Illinois State Perfusion Society 25th Annual Educational Conference

Virtual Webinar Presented via Zoom October 3rd, 2020, 7am-1pm

www.IllinoisPerfusion.org

October 3rd, 2020

Welcome to the 25th Annual Illinois State Perfusion Society’s Educational Conference!

(6.6 CEUs via Virtual Webinar!) What a year 2020 is shaping up to be – and what an unbelievably challenging, rewarding, and needed time it is to be a perfusionist!

The ISPS Board of Directors and I, extend our sincere thank you to all perfusionists for

your hard, and often unrecognized, work in helping thousands of patients’ lives during the global pandemic. Together, we have made an extremely large, life-saving impact that no other profession could have done. For your dedication and commitment to saving lives, we are grateful and honored to be your coworkers.

Obtaining continuing perfusion education in 2020 has presented some challenges. We

empathize with many perfusionists who rely on large conference formats for continuing education who will be unable to attend this year due to conference cancellations, delays, reimbursement cuts, travel restrictions, and many other reasons. In understanding these challenges, the ISPS Board of Directors unanimously voted to present this years’ conference in a virtual and truncated format to all perfusionists FREE OF CHARGE. This is our society’s effort coming together in support of our coworkers and profession in these uncertain times.

We hope you find this year’s webinar lectures to be extremely current and relevant to

what we are all facing at work and in our lives each and every day. The surgeons, physicians, and perfusionists presenting are all experts in their field, extensively published, and offer you the very latest in clinical and research topics. A sincere “Thank You” to all this year’s presenters for preparing your lectures and volunteering your time on a Saturday morning in support of perfusionist education.

Lastly, I would like to extend my heartfelt thank you to each of the members of the

Illinois State Perfusion Society’s Board of Directors. Your vision and hard work has not only made this educational event possible and free, but most importantly, has helped perfusionists nationwide do what they do best – be perfusionists. I am extremely proud and humbled to work with each of you in service to our profession.

We look forward to seeing you next October in-person and virtually at the Hyatt Lodge

in Oak Brook, IL for our 26th annual educational conference! Ryan Piech, President Illinois State Perfusion Society

Conference Webinar Academic Agenda

0700-0705 Welcome, Opening Remarks Ryan Piech, ISPS Board 0705-0745 “Current Translational Research in Organ Transplantation and the Perfusionists Role” Lucia Madariaga, MD, University of Chicago Medicine, Chicago, IL 0745-0825 “Fighting COVID19 in Round 1: New York’s Cardiac Surgery Battle Plan” James Beck, CCP, Director and Chief of Perfusion, Columbia Presbyterian, New York Fred Hill, CCP, Chief of Perfusion, NYU Langone Medical Center, New York, New York 0825-0905 “High Risk TAVR and The Value of a Perfusionist”

Khaled Abdelhady, MD, University of Illinois Health, Chicago, IL 0905-0945 “Future MCS Devices: What We’ll Soon See In and Out of the Operating Room” Valluvan Jeevanadam, MD, Professor, Chief, Director Heart and Vascular Center

University of Chicago Medicine, Chicago, IL 0945-1025 “Normothermic Ex-Vivo Organ Perfusion for Transplant Organ Conditioning” Kumaran Shanmugarajah, MD, PhD

University of Chicago Medicine, Chicago, IL 1025-1105 “Early Extubation and Ambulation for COVID ECMO” Nitesh Mody, DO, MS

RUSH University Medical Center, Chicago, IL 1105-1145 “Innovative Strategies to Improving COVID ECMO Outcomes: A Large Cohort” Michael Kotwas, BS, CCP, LP and Sejal Loberg, MS, CCP, LP

Advocate Christ Medical Center, RUSH University Medical Center, Chicago, IL Perfusion Technologists of Greater Chicago

1145-1215 “Optimal Anticoagulation on ECMO: Heparin vs Bivalrudin” Alex Leonor, Perfusion Student, Rush University Medical Center 1215-1230 “A Case Review: Ascending Aortic Arch Replacement with Debranching of Head Vessels” Lindsey Stickler, Perfusion Student, University of Iowa School of Perfusion 1230-1245 Award Presentation: Perfusionist of the Year

Closing Remarks, Webinar Adjourned ISPS Board of Directors, Guest Speakers 1245-1300 ISPS Open Business Meeting

Course Faculty Biographies

Khaled Abdelhady, MD

Dr. Khaled Abdelhady has been trained by elite professors in the field of Cardiothoracic Surgery at distinguished universities. Dr. Abdelhady is a primary adult cardiac surgeon who has a practice focus on reconstructive cardiac valve repair surgery, as well as valve replacement and coronary artery bypass. He is also highly skilled to perform video assisted thoracoscopic anatomical lung resections for lung cancer patients. Currently, he works closely with several robotic surgeons in developing a robotic thoracic surgery program including diaphragmatic pacing for ALS patients. He continues to work closely with our cardiologists, pulmonologists, and oncology teams in developing an on-going cutting-edge adult cardiothoracic surgery program.

Nitesh Mody, DO, MS

Nitesh Mody, D.O., M.S., is a board certified CardioThoracic Anesthesiologist and Critical Care Intensivist at Rush University Medical Center (RUMC). He completed his CT Anesthesia training at Cedars Sinai Medical Center (CSMC) and his Critical Care training at University of California, San Diego (UCSD). Dr. Mody specializes in VA/VV ECMO, Critical Care Medicine, Mechanical Circulatory Support, Peri-operative Cardiac Surgery & Structural Heart/Minimally invasive Surgery.

James Beck, MS, CCP

Mr. Beck received master’s degree in perfusion science from University of Nebraska Medical Center after graduating from Episcopal Hospital School of Perfusion Science in 1990. James is the Director of Clinical Perfusion and Anesthesia Support Services at Columbia Presbyterian Medical Center and Morgan Stanley Children’s Hospital of New York at New York-Presbyterian Hospital in New York, NY. He is responsible for extracorporeal services including extracorporeal membrane oxygenation (ECMO) at one of the largest ECMO programs in the world. He is responsible for leading one of the country’s most active perfusion programs including specialization in Cardiothoracic Surgery, Heart, Lung and Liver Transplantation, Ventricular and Mechanical Assist, Adult and Pediatric Congenital Surgery and Complex Repair of the Aorta.

James is also actively involved in research and education in the fields of Perfusion Science and Cardiothoracic Surgery. He also directs the Clinical Perfusion Training Program for perfusion students from several perfusion schools across the United States. James is extremely active in advancing the field of perfusion through education, having presented at more than 50 conferences worldwide and authoring many peer reviewed journal publications. He is the author of numerous chapters and textbooks currently used in many perfusion schools throughout the world.

Away from perfusion, James enjoys boating, skiing, and coaching little league. You will also find him watching all varieties of competitive sports on TV.

Fred Hill, CCP, RN Mr. Hill came to the United States in 1981 from Australia. In Philadelphia he worked as a therapist, specializing in working with children with brain injuries. In 1989, Fred enrolled in nursing school, at which time he worked in cardiac surgery. During his tenure he was introduced to the field of perfusion and soon enrolled in the Hahnemann Drexel School of Perfusion. After graduation from perfusion school, he worked as a traveling perfusionist for about 18 months until joining Columbia Presbyterian Hospital NYC in late 1995. He continued working at Columbia for 6 years as a senior perfusionist and senior clinical perfusion instructor. In July of 2001, he accepted the Chief of Perfusion position at NYU Langone Medical Center in New York, and currently serves in that position. His current clinical interests at NYU include developing a working protocol for DCD transplants utilizing CPB. Fred is passionate about volunteering in the perfusion community. He has participated in many cardiac surgery mission trips, at several locations throughout the world, as both a pediatric and adult perfusionist. He is currently working on a team setting up a cardiac surgery center in Guana. Fred’s additional volunteer and professional work includes speaking at many perfusion conferences both nationally and internationally, and authoring several peer reviewed journal publications. Away from the OR, Fred is a triathlete. He has completed over 80 triathlons up to and including the half-ironman distance. He enjoys keeping healthy and active in this manner with his wife who is herself a well-respected triathlete competing in the iron-woman distance.

Valluvan Jeevanandam, MD

Valluvan Jeevanandam, MD, specializes in the surgical management of heart failure, and is an expert in high-risk cardiac surgery. He has performed more than 1,100 heart transplants — including the total artificial heart — and countless cardiac surgery procedures, including transmyocardial laser revascularization, complex valve reconstruction, and minimally invasive coronary artery bypass graft surgery. Additionally, Dr. Jeevanandam has received national attention for his skill in performing bloodless cardiac surgery, particularly working with Jehova’s Witness patients, which requires the use of precise surgical techniques to minimize blood loss during the procedure — sparing the need for a blood transfusion. Dr. Jeevanandam is a pioneer in the field of mechanical circulatory assist devices. In October 2000, he was the first surgeon in the world to successfully implant the CardioVad, a revolutionary, permanent circulatory assist device that boosts heart function in patients with severe heart failure who are not candidates for transplant. He invented and was the first surgeon in the world to implant the NuPulse IABP system. He continues to be a recognized leader in the field of advanced heart failure and currently serves on the FDA Device Panel. He is a world-renowned surgeon and avid volunteer of his time. His volunteer work includes starting high risk surgical programs as well as cardiac assist programs in several countries including China and India, as well as several countries in the Middle East and South America. He travels annually to the same programs to operate on patients who would otherwise be unable to receive cardiac surgery.

Michael Kotwas, BS, CCP, LP Mr. Kotwas currently serves as the Vice President for Perfusion Technologists of Greater Chicago, where a majority of his time is spent at Advocate Christ Medical Center and Rush University Medical Center. Mike attended Loyola University of Chicago for both his undergraduate degrees and perfusion degrees (Foster G McGraw School of Perfusion). After graduating perfusion school in 1990, Mike was a founding member of Perfusion Tech and has helped the group to grow serving over 20 locations since inception, serving in multiple capacities including manager and chief of perfusion. Mike is an expert in mechanical circulatory support / ECMO, having set up multiple programs in his career. He extensively volunteers throughout the year as a member of the ELSO simulation team, for which he travels throughout the world. He is frequently an invited speaker at various perfusion and ECMO conferences, including the virtual 2020 ELSO conference for over 10,000 attendees. He professional memberships include AMSECT, ABCP, ASAIO, ELSO, and SCCM. In his free time, Mike enjoys international travel, having traveled to many countries throughout the world. He particularly loves hiking – especially in the Seattle area and the greater pacific northwest. He is also interested in wine tasting, often frequenting Napa Valley for vacations.

Sejal Loberg, MS, CCP, LP Mrs. Loberg was promoted to and currently serves as President of Perfusion Technologists of Greater Chicago earlier this year. In 2005, Sejal graduated University of Illinois Chicago with her BS degree in Biochemical Engineering. After undergraduate, she graduated from RUSH University School of Cardiovascular Perfusion in 2007 earning her degree in Perfusion Technology. Sejal’s clinical interests include ECMO and acute mechanical circulatory support. She served as lead VAD coordinator at Advocate Christ Medical Center for several years and currently serves as their ECMO clinical director. Most recently she was responsible for supervising 30 patients on ECMO at one time, and 80+ in total, during the height of the COVID pandemic. Her research work is focused in this area, where she and her group authored a publication in JAMA. Her professional affiliations include ELSO, ABCP, and AMSECT. In her free time, Sejal loves staying active and is an avid runner. When the weather allows, she also enjoys sailing. Although not as much recently, she loves to travel, especially exploring new and exciting locations throughout the world.

Maria Lucia Madariaga, MD

Maria Lucia Madariaga, MD, is a highly skilled thoracic and transplant surgeon who treats patients with lung cancer, benign and cancerous esophageal disease, and mediastinal tumors. Dr. Madariaga has particular expertise in treating patients with complex airway disorders, such as tracheal stenosis, tracheomalacia and tracheal cancers, and performing lung transplants. She received her MD from Harvard Medical School and completed her general surgery and cardiothoracic surgery training at the Massachusetts General Hospital, Boston. Her research interests include using ex vivo organ perfusion to model disease and modify organs. (https://organperfusion.uchicago.edu).

Kumaran Shanmugarajah MD, PhD

Dr Shanmugarajah is a surgeon-scientist working at the interface of basic science and clinical application. His research interests are 1) minimizing the burden of immunosuppression of recipients or organ transplants and 2) enhancing the quality of donor organs prior to transplants. He is currently a general surgery resident at the University of Chicago where he also serves as founding member of the Organ Perfusion Lab. Presently, he is working within this multi-disciplinary group to alter the immunology of transplant organs maintained on normothermic ex-vivo pumps. Prior to joining the University of Chicago he was a general surgery resident at Massachusetts General Hospital and the University of Oxford. He is a member of the Royal College of Surgeons of England.

Alex Leonor, Perfusion Student, Rush University Alex Leonor graduated from Union College with a very interesting degree: a B.S. in International Rescue and Relief. Very few schools in the world offer this degree. He is a second-year student of the Rush University Cardiovascular Perfusion Program. While in school, he is working on completing a research project to determine the differences in performance in perfusion students performing oxygenator change outs in conjunction with simulation and didactic training vs simulation alone. In his free time, he enjoys rock climbing, mountain and road biking, and cooking. Perfusion is in his blood as his father is a practicing perfusionist. He is excited to graduate in April and begin his career as a perfusionist.

Lindsey Stickler, Perfusion Student, University of Iowa Lindsey Stickler graduated from the University of Iowa with a degree in Biomedical Engineering in 2019. She is currently a senior student in the University of Iowa Perfusion Technology Program working at accumulating her 75 cases to graduate in May of 2021. In her free time she enjoys running, hanging out with friends, and traveling.

ISPS Board of Directors and Conference Program Committee

President Ryan Piech, MS, MBA, CCP

Mr. Piech currently serves as the Chief of Perfusion for University of Chicago Medicine and its affiliate hospitals, where he has practiced for the past 18 years. Prior to University of Chicago, he worked at Columbia New York Presbyterian Hospital for 1.5 years, immediately after graduating perfusion school (MS) in New York. In 2013, he graduated from University of Notre Dame's School of Business with his MBA. Ryan has served the perfusion community throughout his career volunteering with local and national perfusion organizations; including serving the Illinois State Perfusion Society for several years. In February 2020, Ryan was inducted as a Fellow Member into the American Academy of Cardiovascular Perfusion. He has been an invited speaker at numerous educational conferences; both local and national. He frequently travels to several perfusion schools to present as a guest lecturer. Ryan's clinical interests include heart failure and transplant, MCS, and robotic cardiac surgery. Ryan is a founding member of University of Chicago's Organ Perfusion Laboratory where his research interests include studies surrounding heart, lung, and liver methods for transplantation donor pool expansion, methods for increasing organ ischemic time, blood alternatives, and bloodless surgery. Outside of work Ryan enjoys staying active and spending time with family and friends. Vice President Meghan Meyer, BS, CCP

Meghan has worked at University of Chicago Medicine for the last 7 years and currently serves as the Assistant Chief of Perfusion for the hospital and its affiliate locations. Prior to University of Chicago, Meghan worked in private practice with Illinois Perfusion Technology, immediately following her graduation from University of Iowa Perfusion School where she simultaneously earned her BA degree in Biology. Meghan has mentored many prospective perfusion students (and even hired some!) and is currently in the process of starting the UCM Perfusion Student Mentorship Program. Her clinical interests include rare and complex perfusion cases as well as minimally invasive surgery. Meghan is a perennial supporter of the University of Iowa Children’s Hospital, where she has spent many hours volunteering.

Secretary Curtis Eldridge, MS, CCP

Mr. Eldridge has been a perfusionist at Rush University Medical Center for the past 21 years. He is the Assistant Director of Perfusion in the Department of Extracorporeal Technology at Rush University Medical Center in Chicago, IL. Additionally, he is a senior perfusion instructor in the Perfusion Technology Department of Cardiopulmonary Sciences at Rush University. He also serves as Clinical Coordinator at John H. Stroger Jr. Hospital of Cook County. No stranger to volunteer work, Curtis has served on numerous boards and in several perfusion groups throughout his career. Away from the hospital, Curtis is an avid cyclist and enjoys home improvement projects. Treasurer Steve Moss, BS, CCP

Mr. Moss is a graduate from the Penn State School of Perfusion. Currently, he works at Lurie Children’s Hospital, Chicago, IL, as a pediatric perfusionist since joining their program in 2006. Prior, he was perfusionist at University of Chicago, and University of Virginia doing both Pediatric and Adult perfusion cases. Steve graciously volunteers his time and has served on several perfusion-related boards including the Illinois State Perfusion Society (ISPS) and the Chicagoland Perfusion Foundation (CPF). Additionally, Steve is a Clinical Instructor for both Rush University and Midwestern University Perfusion Schools. Having a passion for travel, Steve has taught perfusion and pumped pediatric cases on many pediatric cardiac surgery mission trips in many different countries throughout the world. Steve lives in Berwyn, IL and spends most of his free time with his two sons, enjoying outdoor activities, and traveling abroad.

Senior Director Dave Durdov, MS, CCP

Mr. Durdov graduated from Rush University Perfusion Technology Program in 1996. He then was hired by Rush Medical Center and has enjoyed a successful career working there for 25 years. Dave currently serves with dual appointments as the Assistant Director of Clinical Perfusion at Rush University Medical Center and as Assistant Professor at Rush University’s School of Perfusion. At the university, Dave is the course director for the Anatomy & Physiology and Congenital Pediatric Heart Disease courses. For many years he has served as clinical coordinator of the Rush University Cardiovascular Perfusion Program, having taught over 200 students. In 2005 Dave graduated with a M.S. from the Rush University Health Systems Management Program. Clinically, Dave specializes in pediatric perfusion as well as pediatric ECMO. In his free time, he is the drummer for the band Farkus, and coaches ice hockey for his son’s hockey team. Senior Director Eric Rietow, MS, CRT, CCP

Mr. Rietow is currently a senior perfusionist at the University of Illinois Hospital and Health Science System, in Chicago, IL, where he has worked since 2011. Prior to that, he was employed at Central DuPage Hospital in Winfield, IL for one year, after graduating Rush University’s School of Perfusion in 2009. Prior to perfusion, Eric was a respiratory therapist for about 15 years. Eric strongly believes in giving back to the perfusion profession through education. He has served on the Illinois State Perfusion Society Board for the past 8 years in various roles, including President. He also serves on the Illinois Board of Licensing for Perfusionists for the past 2 years. Eric has been married for 15 years and has two children. Eric enjoys coaching his daughter’s travel softball team and being involved in his son’s travel soccer games.

In Remembrance of Bob Lehne

On August 20th, 2020 the perfusion community lost a great perfusionist and friend with the passing of Robert “Bob” Lehne. Bob worked as a perfusionist for over 40 years between Children’s Memorial Hospital (Chicago, IL) and Loyola University Medical Center (Chicago, IL). Bob’s passion and dedication to his work and commitment to excellence was unparalleled. During his extraordinary career he was instrumental in saving countless lives of his patients undergoing cardiovascular surgery, ECMO, and transplants. Bob was always willing to share his wisdom and experience by teaching and mentoring perfusion students and junior staff, thereby helping future generations effectively and compassionately treat patients.

Bob will be dearly missed by his friends, colleagues, and family, but his legacy will live on in the lives of the patients he has saved and knowledge he has instilled in the next generation of perfusionists.

Please Join Us Next Year !

Next year’s 26th annual meeting will be held both in-person and virtually at the Hyatt Lodge in Oak Brook

Illinois in early October. Anticipated 15.0+ CEUs !

Please visit us on our website for updates:

www.Illinoisperfusion.org

Illinois State Perfusion Society (25th Annual Meeting) Webinar Conference Saturday October 3rd, 2020 Meeting Evaluation

Name (optional): ______________________________________

Hospital/Group: _______________________________________

E-mail: __________________________________________________

PleaseindicateyouropiniononthefollowingtopicspresentedduringthemeetingonthebasisofExcellent(5)toPoor(1):

Excellent Poor 5 4 3 2 1

Dr. K. Abdelhady, MD This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 James Beck CCP, and Fred Hill, CCP This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 Dr. Nitesh Mody, DO, MS This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 Dr. V. Jeevanandam, MD This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 Michael Kotwas, CCP and Sejal Loberg, CCP This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1

Overall impression of the presentation 5 4 3 2 1 Dr. Lucia Madariaga, MD This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 Dr. K. Shanmugarajah, MD, PhD This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1 Alex Lenor, Perfusion Student This program met my educational needs __Yes __No __Partial Rate the preparation & presentation of the speaker 5 4 3 2 1 Overall impression of the presentation 5 4 3 2 1

Additional comments/suggestions for future meetings: