ESCR Webinar 04 – Level Basic
Date: Wednesday, October 16, 2019, at 18:00 CET
Title: “Case based valvular Radiology“
Moderator: Dr. Tilman Emrich, Mainz/DE
"CT before and after minimal invasive valvular repair"
Dr. Rodrigo Salgado, Antwerp/BE
"MR in valvular heart disease"
Prof. Karl-Friedrich Kreitner, Mainz/DE
Lecture 1 - details
Minimal invasive valvular repair techniques are currently in the spotlight, providing new therapeutic options especially in patients with aortic valve stenosis. As these procedures become more common, its is important for the radiologist to be familiar with the pre-procedural required information to guide patient eligibility and device sizing, as well as with the post-procedural features of the commonly used devices to distinguish between normal and abnormal findings.
• To understand the need for pre-operative imaging in minimal invasive valvular repair.
• To understand the different required measurements and the pitfalls in obtaining them
• To be able to interpret post-procedural image studies and detect complications
What is wrong with this picture?
About the speaker
Rodrigo Salgado performed his medical studies at the University of Antwerp graduating in 2000, and from 2000 to 2005 fulfilled his radiology residency at the Antwerp University Hospital including a fellowship at the Massachusetts General Hospital in Boston, USA. Afterwards he achieved in 2005 a staff position at the radiology department of the University Hospital Antwerp, chaired by prof. dr. P.M. Parizel. During the following decade, and presently continuing, he specialized in non-invasive cardiovascular imaging using CT and MR. Currently, he’s a consultant radiologist at the Antwerp University Hospital, and a staff member at Heilig Hart Hospital Lier.
Dr. Salgado is an active member of the Belgian Society of Radiology (BSR), the European Society of Radiology (ESR) and the European Society of Cardiovascular Radiology (ESCR). He is currently the president-elect of the non-invasive cardiovascular imaging section of the BSR and member of the executive board of the ESCR, in which he is also chair of the Communication and New Media committee. He is member of the ECR 2018, 2019 and 2020 cardiac scientific subcommittees for cardiac imaging, and chair of this committee for ECR 2021. He serves on the scientific editorial board of Insights into Imaging and the International Journal of Cardiovascular Imaging, and is reviewer for numerous other scientific journals. Currently, he is section editor for Eurorad – cardiovascular imaging. In the past, he has been member of both the executive and scientific board of the BSR. He is author and co-author of many international peer-reviewed scientific publications and book chapters, and is one of the main authors of the recently published ESCR TAVI consensus document.
Finally, he is congress president of the ESCR 2019 annual meeting.
Lecture 2 - details
Although ischemic heart disease remains the leading cause of cardiac-related morbidity and mortality in industrialized countries, a growing number of mainly elderly patients will experience a problem of valvular heart disease (VHD). Doppler-echocardiography is the most popular imaging modality used in the evaluation of this disease entity. It encompasses, however, some non-negligible constraints which may hamper the quality and thus the interpretation of the exam. Cardiovascular magnetic resonance imaging (MRI) is already considered an established diagnostic method for studying ventricular dimensions, function and mass. With improvement of MRI soft- and hardware, the assessment of cardiac valve function has also turned out to be fast, accurate and reproducible. This webinar demonstrates – based on selected cases – the usefulness of MRI in the diagnosis and management of VHD.
• To discuss basic examination techniques for assessment of cardiac valvular function.
• To demonstrate the usefulness of MRI in the assessment of VHD using a multiparametric examination protocol.
• 69 year old female was referred for replacement of the ascending aorta due to an aneurysm.
• Preoperatively, the cardiac surgeon asked if replacement of the aortic valve was necessary.
Would do you think?
About the speaker
Date and place of birth: November 20th, 1959, in Ludwigshafen am Rhein, Germany
married with Dr. Vera Stich-Kreitner, MD, 2 children
Medical School and Work Experience
1978-1984 Johannes Gutenberg-University Mainz, Medical School,
1986 Doctoral Thesis „Focal Nodular Hyperplasia of the Liver – A
since 1991 Board Certification for Diagnostic Radiology
since 03/1993 Staff Radiologist, Klinik und Poliklinik für Radiologie der
Johannes Gutenberg-Universität Mainz, Germany
since 02/2002 Associate Professor of Radiology, Johannes Gutenberg-
University Mainz, Germany
since 12/2008 Full Professorship, Department of Diagnostic and
Interventional Radiology, Universitätsmedizin, Johannes
Gutenberg-University Mainz, Germany
October 2011 Visiting Professorship at the University of Toronto, Toronto
and at McMaster University, Hamilton, Ontario, Canada
August 2013 Visiting Professorship at the University of Zürich, Switzerland
April 2018 Visiting Professorship at the University of Vienna, Austria
Research activities: MSK Radiology: the polytraumatized patient, joint imaging: MR-arthrography, imaging of muscle injuries.
Cardiovascular and Cardiothoracic Imaging: implementation of new imaging techniques in patients with cardiomyopathies, qualitative and quantitative assessment of myocardial perfusion, CMR in acute myocardial injuries – the MINOCA concept, assessment of flow reserve in coronary bypass grafts, imaging of coronary bypass grafts and stents by MD-CT, assessment of CTEPH by MR and MD-CT imaging techniques, qualitative and quantitative assessment of pulmonary perfusion, assessment of pulmonary hemodynamics,assessment and quantification of tissue perfusion in the diabetic foot syndrome.
More than 200 publications in peer reviewed journals, editor of two books on cardiac imaging, more than 20 book chapters, more than 500 talks at national or international meetings.