PROGRAM 2020 - EARLY FETAL CARDIOLOGY

Third EARLY FETAL SCAN CONFERENCE

12-20 September 2020

2nd EFSCAN CONFERENCE 2019

1st EFSCAN CONFERENCE 2018

DAY ONE:  Saturday 12th September 2020

15:00 – 19:00 (BST – London, UK time)

  • DR FRED USHAKOV (London, UK)

Principal difference between Screening for CHD and Early Fetal Echocardiography

  • Introduction
  • Screening for CHD at 11-13 weeks
  • Early Fetal Echocardiography
  • Feasibility of Cardiac Scan at 11 weeks vs 13 weeks vs 15 weeks

Moving Screening of CHD to the first trimester

  • Majority of severe CHD are detectable at 11-13 weeks by use of simple scanning protocol
  • 12 reasons why screening for CHD at 11-13 weeks is preferable than at 20 weeks

Technique of fetal echocardiography at 11-13 weeks: All the secrets

  • Protocols for screening and Echocardiography

How to choose approach and transducer for early heart examination

  • Transabdominal (regular vs high frequency)
  • Transvaginal (9 mHz vs 12 mHz)

How to choose appropriate scanning mode

  • Grey scale
  • Color Doppler
  • HD Doppler
  • Spectral Doppler
  • ALARA principle

Examination of the heart

  • Situs
  • 4 chamber view
  • Left ventricular outflow tract and aortic valve
  • Right ventricular outflow tract and pulmonary valve
  • Arterial arches (V-sign)
  • Venous system and ductus venous (DV)

How to improve the image

  • Acoustical windows
  • Contractions
  • Maternal bladder
  • Zoom
  • Frame rate
  • PRF
  • Aliasing
  • Artifacts

Q&A

Answers to questions

Conference Program

***Please note that this program is subject to change without notice (Conference Organising Committee EFScan 2020)

DAY TWO:  Sunday 13th September 2020

12:00 – 16:00 (BST – London, UK time)

Advances in Early Fetal Cardiology

PROF SIMON MEAGHER (Melbourne, Australia)

  • 12:00 – 13:30 (BST – London, UK time)

Early detection of two major groups of CHD

  • Transposition of the great arteries from second to the first trimester
  • First Trimester Conotruncal Malformation

Conference Sponsor Presentation: GE Healthcare

MR PIETER STEENSMA (GE Healthcare)

  • 13:30 – 13:50 (BST – London, UK time)

VOLUSON

  • Advanced 2D and Volume Ultrasound Technologies

Early Fetal Cardiology: General approach

DR FRED USHAKOV (London, UK)

  • 14:00 – 16:00 (BST – London, UK time)

Abnormal heart at 11-13 weeks: concept of patterns

  • Normal pattern of the heart
  • What are the Patterns of Abnormal Hearts?

Abnormalities of the position of the heart and abnormal situs

  • Abnormal position of the heart: What does it mean?
  • Situs abnormalities
  • Stomach at 12 weeks

Abnormal 4 chamber view (4CV):

  • Single ventricle
  • Right ventricle – left ventricle disproportion
  • Atrioventricular valves
  • Be careful in scanning, counselling and prognosis!

Abnormal arteries (normal 4CV):

  • Big/single overriding vessel
  • Parallel arteries
  • Aortic arch anomalies
  • Be careful not to miss severe CHD!

Main limitations of cardiac scan at 11-13 weeks

  • Technical vs conceptual limitations
  • Isolated VSD – do we need to detect it?
  • Major CHD not detectable at 12 weeks – are they very common?
  • Two stage screening protocol for CHD: 12 & 20 weeks

Q&A

Answers to questions (Dr Fred Ushakov)

Conference Program

***Please note that this program is subject to change without notice (Conference Organising Committee EFScan 2020)

DAY THREE: Saturday 20th September 2020

15:00 – 19:00 (BST – London, UK time)

  • DR FRED USHAKOV (London, UK)

All CHD which are detectable at 11-13 weeks:  Diagnosis & natural history of specific cardiac anomalies in the 1st, 2nd & 3rd trimesters

Hypoplastic left heart syndrome (HLHS)

Aortic stenosis

Mitral atresia

Coarctation of aorta (CoA)

Interrupted aortic arch

Right and double aortic arch

Tricuspid valve anomalies

  • Ebstein’s anomaly
  • Tricuspid dysplasia
  • Tricuspid regurgitation

Tricuspid atresia

Pulmonary atresia with intact ventricular septum (PAIVC)

Pulmonary stenosis

Transposition of great arteries (TGA)

Tetralogy of Fallot (TOF)

Double outlet right ventricle (DORV)

Common arterial trunk

Absent pulmonary valve

Bidirectional flow in aorta due to absent arterial valve(s)

Atrioventricular septal defect (AVSD)

Ventricular septal defect (VSD)

Left atrial isomerism

Right atrial isomerism

Univentricular heart

Arrhythmias at 11-13 weeks

  • Brady
  • Tachy

Ductus venosus (DV) anomalies

ARSA – do we need to check it?

Pericardial/pleural effusion(s)

Q&A

Answers to questions

Conference Program

***Please note that this program is subject to change without notice (Conference Organising Committee EFScan 2020)

DAY FOUR:  Sunday 20th September 2020

15:00 – 18:00 (BST – London, UK time)

Future of 12 weeks CHD Screening & Early Fetal Cardiology

How can we implement the Early CHD Screening?

Management of screen positive CHD findings

DR FRED USHAKOV (London, UK)

  • 15:00 – 15:30 (BST – London, UK time)

Sonographer, Fetal Medicine Specialist and Fetal Cardiologist: Working together

  • 4 clinical scenario of early CHD presentation
  • Management of the findings
  • Follow-up: when to rescan
  • Fetal Cardiologist

Leaders in Fetal and Pediatric Cardiology

PROF  JULENE CARVALHO (London, UK)

  • 15:30 – 16:00 (BST – London, UK time)

Early Fetal Cardiology

The Cardiologist Perspective

Future of CHD Screening

MR PRANAV PANDYA (London, UK)

  • 16:00 – 16:30 (BST – London, UK time)

Achievements and Perspective of CHD Screening

Implementation of the CHD screening program in UK

Human genetic and early detection of CHD:  New horizons

DR SARA HILLMAN (London, UK)

  • 16:30 – 17:00 (BST – London, UK time)

Ultrasound and Genetic: Working together

Early CHD Screening and Human Exome

Leaders in Fetal and Pediatric Cardiology

PROF MARK SKLANSKY (Los Angeles, US)

  • 17:00 – 17:30 (BST – London, UK time)

Early Fetal Cardiology

The Cardiologist Perspective

Early Fetal Cardiology: Roundtable

  • 17:30 – 18:00 (BST – London, UK time)

Discussion

Answers to questions

Conference Program

***Please note that this program is subject to change without notice (Conference Organising Committee EFScan 2020)