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DIRECTORSAlexandre AVRAN MD
Kambis MASHAYEKHI MD Stéphane RINFRET MD
MULTI-LEVELCTO COURSEJUNE 28TH - 29TH - 30TH 2018Nice, French Riviera
FINAL PROGRAM
www.mlcto.comIn collaboration with
International lecturers & operators
Live demonstrations Paramedics session
3RD EDITION
S H A R I N G K N O W LE D G E
This course is divided by level of expertise and held over 3 days.
Thursday, June 28th
LEVEL 1: DISCOVER CTO PCI - Starting a CTO program - Analysis of CTO angiographies- Guidewire selection- Prevention of complications- Choice of microcatheters- Radial or femoral approach- Basic antegrade CTO techniques- Antegrade wire escalation technique- Retrograde approach step-by-step
Friday, June 29th
LEVEL 2: PROGRESS IN CTO PCI- Antegrade dissection re-entry step-by-step- Hybrid algorithm- Imaging guidance for CTO - Complex antegrade situations- Management of CTO complications
Saturday, June 30th
LEVEL 3: MASTER CTO PCI- Difficult antegrade and retrograde re-entry situations- Use of intravascular lithotripsy in CTO PCI- Retrograde through epicardial collateral channels- Post CABG CTOs - LVAD supported CTO PCI
WELCOME LETTERDear friends,
The recanalization of coronary chronic total occlusion (CTO) has become an important procedure to treat symptomatic patients with ischemia or heart failure. It is a growing and constantly evolving discipline, allowing us to improve our daily practice in percutaneous coronary interventions (PCI).
Learning or reviewing the basics, tips & tricks, and mastering CTO techniques is essential to manage complex coronary patients. More and more interventional cardiologists are eager to learn and develop CTO PCI programs in their CathLabs. We conceived this event to support their initiatives, and following the success of our 2016 first and 2017 second editions, we are glad to invite you to the ML CTO 2018.
The main goal of this event is to bring together all passionate operators in one place, from beginners to experts in a climate of openness and congeniality. Occasional and regular CTO operators will find this conference to be an opportunity to strengthen their skills and continue their progress in learning new strategies tailored to their level.
The Multi-Level CTO Course will include didactic and practi-cal lectures with simultaneous live cases, related to the topics covered during each session.The first day is dedicated to CTO PCI basics in antegrade and retrograde approaches, and live cases of more simple CTOs will be broadcasted.The second day is focused on basics antegrade dissection re-entry and a focus on CTO guidance.Finally, on the third day, the most challenging cases of the course will be performed. We will also address retrograde and antegrade dissection re-entry advanced strategies, discussing about the management of complications and sharing tips & tricks. A dedicated session for paramedics is also be offered this year.
We truly hope this ML CTO edition will meet all of your expec-tations. The goal of this Multi-Level CTO Course is to provide a complete curriculum adapted to the expertise of a cardio-logy audience.
Alexandre Avran MD, Kambis Mashayekhi MD, & Stéphane Rinfret MD
SHARING KNOWLEDGE LEARNING POINTS
BoardCO-DIRECTORSAlexandre Avran MDSaint-Laurent-du-Var, France
Kambis Mashayekhi MD Bad Krozingen, Germany
Stéphane Rinfret MD Montreal, Canada
Scientific CommitteeMax Amor MD Nancy, FranceNicolas Boudou MD Toulouse, FranceEmmanouil Brilakis MD Minneapolis, USAChristopher Buller MD Toronto, CanadaRoberto Garbo MD Torino, ItalyMarkus Meyer-Gessner MD Dusseldorf, GermanyElliot Smith MD London, United KingdomLuiz Fernando Ybarra MD Montreal, Canada
PARAMEDICS SESSION COORDINATORHervé Faltot MDColmar, France
Local organizationTZANCK INSTITUTE DIRECTOR Michel Salvadori
LIVE CASES COORDINATORS Alexandre Avran MD
Laurent Drogoul MD
CATH LAB PHYSICIANS Philippe Durand MD Claude Mariottini MDPierre Meyer MD
3RD EDITION
S H A R I N G K N O W LE D G E
CONFERENCE VETTING SYSTEM SUBMISSION: COMPLIANT
FACULTYINVITED GUESTS FACULTY
BELGIUM • Stéphane Carlier MD, PhD - Mons• Jo Dens MD, PhD - Genki
CANADA • Christopher Buller MD - Toronto• Stéphane Rinfret MD - Montreal• Luiz Fernando Ybarra MD - Montreal
EGYPT • Ahmed El Guindy MD - Assouan• Amr El Hadidy MD - Caro
FINLAND • Risto Jussila MD - Helsinki
FRANCE • Max Amor MD - Nancy• Alexandre Avran MD -
Saint-Laurent-du-Var• Nicolas Boudou MD - Toulouse• Pierre Deharo MD - Marseille• Laurent Drogoul MD -
Saint-Laurent-du-Var• Philippe Durand MD - Paris• Benjamin Faurie MD - Grenoble• Thomas Hovasse MD - Massy• Thierry Lefèvre MD - Massy• Nicolas Lhoest MD - Strasbourg• Yves Louvard MD - Paris• Laurent Quilliet MD - Tours
GERMANY • Alexander Bufe MD - Krefeld• Heinz Joachim Büttner MD -
Bad Krozingen• Kambis Mashayekhi MD -
Bad Krozingen• Markus Meyer-Gessner MD -
Dusseldorf• Stelios Pyxaras MD - Landshut
GREECE • Georgios Sianos MD - Thessaloniki
ITALY • Lorenzo Azzalini MD - Milano• Mauro Carlino MD - Milano• Andrea Gagnor MD - Torino• Alfredo Galassi MD - Catania• Roberto Garbo MD - Torino
JAPAN • Satoru Sumitsuji MD - Suita• Masahisa Yamane MD - Sayama
LATVIA • Artis Kalnins MD, PhD - Riga
NETHERLANDS • Paul Knaapen MD, PhD - Amsterdam• Adriaan Kraaijeveld MD - Utrecht
SAUDI ARABIA • Khalid Tammam MD - Jeddah
SOUTH AFRICA • Chris Zambakides MD - Germiston
SPAIN • Antonio Serra MD, PhD - San Pau
SWITZERLAND • Gregor Leibundgut MD - Liestal• Daniel Weilenmann MD - St. Gallen
TUNISIA • Marouane Boukhris MD - Tunis
TURKEY • Ömer Göktekin MD, PhD - Istanbul
UNITED KINGDOM • Alan Bagnall MD - Newcastle
• Colm Hanratty MD - Belfast• Jonathan Hill MD - London• Elliot Smith MD - London• James Spratt MD - London
USA • Khaldoon Alaswad MD - Detroit• Emmanouil Brilakis MD - Minneapolis• Aaron J. Grantham MD - Kansas City• William Lombardi MD - Seattle
PARAMEDICS GUESTS FACULTY• Ricardo Esteves - Lisbon, Portugal• Hervé Faltot - Colmar, France• Nathalie Ferlatte - Montreal, Canada• Veronika Gijsbers -
Wittnau, Germany• Nathalie Lattarico - Grenoble, France
• Nicolas Lhoest MD - Strasbourg, France
• Matteo Longoni - Milano, Italy• Stéphane Rinfret MD -
Montreal, Canada
• Sarah Spahr - Bad Krozingen, Germany
• Charlotte Trouillet MD - La Rochelle, France
• Fanny Villanova - Serris, France• Antoun Yazbek - Beirut, Lebanon
SHARING KNOWLEDGE SHARING KNOWLEDGE
Scientific program
The Multi-Level CTO Course is designated for a maximum of 16 hours of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The EACCME credit system is based on 1 ECMEC per hour and 8 ECMECs for a full-day event.
16 European
CME credits
SHARING KNOWLEDGE
Thursday, June 28th Level 1: DISCOVER CTO PCI
07:00 Registration
08:00 Introduction ML CTO Course Co-directors
SESSION 1 CTO PCI BASICS Chairman: Christopher Buller Provoker: Elliott Smith
Co-director: Stéphane Rinfret
08:10 Patient selection: who are the best candidates for CTO PCI? Stéphane Rinfret
08:25 Impact of CTO PCI: a patient’s perspective
08:35 Angiographic follow-up of ML CTO 2017 patients Laurent Drogoul
08:45 Angiographic roadmap for CTO PCI James Spratt
09:00 Simultaneous transmissions From Heart Center Bad Krozingen
LIVE CASE #1 UNRESTRICTED SPONSORING
Operators: Andrea Gagnor & Kambis Mashayekhi
LIVE CASE #2 UNRESTRICTED SPONSORING
Operators: Thierry Lefèvre & Miroslaw Ferenc
10:00 Guidewires and microcatheters:
what you need to know Christopher Buller
10:15 How to prevent common complications? Markus Meyer-Gessner
10:30 CTO PCI: from the wrist or from the leg? Khaldoon Alaswad
10:45 Live-in-box presentation: sheathless transradial approach Benjamin Faurie
11:00 Less you use, better it is: contrast & radiation management Adriaan Kraaijeveld
11:15 How to start your CTO PCI program? Alan Bagnall
11:30 Coffee break
SESSION 2 ANTEGRADE WIRE ESCALATION Chairman: Aaron Grantham Provoker: Khaldoon Alaswad
Co-director: Alexandre Avran
12:00 From Tzanck Institute
LIVE CASE #3
UNRESTRICTED SPONSORING
Operators: Artis Kalnins & Nicolas Boudou IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on AWE
- Why it worked! Ömer Göktekin - Why it failed! Marouane Boukhris - Something happened! Alexander Bufe
12:45 AWE: from wire to wire Joachim Büttner
13:00 Basic principles for wire manipulation Stéphane Rinfret
13:15 Tools & techniques to improve success antegrade Lorenzo Azzalini
13:30 Lunch on Hyatt Terrace
SESSION 3 RETROGRADE STEP-BY-STEP Chairman: Alfredo Galassi Provoker: William Lombardi
Co-director: Stéphane Rinfret
14:30 From Heart Center Bad Krozingen
LIVE CASE #4
UNRESTRICTED SPONSORING
Operators: Emmanouil Brilakis & Kambis Mashayekhi
CLINICAL CASES SESSION Focus on retrograde
- Why it worked! Daniel Weilenmann - Why it failed! Laurent Quilliet - Something happened! Alexandre Avran
15:30 Step 1 - Collateral selection & crossing Colm Hanratty
15:45 Step 2 - CTO crossing from the retrograde approach Georgios Sianos
16:00 Step 3 - I’ve crossed the CTO retrograde, what’s next? Nicolas Boudou
16:15 Coffee break
SESSION 4 MORE ON RETROGRADE Chairman: Masahisa Yamane Provoker: Colm Hanratty
Co-director: Stéphane Rinfret
16:45 From Tzanck Institute
LIVE CASE #5
UNRESTRICTED SPONSORING
Operators: Khalid Tammam & Alexandre Avran IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on retrograde
- Why it worked! Thomas Hovasse - Why it failed! Chris Zambakides - Something happened! Joachim Büttner
17:45 INDUSTRY SESSION 18:15 Adjourn
20:30 ML CTO dinner
6 European
CME credits
SHARING KNOWLEDGE
SCIENTIFIC PROGRAM
SHARING KNOWLEDGE
Friday, June 29th Level 2: PROGRESS IN CTO PCI
07:00 Registration
08:00 PRESENT YOUR CASE Chairman: Alexandre Avran Case presentations by participants
08:15 Introduction Day 2: objectives ML CTO Course Co-directors
SESSION 1 BASICS IN ANTEGRADE DISSECTION RE-ENTRY Chairman: Georgios Sianos Provoker: Roberto Garbo
Co-director: Stéphane Rinfret
08:30 Step 1 - Managing the proximal cap Gregor Leibundgut
08:45 Step 2 - Dissection as a mode of treatment Paul Knaapen
09:00 Step 3 - How to perform re-entry in the vessel true lumen? Aaron J. Grantham
09:15 LIVE CASE #6 UNRESTRICTED SPONSORING
Operators: Thomas Hovasse & Khaldoon Alaswad IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on management of difficult proximal cap
- Why it worked! Jo Dens - Why it failed! Thierry Lefèvre - Something happened! Stelios Pyxaras
10:35 Live-in-box presentation:
another way to cross? Nicolas Lhoest & Alexandre Avran
10:45 Coffee break
SESSION 2 CTO PCI GUIDANCE Chairman: Thierry Lefèvre Provoker: Elliot Smith
Co-director: Alexandre Avran
11:15 The hybrid algorithm to guide CTO PCI Emmanouil Brilakis
11:30 IVUS to guide CTO PCI Roberto Garbo
11:45 MDCT to guide CTO PCI Satoru Sumitsuji
12:00 LIVE CASE #7
UNRESTRICTED SPONSORING
Operators: Masahisa Yamane & Chris Zambakides IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on use of algorithm for CTO
- Why it worked! Ahmed El Guindy - Why it failed! Lorenzo Azzalini - Something happened! Risto Jussila
13:30 Lunch on Hyatt Terrace
SESSION 3 ADVANCED ANTEGRADE TECHNIQUES & ADR Chairman: Antonio Serra Provoker: Christopher Buller
Co-director: Kambis Mashayekhi
14:30 LIVE CASE #8
UNRESTRICTED SPONSORING
Operators: Stéphane Rinfret & Aaron J. Grantham IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on difficult ADR
- Why it worked! Mauro Carlino - Why it failed! Emmanouil Brilakis - Something happened! Elliott Smith
16:00 Coffee break
SESSION 4 THE HUMAN FACTOR Chairmen: Co-directors
16:30 Managing CTO complications Kambis Mashayekhi
16:45 Live-in-box presentation: bifurcations and CTOs Benjamin Faurie
17:00 MLCTO career achievement award
17:30 Take home messages from day 1 and day 2 live cases ML CTO Course Co-directors
17:45 INDUSTRY SESSION 18:00 Adjourn
18:15 Board meeting with all Industry sponsors Charleston room – Hyatt hotel
7 European
CME credits
SHARING KNOWLEDGE
SCIENTIFIC PROGRAM
SHARING KNOWLEDGE
Saturday, June 30th Level 3: MASTER CTO PCI
08:00 PRESENT YOUR CASE Chairman: Alexandre Avran Case presentations by participants
08:15 Introduction Day 3: objectives ML CTO Course Co-directors
SESSION 1 ADVANCED STRATEGIES Chairman: Emmanouil Brilakis Provoker: Joachim Büttner
Co-director: Stéphane Rinfret
08:30 Difficult antegrade or retrograde re-entry situations: how to manage? William Lombardi
09:00 LIVE CASE #9 UNRESTRICTED SPONSORING
Operators: Kambis Mashayekhi & Alexandre Avran IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on epicardial collateral crossing for CTO
- Why it worked! Elliot Smith - Why it failed! Masahisa Yamane - Something happened! Alfredo Galassi
10:15 Live-in-box presentation: use of intravascular lithotripsy Jonathan Hill
10:30 Coffee break
SESSION 2 DIFFICULT CASES Chairman: William Lombardi Provoker: Khaldoon Alaswad
Co-director: Kambis Mashayekhi
11:00 Specific issues with post CABG CTOs Emmanouil Brilakis
11:15 Using epicardial collateral channels for retrograde CTO PCI Kambis Mashayekhi
11:30 Supported CTO PCI using percutaneous LVAD Jonathan Hill
11:45 LIVE CASE #10
UNRESTRICTED SPONSORING
Operators: Satoru Sumitsuji & Christopher Buller IVUS commentator: Stéphane Carlier
CLINICAL CASES SESSION Focus on post CABG
- Why it worked! Luiz Fernando Ybarra - Why it failed! Stéphane Rinfret - Something happened! Amr El Hadidy
13:00 INDUSTRY SESSION 13:25 Closing remarks
13:30 Lunch on Hyatt Terrace to conclude ML CTO 2018
3 European
CME credits
SHARING KNOWLEDGE MEDTECH EUROPEMEDTECH EUROPE: NEW CODE OF ETHICAL BUSINESS PRACTICE With the new Code of Ethical Business practice, direct industry sponsorship will no longer be supported for all Companies members of MedTech Europe.
As MedTech Europe announced, “Grants can only be provided to PCOs but never to individuals”. PCOs (for Professional Conference Organizer) are “third-parties of trust”, and they will receive financial support from industries to provide educatio-nal grants to practitioners.
Com&Co agency, on behalf of incathlab events, is a PCO operating for ML CTO, and as a third-party of trust, has managed your participation to this event providing the means to sustain the ML CTO vision of enhancing HCPs (Health-Care Professionals) clinical skills for the benefit of the patient.
In order to insure your attendance to ML CTO 2019,please pre-register online: bit.ly/MLCTO2019If you have any questions concerning the procedure, please contact the general organization: [email protected]
BEFORE31.12.2017
AFTER01.01.2018
EDUCATIONALEVENT
PCO
INDUSTRY
INDUSTRY
DOCTOR/HCP
DOCTOR/HCP
HCP: HealthCare Professional. PCO: Professional Congress Organizers.
Thursday, June 28th Friday, June 29th
PARAMEDICS SESSIONSHARING KNOWLEDGE
Simultaneous French translation
08:45 Introduction Hervé Faltot
09:00 LIVE CASES #1 & #2
SESSION 1 CTO PCI - FOR WHICH PATIENTS AND HOW TO BEGIN? 10:00 CTO PCI: for which patients?
Hervé Faltot
10:10 The importance of a good angiography Hervé Faltot
10:20 How to build a CTO PCI program? Ricardo Esteves
SESSION 2 ANTEGRADE APPROACH:TECHNIQUES AND TOOLS 10:30 The basics of antegrade approach
Charlotte Trouillet
11:00 ADR techniques, when and how? Nicolas Lhoest
11:30 Coffee break
SESSION 3 PATIENT MANAGEMENT DURING PROCEDURES 12:00 LIVE CASE #3
13:00 Our roles as paramedics during CTO PCI Fanny Villanova & Nathalie Lattarico
SESSION 1 CTO PCI TOOLS WORKSHOP 09:00 Tools needed for CTO PCI
Ricardo Esteves
09:15 LIVE CASE #6 HANDS-ON CTO MATERIAL
10:45 Coffee break
SESSION 2 HOW TO HELP PATIENTSGET THROUGH THE PROCEDURE? 11:15 How to minimize radiation dose
Antoun Yazbeck
11:30 Tips & tricks for paramedics Matteo Longoni
11:45 How to handle specific complications? Veronika Gijsbers & Sarah Spahr
12:00 LIVE CASE #7
13:00 Protected CTO PCI Nathalie Ferlatte
13:15 Closing remarks
13:30 Lunch on Hyatt Terrace to conclude ML CTO paramedics 2018
13:30 Lunch on Hyatt Terrace
SESSION 4 RETROGRADE APPROACH:TECHNIQUES AND TOOLS 14:30 LIVE CASE #4
15:30 Retrograde approach: step-by-step Stéphane Rinfret
15:50 Coffee break
SESSION 5 OPTIMIZATION OF PRACTICE 16:15 Patient management before procedure
16:45 LIVE CASE #5
17:45 Patient management after procedure
20:30 ML CTO dinner
SHARING KNOWLEDGE
SCIENTIFIC PROGRAM
Algerian Society of Cardiology
Austrian Society of Cardiology
Brazilian Society of Cardiology
Canadian Association of Interventional Cardiology
Egyptian Society of Cardiology
EndoCore Lab
Working Group on Interventional Cardiology of the Finnish Cardiac Society
Atheroma Coronary and Interventional Cardiology
Group of the French Society of Cardiology (GACI)
German Cardiac Society
Working Group of Hemodynamic and Interventional Cardiology of the Hellenic Cardiological Society
Italian Society of Interventional Cardiology (SICI-GISE)
Latin American Society of Interventional Cardiology (SOLACI)
Latvian Society of Cardiology
Working Group on Interventional Cardiology of the Lebanese Society of Cardiology
Pan African Society of Cardiology (PASCAR)
Romanian Society of Cardiology
Russian Society of Cardiology
South African Society of Cardiovascular Intervention (SASCI)
Swedish Society of Cardiology
AFFILIATIONS
MEDIAS
EVENTS
COLLABORATIONSHARING KNOWLEDGE
DIAMOND
SAPPHIRE
CRYSTAL
PARTNERSSHARING KNOWLEDGE
RUBY
EMERALD
• CardioEgypt 2018 - Egypt
• APPAC 2018 - France
• CMR Course 2018 - Germany
• Physicians Congress 2018 - United Arab Emirates
• Optima 2018 - Spain
• SOLACI-SOCIME 2018 - Mexico
• Russian National Congress of Cardiology 2018 - Russian
• CFCI 2018 - France
• IMC LIVE 7 - Saudi Arabia
• JIM 2019 - Italy
• CRT 2019 - United States
• MLSF 2019 - France
• 2VRT 2019 - Portugal
SAVE THE DATE
Focus on coronary chronic total occlusions
Live cases from the International Medical Center
International and National operators and speakers
PRE-REGISTRATIONS OPENED!
IMC-LIVE.COM
January 17th & 18th 2019
Hotel Galleria by Elaf - Jeddah, Saudi Arabia
7TH Middle East CTO Summit
General organization: Margot de Laleu - +33 (0)4 91 09 70 53 - [email protected]
Registrations, logistics & visa application : +33 (0)4 91 09 70 53 - [email protected]
Organized by
CORONARY INTERVENTIONS
RCCI Les Rencontres Corses
de Cardiologie Interventionnelle
8th edition Les Recontres Corses de Cardiologie InterventionnelleSeptember 28th - 30th, 2018 Saint-Florent, Corsewww.rencontres-corses-cardio.comaurelie@incathlab-events.com
7th edition Middle East CTO SummitJanuary 17th & 18th, 2019 Jeddah, Saudi [email protected]
SHARING KNOWLEDGE
4th edition Multi-Level CTO CourseJune 27h - 29th, 2019 Nice, [email protected]
PERIPHERAL INTERVENTIONS
1st edition CLIC EastNovember 9th & 10th, 2018 Warsaw, [email protected]
3rd edition CLICMarch 21st & 22nd, 2019 Venice, [email protected]
1st edition CLIC LatamJune 6th & 7th, 2019 Rosario, [email protected]
STRUCTURAL HEART DISEASES
2nd edition Multi-Level Structural FactoryApril 4th & 5th, 2019 Nice, [email protected]
Discover our international courses
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DIRECTORSAlexandre AVRAN MDKambis MASHAYEKHI MD Stéphane RINFRET MD
MULTI-LEVELCTO COURSEJUNE 27TH - 28TH - 29TH 2019Palais de la MéditerranéeNice, France
www.mlcto.com
4TH EDITION
S H A R I N G K N O W LE D G E
ORGANIZATION: Aurélie Tourret - [email protected] - Tel. +33 (0)6 09 10 54 16SCIENTIFIC CONTACT: Morgane Airaudi - [email protected] - Tel. +33 (0)7 83 45 45 63
SAVE THE DATE
GENERAL INFORMATIONVenuePalais de la Méditerranée13, promenade des Anglais 06000 Nice, FranceTel. +33 0)4 92 14 77 36Fax +33(0)4 92 14 77 27www.nice.regency.hyatt.com
ML CTO DINNER Thursday, June 28th
Restaurant Le Castel8, quai des États-Unis 06300 Nice, France10 min walking distance from the venueDinner starting from 08:30 PM
Contacts
General organizationAurélie [email protected]. +33 (0)6 09 10 54 16
Scientific contact Morgane [email protected]. +33 (0)7 83 45 45 63www.incathlab.com
Registrations & logisticsValentine [email protected]. +33 (0)6 27 60 79 60
Media & affiliationsRocio [email protected]. +33 (0)7 82 98 66 81
