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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

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!

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