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Program

Course Chairmen: Pantep Angchaisuksiri, MD and Ponlapat Rojnuckarin, MD, PhD

 

Target Audience:

  • Trainees in hemostasis, hematology, transfusion medicine, vascular medicine, or intensive care medicine
  • A Ph.D. wishing to acquire clinical and basic knowledge in the field
  • A senior hematologist looking for an update

Objectives:

  1. Obtain an understanding of the latest developments in coagulation and bleeding disorder management
  2. Learn to identify, diagnose and have knowledge of the latest treatment for patients with risk of thrombosis
  3. Have the opportunity to network with leading experts in the field of thrombosis and hemostasis, benefiting from the small training size


Detailed Program

November 3

16:00-19:00 Registration 

 

November 4

07:00 Registration opens
08:30-12:45 Pre-workshop supported symposia

08:30-09:45 Supported symposium

10:00-11:15 Supported symposium

11:30-12:45 Supported symposium

12:45-13:30 Lunch


Subtopic: Introduction

Time Event Speaker

INTRODUCTION AND GLOBAL IMPACT/EPIDEMIOLOGY
Chair: Pantep Angchaisuksiri (Thailand)


13:30 - 14:00

Venous thrombosis in Asia

Participants in this session will gain an understanding of the current incidence and burden of VTE in Asia;  how to increase awareness of VTE in Asian populations and learn about World Thrombosis Day activities.

Pantep Angchaisuksiri (Thailand)
14:00 - 14:30

Bleeding disorders in Asia

Participants in this session will gain an understanding of the epidemiology of bleeding disorders in Asia; knowledge of unique bleeding problems in Asia, (e.g. Acquired Platelet Dysfunction with Eosinophilia (APDE), tropical infections); and understand the principles of management of bleeding disorders with limited resources.

Ponlapat Rojnuckarin (Thailand)
14:30 - 15:30

Current concepts of the coagulation system with emphasis on hemostasis

In this presentation participants will review traditional and novel concepts of the coagulation ‘cascade’; gain an understanding of how single coagulation deficiency states may manifest clinically and review the pathophysiology of some complex coagulopathies that manifest as bleeding.

Nigel Key (USA)
15:30 - 16:00 Coffee break & networking
OVERVIEW OF HEMOSTATIC ASSAYS AND THEIR CLINICAL USES
Chair: Ponlapat Rojnuckarin (Thailand)

16:00 - 16:30

Coagulation assays

In this presentation participants will review the basic principles of traditional coagulation assays; review the basic principles of global assays of coagulation and gain an understanding of the strengths and limitations of commonly used assays.

Nigel Key (USA)
16:30 - 17:00

Platelet function assays

After this presentation, participants will understand the principles platelet function testing and the role of shear and other blood elements; recognize typical light aggregometry responses in different classes of platelet function disorders and understand the differences between platelet function assays and the choice of assay in acute bleeding or routine investigation of a likely bleeding disorder.

Chris Ward (Australia)
17:00 - 17:30

Fibrinolytic assays

Following this presentation, participants will be able to explain the assay method to detect fibrinolytic activity and to evaluate the obtained values.

Tetsumei Urano (Japan)

WORK-UP OF A PATIENT
Chair: Wichai Prayoonwiwat (Thailand)

17:30 - 18:00

How to approach a patient with thrombosis

Participants in this session will learn to be cognizant of key medical history taking and physical exam details that enable accurate diagnosis, appropriate treatment and optimal counseling of the patient with VTE; how to recognize the pitfalls of diagnostic tests (venous Doppler ultrasound, nuclear-medicine lung ventilation-perfusion scan, computer-tomography venography) and how to make evidence based decisions on length of anticoagulation treatment in patients with VTE.

Stephan Moll (USA)
18:00 - 18:30

How to approach a patient with bleeding

In this presentation participants will review bleeding assessment tools used in the clinical evaluation of a possible bleeding disorder patient; review the major categories of disorders that present with mild to moderate bleeding and gain an understanding of the term ‘bleeding of uncertain cause’ and the clinical management of these patients.

Nigel Key (USA)
18:30 - 21:00 Welcome reception & networking

November 5
Subtopic: Congenital bleeding disorders

Time Event Speaker
 7:30 - 8:15 Meet the Expert sessions   
VON WILLEBRAND DISEASE
Chair: Panya Seksarn (Thailand)

8:30 - 9:15

The diagnosis of VWD: Interpreting laboratory tests for a complex genetic disorder

Participants will learn about the range of phenotypic tests available to assist in the diagnosis of VWD. Participants will be provided with guidance on the application and interpretation of these tests. Finally, the integration of genetic testing in the diagnosis of VWD will be discussed.  

David Lillicrap (Canada)
9:15 - 10:00

Management of VWD

Participants will learn about the different von Willebrand disease scenarios that require treatment both during active bleeding and prophylaxis. After the lecture they will be familiar with the two main treatments of desmopressin and FVIII/VWF concentrates and understand their appropriate uses. They will also learn about the VWD within subtype heterogeneity and how this influences treatment. 

Michael Makris (UK)
10:00 - 10:30 Coffee break & networking
HEMOPHILIA
Chair: Nigel Key (USA)

10:30 - 11:15

Laboratory testing for the diagnosis and monitoring of therapy in hemophilia

In this presentation, the participants will be provided with guidance on the types of laboratory testing that can be used to optimize diagnostic approaches and treatment outcomes in hemophilia. Recommendations on the use and interpretation of genetic testing will also be discussed.

David Lillicrap (Canada)
11:15 - 12:00

Management and complications

In this presentation participants will learn about the current treatment landscape and its limits for hemophilia patients, evolution of emerging therapies obtained by bioengineering technologies, data on efficacy in prophylactic treatment and safety of these innovative drugs, treatment complications including inhibitors development and its risk factors and types of FVIII concentrates - the latest updates on plasma-derived or recombinant FVIII.

Flora Peyvandi (Italy)
12:00 - 13:30 Lunch & supported symposium (12:00-12:15 will be lunch distribution)
HEMOPHILIA
Chair: Flora Peyvandi (Italy)

13:30 - 14:15

Future treatment of hemophilia: Spoiled for choice

The participants of this session will be provided with information relating to the range and diversity of future therapies for hemophilia. New engineered protein replacement therapies will be discussed as well as the growing number of non-factor replacement treatments. Lastly, an update will be provided relating to the advances in gene therapy for hemophilia.    

David Lillicrap (Canada)
14:15 - 15:00

Management of hemophilia under limited resources

Participants will learn about the advantage of replacement at an early bleeding episode, affordable options for low-dose prophylaxis and the initiation of immune tolerance as soon as possible.

Ampaiwan Chuansumrit (Thailand)
15:00 - 15:30 Coffee break & networking

Chair: Wanchai Wanachiwanawin


15:30 - 16:00

Rare bleeding disorders

This session will describe the clinical manifestations in patients affected with rare bleeding disorders (RBDs). Participants will learn about laboratory testing and its technical limitations, particularly in patients with very low factor activity levels, the association between coagulation factor activity levels and clinical bleeding severity in different RBDs, the management of acute bleeding events and which patients require prophylactic treatment.

Flora Peyvandi (Italy)
16:00 - 16:30

Congenital platelet disorders

In this lecture participants will learn about the classification of inherited qualitative and quantitative platelet disorders. For the qualitative defects the relative role of tranexamic acid, rFVIIa and platelet transfusions together with their complications will be addressed. They will understand the impact on treatment of the expanding list genes causing inherited thrombocytopenias and how they influence the phenotype.

Michael Makris (UK)
16:30 - 17:00

Thrombotic thrombocytopenia purpura

The advances in understanding the pathogenic mechanisms and its implications in clinical management of thrombotic thrombocytopenia purpura (TTP) will be discussed in this presentation. Participants will learn about the laboratory tests necessary for diagnosis of congenital and acquired TTP diagnosis, receive an overview of clinical trials results using novel therapies, learn about novel therapies on TTP and the potential predictive markers of relapse and its implications on treatment management of patients during the remission state.

 Flora Peyvandi (Italy)
17:15 - 18:30 Supported symposium  
 

November 6
Subtopic: Acquired hemostatic disorders

Time Event Speaker
7:30 - 8:15

Meet the Expert Sessions

Chair: Michael Makris

8:30 - 9:00

Acquired hemophilia inhibitors

After this presentation, participants will understand the pathogenesis of FVIII inhibitor development; be acquainted with the manifestation of acquired hemophilia and laboratory for the diagnosis and treat the bleeding manifestation properly.

Theera Ruchutrakool (Thailand)
9:00 - 9:30

Hemolytic uremic syndrome

Participants in this session will gain an understanding of the pathogenesis of hemolytic uremic syndrome; understand the differential diagnosis methods of Shiga toxin-producing hemolytic uremic syndrome (STEC-HUS), atypical hemolytic uremic syndrome (aHUS), and thrombotic thrombocytopenic purpura (TTP) and gain an understanding of the current guidelines to manage HUS and aHUS.

Doyeun Oh (Korea)
9:30 - 10:00

Disseminated intravascular coagulation

Participants will learn about the recent progress in diagnosis and treatment of DIC, especially about the scoring system, anticoagulant therapy, and new drug clinical trials.

Yingyong Chinthammitr (Thailand)
10:00 - 10:30 Coffee break & networking

Chair: David Lillicrap

10:30 - 11:00

Thrombosis in bleeding disorders

Whilst patients with inherited bleeding disorders have a reduced thrombotic risk overall this is increasingly recognized as an issue. In this lecture, participants will learn about the baseline and treatment associated thrombotic risks, together with the evidence as to whether certain concentrates are more prothrombotic than others. Participants will also learn about the treatment of acute thrombosis, surgical thromboprophylaxis and management of atrial fibrillation in inherited bleeding disorder patients.

Michael Makris (UK)
11:00 - 11:30

Heparin-induced thrombocytopenia

Participants in this session will learn to integrate clinical and laboratory criteria in the diagnosis of heparin-induced thrombocytopenia; to manage acute HIT with and without thromboembolic complications; and to plan for future anticoagulation of patients with a past diagnosis of HIT.

Christopher Ward (Australia)
11:30 - 12:00

Hemostasis in liver disease and management

Liver disease is often accompanied with severe blood clotting problem, how to diagnose and manage the issues are very important in clinical practice. Through the lecture, participants will learn to master the diagnosis and differential diagnosis skills, and learn about the new progress in comprehensive treatment.

Ponlapat Rojnuckarin (Thailand)
12:00 - 13:30 Lunch & supported symposium (12:00-12:15 will be lunch distribution)

Chair: Lai Heng Lee

13:30 - 14:00

Hematologist approach to management of postpartum hemorrhage (PPH)

Participants in this session will develop an understanding of the epidemiology of PPH, different definitions of PPH used and clinical relevance of definitions; learn to identify risk factors for PPH and action required to minimize risk of adverse outcome in women who bleed, acknowledging that most women who have major PPH have no identifiable risk factors so clinicians must always be aware that major PPH can occur in any woman; develop an understanding of the role of the hematologist in management of women with PPH working with other team members, that a rapid response required to establish early if underlying unanticipated coagulopathy that requires treatment with blood and plasma products; and develop an understanding of the evolving role of conventional laboratory testing and point of care testing in management of PPH.

Claire McLintock (New Zealand)
14:00 - 14:30

Laboratory tests for transfusion on massive bleeding

Upon completion of this course, participants should be able to discuss the pathophysiology of high-risk disorders for massive bleeding; interpret the laboratory test values to diagnose and evaluate bleeding; discuss the management strategies for patients with massive bleeding risks and describe hemostatic agents to prevent and reduce the bleed during and after invasive procedures.

Satoshi Fujii (Japan)
14:30 - 15:00

Fibrinolysis related hemostatic- and thrombotic- disorders

Following this presentation participants will be able to explain the physiological role of fibrinolytic system; explain the risk factors to suppress fibrinolytic activities and to induce thrombosis and explain the mechanism to induce bleeding tendency due to malfunction of regulatory system of fibrinolysis.

Tetsumei Urano (Japan)
15:00 - 15:30 Coffee break & networking
REGIONAL SUBJECTS
Chair: Vichai Atichartakarn (Thailand)

15:30 - 16:00

Hypercoagulability in thalassemia

Participants in this session will gain an understanding of the pathophysiology of hypercoagulability in thalassemia, learn how to detect hypercoagulable state by using global coagulation assays and management of thromboembolism in these patients.

Pichika Chantrathammachart (Thailand)
16:00 - 16:30

Snake venom and coagulopathy

By participating in this session participants will gain an understanding of the epidemiology of venomous snakebite in Asia; understand the effects of snake venoms on human hemostatic system; and gain knowledge on diagnosis, severity assessment and treatments for viper bite patients.  

Ponlapat Rojnuckarin (Thailand)
16:30 - 17:00

Hemostatic derangement in Dengue infection

In this lecture, participants will learn to update the current WHO revised classification of Dengue fever; to understand the hematologic and hemostatic changes in dengue infection; to discuss the clinical and laboratory predictor in patients with severe dengue, the role of thromboelastometry to monitor hemostatic defects in patients with dengue infection and to review current treatment modalities of bleeding in dengue patients.

Darintr Sosothikul (Thailand)
17:00 - 17:30

Case study/interactive presentation – patient with bleeding history

Participants will be invited to prepare case presentations for the audience and a discussion of the presentations will be moderated by Dr. Nigel Key.

Moderator: Nigel Key (USA)
17:45 - 19:00 Supported symposium
:

November 7
Subtopic: Women's Issues in Hemostasis/Venous Thrombosis

Time Event Speaker
 7:30 - 8:15 Meet the Expert sessions  
WOMEN'S ISSUES IN HEMOSTASIS
Chair: Weerasak Nawarawong (Thailand)

8:30 - 9:00

Diagnosis of VTE in pregnancy

Participants in this session will develop an understanding of the epidemiology of VTE in pregnancy, risk factors specific to women (including an understanding of any ethic differences) and risk factors specific to pregnancy; the diagnostic relevance of D-dimer testing in the setting of VTE in pregnancy; the diagnostic algorithms for DVT and PE in pregnancy; and the issues related to maternal and fetal radiation exposure in diagnostic procedures for PE.

Claire McLintock (New Zealand)
9:00 - 9:30

Management of VTE in pregnancy

Following this lecture, the participants should be able to decide which pregnant patient with a thrombophilia or a history of VTE should receive VTE prophylaxis; order the appropriate imaging tests for a pregnant patient presenting with symptoms and findings suggestive of DVT or PE; treat a pregnant patient with VTE with anticoagulation and manage the peri-delivery period and advise a patient which anticoagulants are safe to use postpartum while breastfeeding.

Stephan Moll (USA)
9:30 - 10:00

Bleeding in women/pregnancy

Participants in this session will develop an understanding of the relevance of bleeding disorders to women during pregnancy and how the bleeding disorder impacts on risk of pregnancy complications and how the pregnancy impacts on the bleeding disorder. After this session, participants will be able to institute treatment algorithms for women with inherited bleeding disorders during pregnancy that involve a multidisciplinary approach to care and also takes into consideration the potential impact on and risk to the baby.

Claire McLintock (New Zealand)
10:00 - 10:30 Coffee break & networking
VENOUS THROMBOSIS
Chair: Christopher Ward (Australia)

10:30 - 11:00

Diagnosis and the role of thrombophilia testing

Participants in this presentation will gain an understanding of acquired and inherited causes of thrombophilia, the role of thrombophilia as risk factors for DVT, the role of thrombophilia in management of DVT and appropriate testing for thrombophilia in DVT.

Lai Heng Lee (Singapore)
11:00 - 11:30

Risk assessment and prevention of VTE

Participants in this session will learn to recognize the benefits and the importance of the prevention of venous thromboembolism; understand risk factors and risk assessment models to identify patient at risk for venous thromboembolism and gain an understanding of current guidelines for prevention of venous thromboembolism in surgical and medical patients.

Doyeun Oh (Korea)
11:30 - 12:00

Recent advances in VTE treatment

Following this lecture, the participants should be able to decide which patient with DVT or PE is suitable for pharmaco-mechanical thrombectomy; weigh the pros and cons of the different anticoagulants before initiating anticoagulation in the patient with DVT or PE; use the appropriate anticoagulant in special patient populations with DVT or PE, such as the patient who is obese, underwent bariatric surgery, is elderly, has cancer or with renal failure; discuss with the patient with DVT the benefits of compression stockings and advise a patient interested in taking testosterone on the thrombotic risk.

Stephan Moll (USA)
12:00 - 13:30 Lunch & supported symposium (12:00-12:15 will be lunch distribution)
VENOUS THROMBOSIS (SPECIAL POPULATIONS)
Chair: Claire McLintock (New Zealand)

13:30 - 14:00

Venous thrombosis in unusual sites

After attending this presentation, participants will be able to identify the most prevalent and clinically relevant risk factors for thrombosis in unusual sites discussed, namely cerebral and splanchnic vein thrombosis; select appropriate treatment strategies for the management of patients with acute thrombosis in unusual sites and decide appropriate treatment durations and long-term management strategies. 

Walter Ageno (Italy)
14:00 - 14:30

Cancer associated thrombosis

Participants in this session will gain an understanding of the pathophysiology and risk factors of VTE in cancer patients; learn to assess individual cancer patient’s risk of VTE and learn the current management of VTE in cancer patients. 

Pantep Angchaisuksiri (Thailand)
14:30 - 15:00

Antiphospholipid syndrome

Participants in this session will learn to apply current diagnostic criteria for the antiphospholipid antibody syndrome (APS); to develop strategies for treatment and prevention of thromboembolism in APS patients; and to recognize catastrophic APS and additional therapies that may improve patient outcomes.

Christopher Ward (Australia)
15:00 - 15:30

Pediatric thrombosis

During this presentation, participants will learn the thrombophilic risk factors in children, gain an understanding of the development of hemostasis especially anticoagulation proteins during infancy and childhood and have the opportunity to join the network and registry of childhood thrombosis.

Nongnuch Sirachainan (Thailand)
Coffee break & networking
15:30 - 16:00 ANTITHROMBOTICS
16:00 - 16:30

DOACs in the real world

Participants in this presentation will gain an understanding of the real world indications and usage of DOACs, the real world evidence in safety and efficacy of DOACs, and the need to develop antithrombotic and bleeding protocols.

Lai Heng Lee (Singapore)
16:30 - 17:00

The risk of bleeding with DOACs in East Asia

By the end of this session, participants will be able to explain the concerns with the use of direct oral anticoagulants (DOACs) in East Asian patients with relatively small body weight; summarize the evidence regarding the use of DOACs as prophylaxis and treatment for thrombosis in East Asian patients and make clinical decisions about adjusting the doses of DOACs for patient management.

Satoshi Fujii (Japan)
17:00 - 17:30

Bleeding complications and perioperative management of anticoagulants

Participants in this session will learn about the update in the management of bleeding-associated with anticoagulant therapy, particularly the recent progress in the development and clinical studies of specific reversal agents of direct oral anticoagulants, and perioperative management of anticoagulants. 

Bundarika Suwanawiboon (Thailand)
17:30 - 18:00

Case study/interactive presentation – patient with venous thrombosis

Participants will be invited to prepare case presentations for the audience and a discussion of the presentations will be moderated by Dr. Stephan Moll.

Moderator: Stephan Moll (USA)
18:00 - 18:15 Evaluation and farewell



Questions? 
Email education@isth.org.

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