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CHIP: Complex Higher-Risk (And Indicated) Patients
OVERVIEW
A growing number of patients with coronary artery disease (CAD) find themselves in need of stent PCI or coronary artery bypass graft surgery, but have been told they are too high-risk for complications that may occur during these procedures. Left without treatment options, these patients deal with worsening chest discomfort, shortness of breath, fatigue and heart failure.
To address this growing population of high-risk CAD patients, interventional cardiologists have demonstrated outstanding clinical outcomes using an advanced catheter-based procedure called Complete Higher Risk Indicated Percutaneous Coronary Intervention (PCI) or CHIP to open blocked coronary arteries in the high-risk patient.
Expert faculty will offer insights into selecting devices and patients, optimizing technique, and overcoming difficult anatomy. The latest clinical data and guidelines for complex, higher-risk procedures also will be reviewed.
Why you should participate?
TARGET AUDIENCE
This educational activity is designed for interventional cardiologists, clinical cardiologists, and other healthcare professionals involved in the management of complex and high-risk patients with coronary artery disease.
LEARNING OBJECTIVES
By the end of this program, attendees will be able to:
- Confidently treat patients with complex lesions
- Handle challenging anatomy or clinical characteristics
- Establish a CHIP program at your practice
Course Directors 2020
International Faculty
Ilie Barb,USA
MD
Born in Sibiu, Romania, Dr. Barb received his Medical degree from University of Medicine and Pharmacy in Tirgu-Mures, Romania. Dr. Barb was ranked 1 out of 360 in Medical School going on to complete his Residency and Fellowship at Emory University School of Medicine in Atlanta, Georgia. Dr. Barb board certifications include Interventional Cardiology, Peripheral Vascular Disease, Echocardiography, and Nuclear Cardiology. His areas of clinical interest include valvular heart disease, mitral valve disease, transcatheter aortic valve replacement (TAVR), invasive and non-invasive Peripheral Vascular Disease testing and Clinical Hypertension. Dr. Barb is an ASH Certified Hypertension Specialist and he joined The Cardiac & Vascular Institute in 2014.
Ferenc Győry, Hungary
MD
Dr. Győry worked as an anest-ICU specialist for 5 years in a cardiovascular surgery unit. Since 2004 he has been working as an interventional cardiologist and because of his previous experiences he also take part in the attendance of the ICU cardiology patients. During the last few years Dr. Győry has been doing complex interventions mostly (LM-PCI, bifurcation-PCI, rotablation, circulatory assist device etc.). In 2014, when the CTO programme started, these kind of interventions are regularly done at the Institute of Cardiology, University of Debrecen.
Martin Hudec, Slovakia
MD
Dr. Hudec is Head of Department of Acute Cardiology and Consultant Interventional Cardiologist at Middle-Slovak Institute of Cardiovascular Diseases, Banska Bystrica, Slovakia and External Cardiology tutor at the Slovak Medical University. He is also member of Interventional and Acute Cardiology committee in Slovak cardiology society. His PhD Dissertation Thesis was on The effect of percutaneous myocardial revascularization on chronic heart failure.
Dan Ioanes, Sweden
MD
Born in Cluj Napoca, Dr. Ioanes graduated from Iuliu Hatieganu University of Medicine and Pharmacy in the same city in 1992. He practices medicine in Sweden since 1994. Specialist in internal medicine, cardiology and interventional cardiology. Senior consultant cardiologist at Sahlgrenska University Hospital in Gothenburg since 2007. Special interest in complex PCI, chronical occlusions, TAVI, septal alcohol ablations, reducer treatment of chronic angina. Member of the Working group on PCI and Valve Interventions at Swedish Society of Cardiology and member of the European Educational Committee of EAPCI.
Peep Laanmets, Estonia
MD
Born in Estonia in 1977, Dr. Laanmets graduated Tartu University in 2001. He is a licensed cardiologist since 2006 and has a interventional cardiology certificate from Estonian Cardiology Society 2008. Dr. Laanmets is Past President of Estonian Society of Cardiology (2015-2018) and leader of CTO program in North-Estonia Medical Centre. He is performing about 400-450 PCI’s and 60-80 CTO-s annually and proctoring CTO procedures as freelancer.
Kambis Mashayekhi, Germany
MD
Deputy Senior Consultant Cardiology and Angiology II of the University Heart-Center Bad Krozingen, Germany, and Director of the CTO and CHIP Program. The spectrum of cardiovascular interventions include: Chronic Total Occlusions (CTO 350 per year), Top 3 in Europe (www.ercto.org), Coronary high-risk PCI with left ventricular support, Rotablation (70 per year), IVUS controlled Left Main stenting, Treatment of challenging coronary multivessel diseases, TAVI-Implants (50 annually going back to 2010 to 2016). Dr Mashayekhi is also a reviewer for JACC, JACC CV Interventions, Journal Critical Care, Catheter Cardiovascular Interventions.
Truls Rammundal, Sweden
MD
Dr. Råmunddal is an interventional cardiologist specialized in complex PCI and CTO. He was trained in cardiology and interventional cardiology at Sahlgrenska University Hospital, Gothenburg, Sweden. He has been deeply involved in CTO education in Sweden and is frequently requested as proctor for CTO in the Nordics and across Europe.
Zoltán Ruzsa,Hungary
MD
Angiologist and Cardiologist, is an Associate Professor at Semmelweis University, Cardiac and Vascular Center and Head of Invasive Cardiology at Bács-Kiskun County Hospital. Currently the president of the Hungarian Association of Cardio-Vascular Interventions. He is expert in doing complex coronary (CTO, LM, rotational atherectomy) and peripheral procedures (carotide, subclavian, renal, venous and lower limb intervetnions). He is principal investigator in many international and investigator initiated trials in interventional cardiology and angiology field.
Igor Spiroski, Macedonia
MD
University Clinic of Cardiology, Skopje, Macedonia
600-700 TRA Interventional procedures per year (more than 6000 interventions overall).
Educator in interventional cardiology (TRA).Treatment of multi vessel disease, chronic total occlusion, left main disease, acute coronary syndrome - STEMI 24h program, carotid stenting.
Application of IVUS and OCT techniques.
Head of the Laboratory for Interventional Cardiology at Department for Interventional Cardiology.
Performing non-invasive diagnostic procedures (Treadmill Stress Testing, Echocardiography),
Coronary Care Unit (CPR techniques, application of temporary pacing, hemodynamic monitoring, IABP). Interventional procedures in the Laboratory for Interventional Cardiology (part of the national program for treatment of Acute Myocardial Infarction).
Consultations in the field of preventive medicine.
Imre Ungi, Hungary
MD
Associate Professor, Director of Invasive Cardiology Division, University of Szeged, Hungary
2008-present
Professional skills and experience in interventional cardiology: 1991 - 10100 diagnostic cardiac catheterization (6200 transradial access);
1995 - 5300 percutaneous coronary intervention (2700 transradial access);
2007- Complex chronic total occlusion interventions included retrograde CTO cases
(425 cases as 1st operator).
Professional societies, other professional activity:
Board membership: Hungarian Society of Cardiologists - Advisory Board
WG Interventional Cardiology – Past President
Ordinary membership: European Society of Cardiology (since 1991)
European CTO Club – Full member (since 2015)
Reviewer and Editorial consultant:
Chest - Journal the American College of Chest Physicians (2004),International Journal of Cardiology (2010), Indian Heart Journal (2014).
Registration
Scientific Program
11.45-12.00
CHIP ROMANIA OPENING
12.00-13.30
SESSION 1
Moderators: Ivo PETROV, Marin POSTU
Panelists: Martin HUDEC, Igor SPIROSKI
Live case transmission from EICVD “CC Iliescu”, Bucharest, Romania
Operators: Dan DELEANU, Lucian PREDESCU
Conference: CHIP procedures by snuff box radial access, Claudiu UNGUREANU
13.30-14.00
Break
14.00-15.30
SESSION 2
Moderators: Dan IOANES, Truls RAMMNUNDAL
Panelists: Peep LAANMETS, Risto JUSSILA
“Live in a box” case transmission from Royal Victoria Hospital, Belfast, Northern Ireland
Operator: Simon WALSH
Conference: An overview about progresses in CTO tecniques, Joao SILVIERA
15.30-16.00
Break
16.00-17.30
SESSION 3
Moderators: Zoltan RUZSA, Stanislaw BRATUS
Panelists: Gyory FERENC, Sergey FURKALO
“Live in a box” case transmission from University Heartcenter Freiburg – Bad Krozingen, Germany
Operator: Kambis MASHAYEKHI
Conference: Hemodynamic support in CHIP procedure, Ilie BARB
12.00-13.30
SESSION 1. BEST PRACTICE IN LEFT MAIN PCI
Moderators: Stefan MOT, Goran STANKOVIC
Conference 1. Adjunctive imaging during LM-PCI: Is this a necessity?, Stefan MOT
Conference 2. EBC Consensus on Left Main PCI, Goran STANKOVIC
Case 1. Acute coronary syndrome due to distal left main stenosis in a patient with severe thrombocytopenia, Calin HOMORODEAN
Case 2. Complex multivessel PCI for unstable angina, Mihai COCOI
13.30-14.00
Break
14.00-15.30
SESSION 2. CTO PROCEDURES
Moderators: Valery GELEV, Imre UNGI
Conference 1. Rationales for CTO recanalization, with basic antegrade techniques, Valery GELEV
Conference 2. Retrograde approach and complications of CTO PCI, Imre UNGI
Case 1. CTO PCI: passing the wire is not enough - Lucian CALMAC
Case 2. Third time lucky - Adrian BUCSA
15.30-16.00
Break
16.00-17.30
SESSION 3. SPECIAL TECHNIQUES IN CHIP PROCEDURES
Moderators: Dan DELEANU, Theodora BENEDEK
Conference 1. Rotational Atherectomy and Intravascular Lythotripsy, when and how, Dan DELEANU
Conference 2. The role of interventional imaging to guide complex procedures, Theodora BENEDEK
Case 1. Almost undilatable calcific lesion – Nicolae CARSTEA
Case 2. Coronary CTO Recanalization - our experience - Dumitru TARITA
12.00-13.30
CHIP CASES, SESSION 1.
Moderators: Ion POPOVICI, Lucian ZARMA
1. Mihaela GHEORGHIU - In the mirror
2. Daniel BRIE – ANTERIOR STEMI, 2 o’ clock in the morning routine
3. Razvan SERBAN – What is meant to be will always find its way to in CTO PCI
4. Lucian CALMAC – Two stages of revascularization in a very high risk ACS
5. Alex ACHIM – Everything closed
6. Simion Paul ALEXANDRU – Multistenting in a patient with Kawasaki coronaropathy and high surgical risk
13.30-14.00
Break
14.00-15.30
CHIP CASES, SESSION 2.
Moderators: Igor NEDELCIUC, Gabor TOTH
1. Alex ACHIM – Challenges of treating octogenarians: calcification all over
2. Mihai MELNIC – Complex Higher Risk Patients
3. Ilie BARB – So Many Ways to Die, So Many Ways to Stay Alive, But if You Wouldn’t Mind to Wait a While, You Could give Give another Day a Try…
4. Iulian CALIN – DK Crush with SELF apposable STENT in LM
5. Elvis BOTU – Three vessels three complex devices
6. Lucian PREDESCU – What you can’t pass, avoid it
15.30-16.00
Break
16.00-17.30
CHIP CASES, SESSION 3.
Moderators: Nicolae FLORESCU, Rodica NICULESCU
1. Mihnea-Traian NICHITA-BRENDEA – “Standing on the shoulder of giants” an interesting case of retrograde recanalization of an ostial LAD CTO
2. Eugen Tiereanu – Complex Case from all points of view – a real challenge
3. Emanuel RADU – When surgeons can’t, interventionists can
4. Cristina SPINU – To care more is to care less-the story of a LM lesion
5. Mihai URSU – What and how do we treat first?
6. Dan FILIP – A dangerous cocktail: extensive anterior stemi, calcified distal left main, haemodynamic instability, high dose beta-blocker self-medication!
Conference room
Scientific committee
Industry partners
Websites
Adress
10 Petofi Sandor Street, District 1, Bucharest