• Krzysztof Reczuch and M. Ferenc – Course Directors
• Emanuele Barbato – President-Elect of the European Association of Percutaneous Cardiovascular Interventions 
• Mirosław Ferenc – President of the EURO 4C Group
• Marek Grygier – President of the Association of Percutaneous Cardiovascular Interventions of the Polish Cardiac Society
• Piotr Ponikowski – Rector of the Wroclaw Medical University

Chairmen: Emanuele Barbato, Beatriz Vaquerizo, Mirosław Ferenc
Panel: Javier Escaned, Flavio Ribichini, Maciej Lesiak, Nikolaos Mezilis, Sławomir Dobrzycki, Tomasz Roleder

• Coronary calcifications – prevalence, impact on procedural and long - term outcomes
  Marek Grygier
  
• The increasing role of noninvasive and intracoronary imaging in the planning and performing rotational atherectomy
  Jacek Legutko
• How to treat calcified plaques today? Balloons, IVL, atherectomy, laser - pro`s & con`s
  Javier Escaned
  
• Indications and contraindications for rotablation AD 2022
  Mohamed Abdel-Wahab
• Q&A, discussion 

Chairmen: Flavio Ribichini, Mohamed Abdel-Wahab
Panel: Emanuele Barbato, Mirosław Ferenc, Jacek Legutko, Krzysztof Wilczek, Georg Gaul, Wojciech Wojakowski

• Arterial access & guiding catheter
  Nikolaos Mezilis
  
• How to select the rotawire & burr
  Petros Dardas
  
• When to use temporary pacemaker?
  Piotr Kubler
  Rotablation step by step, technical issues
  How to place the rotawire; how to deliver/exchange the burr
  Mirosław Ferenc
  All about the burr, the brake & other tips and tricks 
  Georg Gaul 
  The burr is through – what next: imaging, bigger burr, balloons, IVL?
  Flavio Ribichini
• Rotablation – problem-solving
  Problems with the rotawire (positioning, goes out, bend etc.) 
  Mirosław Ferenc
  Problems with the burr – rotablation resistant lesion and other
  Georg Gaul
  Q&A, discussion 

Chairmen: Mirosław Ferenc, Maciej Lesiak  
Panel: Petros Dardas, Beatriz Vaquerizo, Jorge Palazuelos, Jarosław Wójcik, Mohamed Abdel-Wahab, Stanisław Bartuś

Part 1: Complications - when to expect, how to avoid, warning signs

• Stuck burr/burr entrapment
  Wojtek Wojakowski
  
• Slow/no flow during burr passage
  Beatriz Vaquerizo
  
• Perforation/tamponade during/before burr passage
  Sławomir Dobrzycki
  
• Q&A, discussion 

19:05-19:10 Technical break

Part 2: Rotablation in different clinical scenarios

• Acute coronary syndrome
  Emanuele Barbato 
  
• TAVI
  Flavio Ribichini
• Chronic total occlusion
  Leszek Bryniarski
  
• Low EF/last remaining vessel 
  Stanisław Bartuś
  
• Q&A, discussion 

Chairmen: Flavio Ribichini, Mirosław Ferenc
Panel: Georg Gaul, Jorge Palazuelos, Leszek Bryniarski, Petros Dardas, Andrzej Ochała, Tomasz Pawłowski

• Part 1. Live case 1 - live transmission from the University Hospital Wroclaw
  A 68-y-o man with 3 vessel disease and heavily calcified lesions
  Operators: Maciej Lesiak, Marcin Protasiewicz, IVUS – Tomasz Roleder
  
• Part 2. Live in the box 1 - from Verona
  Operators: Flovio Ribichini & Team
  

  Preliminary report:
  Which strategy is less traumatic after first burr passage:
  bigger burr or high pressure inflation? Pilot, randomized OCT study
  Tomasz Roleder, Krzysztof Reczuch, Wroclaw

Chairmen: Nikolaos Mezilis, Georg Gaul
Panel: Petros Dardas, Tomasz Pawłowski, Marcin Protasiewicz, Sławomir Dobrzycki, Krzysztof Wilczek, Wojtek Wojakowski

• Part 1: Live case 2 - live transmission from the University Hospital Wroclaw
  A 50-y-o man with end stage renal disease, multivessel disease and calcified lesions
  Operators: Mirosław Ferenc, Piotr Kubler, OCT – Tomasz Roleder
• Part 2: Live in the box 2 - from Krakow.
  How imaging may change plans in a patient with multivessel calcified lesions?
  Operators: Jacek Legutko & Team
  
• Part 3. Prerecorded cases 1
  

Chairmen: Mohamed Abdel-Wahab, Jacek Legutko
Panel: Nikolaos Mezilis, Wiktor Kuliczkowski, Maciej Lesiak,Stanisław Bartuś, Tomasz Pawłowski, Sławomir Dobrzycki

• Part 1. Live case 3 - live transmission from the University Hospital Wroclaw
  A 62-y-o man with a critical calcified Cx lesion (functional occlusion) and a
  long calcified lesion in LAD - protected PCI?
  Operators: Mirosław Ferenc, Piotr Kubler; IVUS – Tomasz Roleder
• Part 2. Live in the box 3 - from Poznań
  Rotational atherectomy of the unprotected left main coronary artery with mechanical circulatory support
  Operators: Maciej Lesiak & Team
  
• Part 3. Prerecorded cases 2
  

Chairmen: Georg Gaul, Stanisław Bartuś
Panel: Piotr Kubler, Petros Dardas, Jarosław Wójcik, Leszek Bryniarski, Nickolas Mezilis, Andrzej Ochała, Paweł Kralisz

• Live in the box 4 - from Białystok
  84-y-o women with a calcified LM, LAD and Cx
  Operators: Sławomir Dobrzycki & Team
• Live in the box 5 - from Wroclaw
  Heavily calcified CTO LAD in a patient with multivessel disease
  Operators: Wojciech Zimoch & Wiktor Kuliczkowski
  
• Live in the box 6 - from Saloniki. TAVI followed by RCA Rotablation
  Operators: Petros Dardas & Nikolaos Mezilis
  
• Live in the box 7 -from Saloniki. IVUS guided LMS-LAD Rotablation
  Operators: Petros Dardas & Nick Mezilis
  
  

  Prerecorded cases:
  

  3. A patient with acute coronary syndrome, Krzysztof Domagała
  4. Uncrossable, ostial RCA lesion - use of Turnpike Gold microcatheter and rotablation, Krzysztof Ściborski
  5. Rotablation of a side branch through the cell of the stent Krzysztof Ściborski 
  6. Rotablation via LIMA, Krzysztof Ściborski