Presentation on IVL’s Unique Mechanism of Action followed by a hands on demonstration.
Presenters: Prof. Ribichini, Dr Nef, Dr M.Sheehan
Register via e-mail: j.myszczyszyn@sympomed.pl

Presenters: Julia Paduch, Boston Scientific
Bartosz Czarniak
Register via e-mail: j.myszczyszyn@sympomed.pl

· Krzysztof Reczuch and Mirosław Ferenc – Course Directors

· Emanuele Barbato – President of the European Association of Percutaneous Cardiovascular Interventions

· Marek Grygier – President of the Association of the Percutaneous Cardiovascular Interventions of the Polish Cardiac Society

· Piotr Ponikowski – Rector of the Wroclaw Medical University

· Krzysztof Reczuch – President of Euro4C Group

Chairmen: M. Abdel-Wahab, B. Vaquerizo
Panel: F. Ribichini, L. Bryniarski, M. Ferenc, J. Wójcik, J. Legutko, K. Wilczek, P. Dardas
Media driver: P. Kubler

1. Coronary calcifications - prevalence and impact on procedural and long-term outcomes (7')
M. Grygier

2. How to detect coronary calcium?

  2.1. Cardiac Computed Tomography - why so useful?

    2.1.1. Clinical perspective (6')
    A. Witkowska

    2.1.2. Technical perspective (4')
    P. Wawrzyńczyk  

  2.2. Angiography - a tool reliable enough? (7')
  M. Hawranek

  2.3. Intracoronary imaging - a gold standard (8')
  J. Legutko  

Discussion, audience on-site & on-line interaction, Q&A (8')

3. Interventional tools for coronary calcified lesions

  · Balloon-based techniques (8')
  F. Cuculi

  · Atherectomy, rotational and orbital (8')
  M. Abdel-Wahab

  · Lithotripsy (8')
 H. Nef

  · Excimer laser (8')
  P. Waciński 

Discussion, audience on-site & on-line interaction, Q&A (18')

Chairmen: E. Barbato, F. Ribichini
Panel: B. Vaquerizo, M. Ferenc, S. Dobrzycki, M. Abdel Wahab, J. Legutko, N. Mezilis, P. Dardas, J. Palazuelos
Media driver: R. Parma

1. Why a new document and what are the main messages? (15')
E. Barbato

2. Optimal management based on angiography (7')
M. Ferenc

3. Optimal management based on intravascular imaging (8')
F. Ribichini

4. Specific clinical and anatomical settings – how should we treat according to a new document (Case-based co-authors & experts discussion)

  · Chronic total occlusions (CTO) (12')
   introductory case - L. Bryniarski (2')
   discussion

  · Bifurcation lesions (12')
  introductory case - J. Legutko (2')
  discussion

  · Mechanical support (12')
  introductory case – T. Pawłowski (12')           
   discussion

  · Acute coronary syndromes/thrombotic lesions (20')
  introductory case - M. Hawranek (2')
  discussion

  · ROCA-STEMI Registry (8')
  B. Vaquerizo

Discussion, Q&A, audience interaction (24')

Chairmen: M. Ferenc, S. Dobrzycki
Panel: T. Pawłowski, T. Roleder, J. Palazuelos, M. Tajstra, P. Kubler, R. Parma
Media driver: W. Zimoch

Competition “Calcified lesion PCI - how would I proceed today - what did I learn from my case” - presentation of the 6 finalist cases (10') per case

Case 1: Percutaneous coronary intervention within the heavily calcified right coronary artery in 69-year-old women with non-ST segment elevation myocardial and extremely low lef ventricle ejection fraction complicatced by cardiogenic shock (10')
R. Januszek

Case 2: NO one size fits all - which plaque modification technique? (10')
P. Kubler

Case 3: Orbit-Wave-Pella: a case of high-risk protected PCI using orbital atherectomy and intravascular lithotripsy with Impella  hemodynamic support. (10')
P. Lis

Case 4: IVL in underexpanded stent (10')
B. Olajossy

Case 5: Orbital or rotational atherectomy in uncrossable lesion - case based experience (10')
G. Sobieszek

Case 6: Rock'n'Roll (10')
K. Ściborski

on-site & on-line audience voting
discussion and audience interaction
nomination of the winner

Presentation on IVL’s Unique Mechanism of Action followed by a hands on demonstration.
Presenters: Prof. Ribichini, Dr Nef, Dr M.Sheehan
Register via e-mail: j.myszczyszyn@sympomed.pl

Presenters: Julia Paduch, Boston Scientific
Bartosz Czarniak
Register via e-mail: j.myszczyszyn@sympomed.pl

Dual mechanism of action: bi-directional differential sending and pulsatile forces. Proper technique to achive best results.
Best practices + tips&tricks.
Presenter: Tony Winters
Register via e-mail: j.myszczyszyn@sympomed.pl

Chairmen: F. Ribichini, J. Legutko
Panel: M. Ferenc, K. Wilczek, R. Przybylski, M. Protasiewicz, J. Palazuelos, N. Mezilis, P. Dardas, A. Ochała
Media driver: W. Zajdel

Live cases 2022 - clinical follow–up 
M. Kosowski

Part 1. Live case 1 – live transmission from the University Hospital Wroclaw

  An 82 y.o. patient with heavily calcified long lesion in LAD
 
  Rotational atherectomy? IVL? Orbital Atherectomy? Combining tools?
  Operators: B. Vaquerizo, P. Kleczyński  
  IVUS/OCT: T. Roleder

Discussion, audience on-site & on-line interaction, Q&A

Part 2.

  PCI with rotational atherectomy in heavily calcified lesions - my tips & tricks  for younger colleagues (10')               
  S. Dobrzycki

  Rotational atherectomy - complications and problem solving (10')
  J. Palazuelos

  Rotational atherectomy - Live in the box 1 (10')
  P. Dardas & N. Mezilis

Discussion, audience on-site & on-line interaction, Q & A

Chairmen: F. Ribichini, S. Dobrzycki
Panel: K. Wilczek, L. Bryniarski, R. Przybylski, B. Vaquerizo, W. Zajdel, A. Ochała, P. Dardas, N. Mezilis
Media driver: P. Kralisz

Part  1. Live case 2 – live transmission from the University Hospital Wroclaw

  A 70 y.o. patient with heavily calcified tortuous LAD, end-stage renal disease and aortic aneurysm

  Rotational atherectomy? IVL? Orbital atherectomy? Combining tools?
  Operators: M. Ferenc, P. Kubler
  IVUS/OCT: T. Roleder

  Discussion, audience on-site & on-line interaction, Q&A

Part 2.

  How to perform IVL in heavily calcified lesions – tips, tricks and complications (15')
  F. Ribichini

  Orbital atherectomy  – complications and problem solving (10')
  N. van Mieghem

  Orbital atherectomy -  Live in the box 2 (10')
  J. Legutko                                                                                                                     

  Discussion, audience on-site & on-line interaction, Q & A

Chairmen: T. Pawłowski, M. Hawranek
Panel: W. Kuliczkowski, R. Przybylski, T. Pawłowski, J. Legutko, P. Kralisz, N. Mezilis, P. Dardas 
Media driver: P. Kleczyński

Part 1. Live case 3 – live transmission from the University Hospital Wroclaw

  A 71 y.o. patient with EF 20%, RCA CTO & heavily calcified critical long ostial LAD and ISR in underexpanded stent in Cx

  Mechanical cardiac support? IVL? Rotational atherectomy? Orbital atherectomy? Combining tools?

  Operators: M. Ferenc, P. Kubler
  IVUS/OCT: T. Roleder

  Discussion, audience on-site & on-line interaction, Q&A

Part 2

  PCI  with orbital atherectomy in heavily calcified lesions - my tips & tricks for younger colleagues
  M. Ferenc

  ROTA + IVL - Live in the Box 3
  S. Bartuś

Chairmen: J. Wójcik, A. Ochała
Panel: M. Ferenc, W. Kuliczkowski, M. Tajstra, R. Przybylski, P. Kleczyński, L. Bryniarski
Media driver: M. Protasiewicz

1. Super High-Pressure Balloon OPN NC with TWIN-Wall design (8'+7')
F. Cuculi 

2. Recross, Stingray, knuckle wire, external crush – calcifications in CTO – case based solutions (8'+7')
G. Sobieszek
Sponsored by Biotronik

3. Rotational Atherectomy (8'+7')
M. Tajstra

4. Lithotripsy
W. Kuliczkowski (8'+7')

5. Excimer laser (10'+ 5')
P. Waciński 
- Technical considerations (4')
T. Świerzyński

6. Atherectomy (8'+7)
M. Ferenc

Discussion, audience on-site & on-line interaction, Q & A