrope: Managing Hemolysis, Thrombosis, and Bleeding with Temporary MCS

Mohit Pahuja, MD, FSCAI

Discussion

Lines, Cannulas, and Biofilm: Preventing Infection & Cannula Dislodgement in the Temporary MCS Patient

Adam May, MD

Discussion

The Kidney as a Hemodynamic Monitor: Preventing AKI on Temporary MCS

Frank J. Amico Jr., D.O., FSCAI

Discussion

Challenging Shock Cases from Around the World: The Global Footprint of Shock Care

Case 1

Vicente Jimenez-Franco, MD, FSCAI

Discussion

Case 2

Kwan Seung Lee, MD, FSCAI

Discussion

Case 3

Raymond Yau, MD, FSCAI

Discussion

Dinner Program: ECMO Is for the Shock Team. The Shock Team Is for the Patient (CME)

Opening Remarks: Why ECMO Takes a Team and Audience Poll

Raymond Yau, MD, FSCAI

Hot Potato Debate: Cardiac Surgery Perspective

Allison G. Dupont, M.D., FSCAI

Hot Potato Debate: Heart Failure Perspective

Nicolas Brozzi, MD

Hot Potato Debate: Critical Care Perspective

Aasim Afzal, MD, MBA

Hot Potato Debate: Interventional Cardiology Perspective

Max Hockstein

Transition and Patient Axis Closing Poll

Raymond Yau, MD, FSCAI

First Touch, First Call: Bridging Gaps in Cardiogenic Shock Care

Welcome and Session Framing

Behnam N. Tehrani, M.D., FSCAI

Opening Case Presentation: The Patient Journey Begins

Behnam N. Tehrani, M.D., FSCAI

Recognize: Is This Cardiogenic Shock?

Rachna Kataria, MD

Activate: Who Do I Call, Who Should Be Transferred and What Information Should I Communicate?

Behnam N. Tehrani, M.D., FSCAI

Stabilize: What Should I Do If the Patient Is Not Leaving for Several Hours?

Saraschandra Vallabhajosyula, MD MSc, FSCAI

Bridge: How Do I Safely Bridge This Patient to Advanced Shock Care?

Ajar Kochar, M.D., FSCAI

Case-Based Panel Discussion and Audience Q&A

Behnam N. Tehrani, M.D., FSCAI, Rachna Kataria, MD, Saraschandra Vallabhajosyula, MD MSc, FSCAI, Ajar Kochar, M.D., FSCAI

Closing Takeaways: Recognize → Activate → Stabilize → Bridge

Behnam N. Tehrani, M.D., FSCAI

Lunch Program: Management of SHOCK in Patients With PE

Opening Remarks

Sripal Bangalore, MD, MHA, FSCAI

The Deadly Pivot: Shock as the Primary Driver of Mortality in Acute PE 

Daniel Burkhoff, M.D., PhD

Discussion

Before the Collapse: Identifying the Patient at Risk for Shock 

Sripal Bangalore, MD, MHA, FSCAI

Discussion

Proactive Strategies: Management of the Normotensive Patient at Risk for Shock 

Sanjum S Sethi, M.D., MPH, FSCAI

Discussion

The Acute Rescue: Critical Management of the Patient in Shock 

Behnam N. Tehrani, M.D., FSCAI

Discussion

Unloading the Right Heart: The Role of Mechanical Circulatory Support (MCS) 

Vikas Aggarwal, M.B.B.S., FSCAI

Discussion

Lunch Program: Optimizing Antiplatelet Therapy in Cardiogenic Shock

Introductory Remarks

Jennifer A Rymer, MD, MBA, MHS

Case Presentation – Cangrelor Use in a Patient in Cardiogenic Shock

Husam Salah, MD

DAPT-SHOCK-AMI Trial: Defining the Role of Cangrelor in Patients with AMI and Cardiogenic Shock

Ajar Kochar, M.D., FSCAI

Incorporating Cangrelor into AMI and Cardiogenic Shock Treatment Algorithms

Babar B Basir, DO, FSCAI

Unanswered Questions in the Use of Cangrelor for Cardiogenic Shock

Perwaiz M. Meraj, M.D., FSCAI

Discussion

Evidence for Use of Cangrelor in Cardiogenic Shock from Observational Data: Where are we in 2026?

Jennifer A Rymer, MD, MBA, MHS

Discussion

Moving From Institutional Shock Teams to Comprehensive Regional Systems of Shock Care

Shock Centers of Excellence: Tiered Approach to CS care

Ajar Kochar, M.D., FSCAI

Discussion

It Takes a Village: From Shock Centers to Shock Networks

Saraschandra Vallabhajosyula, MD MSc, FSCAI

Discussion

From Shock Networks to Shock Registries: Moving the Needle Forwards in CS Care

Mitchell W. Krucoff, M.D., MSCAI

Discussion

The Vulnerable Phase of CS: The Cardiogenic Shock Survivorship Continuum

Iyad N Isseh, MD

Discussion

Not Sure What my Next Move is: Managing Mixed Shock in the ICU and Shock in the Setting of Valvular Heart Disease

Challenging Case: Post-cardiotomy Shock Requiring Temporary MCS

Lucian A. Durham, MD, PHD

Discussion

Challenging Case: Valvular Shock From Aortic Stenosis With Urgent TAVR

Sandeep Nathan, M.D., FSCAI

Discussion

Challenging Case: Mixed Cardiogenic-vasodilatory Shock

David D. Berg, MD, MPH

Discussion

Right Patient, Right Approach: Translating Evidence Into Patient Care

Goals and Timing of Hemodynamic Support

Daniel Burkhoff, M.D., PhD

Panel Discussion

What's Coming in the field of CS

Bindu Akkanti, MD

Panel Discussion

The Heart Team Approach to Cardiogenic Shock

Ajar Kochar, M.D., FSCAI

Panel Discussion

The Politics, Finances and Administrative Challenges of Establishing Cardiogenic Shock Care

Rowing in Rhythm: The Art of Getting Everyone on the Same Wave

Raymond Yau, MD, FSCAI

Discussion

Welcome to the Shark Tank: The C-Suite Will See You Now

Andrew Gill

Discussion

Cardiogenic Shock Outcomes Should Be Regulated: Bring it!

Erin Davis, BSN

Discussion

Cardiogenic Shock Outcomes Should Be Regulated: What Could go Wrong!

David A. Baran, M.D., FSCAI

Discussion

2026 SCAI SHOCK

SCAI SHOCK: Home of the Shock Team