multi-level sharing knowledge cto course › files › congres › 2017 › mlcto2017.pdf ·...
TRANSCRIPT
FINAL PROGRAM
DIRECTORSAlexandre AVRAN, MDStéphane RINFRET, MD
SCIENTIFIC COORDINATORMax AMOR, MD
MULTI-LEVELCTO COURSEJUNE 29TH - 30TH
JULY 1ST 2017Nice, French Riviera
International speakers & operators
Live demonstrations from Tzanck Institute
Paramedics session
www.mlcto.comIn collaboration with
Simultaneous translation
EACCME 15075
2ND EDITION
S H A R I N G K N O W LE D G E
WELCOME LETTERDear friends,
The recanalization of coronary chronic total occlusion (CTO) has become a routine intervention to treat symptomatic patients with ischemia or heart failure. It is an evolving disci- pline, with operators constantly improving their skills in complex percutaneous coronary interventions (PCI).
More and more interventional cardiologists are eager to learn and develop CTO PCI programs in their cath labs. Learning and reviewing the basics, tips & tricks, and mastering CTO tech-niques are essential to manage patients with such complex coronary disease. We conceived this event to support their initiatives, and following the success our first Edition in 2016, we are happy to announce and welcome you to the ML CTO 2017.
The main goal of this event is to bring together passionate operators in one place, from beginners to experts, in a climate of openness and collegiality. Interventional cardiologists will find this conference to be an opportunity to strengthen their skills and learn new strategies tailored to their level.
The Multi-Level CTO Course includes didactic and practical lectures with simultaneous live cases, related to the topics covered during sessions. The first day is dedicated to CTO PCI basics in antegrade and retrograde approaches, with live case broadcasts of simpler CTO interventions. In parallel, a special session dedicated to paramedics will be held in French.The second day is focused on advanced antegrade tech-niques and basics of antegrade dissection re-entry. Finally, on the third day, the most challenging cases of the course will be performed and we will address more advan- ced retrograde and antegrade dissection re-entry strategies, discuss the management of complications, and share tips & tricks. A special session for fellows will also allow younger operators to present interesting clinical cases.
To allow as many operators as possible to benefit from this event, the full conference will be streamed live on:www.incathlab.com.
We truly hope this ML CTO Edition will meet all your expecta-tions, and provide a complete curriculum that is adapted to your individual expertise.
Welcome to Nice!
Alexandre Avran, MD & Stéphane Rinfret, MD
2ND EDITION
S H A R I N G K N O W LE D G E
SHARING KNOWLEDGE
This meeting, translated in English and in French, is divided by level of expertise and held over 3 days.
Thursday, June 29th
LEVEL 1: DISCOVER CTO PCI - Starting a CTO program - Analysis of CTO angiographies- Guidewire selection- Prevention of complications- Choice of microcatheters- Basic antegrade CTO techniques:
basics manoevers, wire escalation, parallel wire- Starting a retrograde approach- Septal collateral channels selection and crossing- Basic retrograde CTO techniques: reverse cart,
knuckle wire, externalization and snaring
Friday, June 30th
LEVEL 2: PROGRESS IN CTO PCI- Choice of microcatheters- Complex antegrade situations:
ambiguous proximal cap, difficult proximal cap crossing with a microcatheter
- IVUS in CTOs- Management of CTO complications- Toolbox to handle perforations- Starting an antegrade dissection re-entry (ADR)- Basics for ADR devices- Mini Star Technique- Hybrid algorithm
Saturday, July 1st
LEVEL 3: MASTER CTO PCI- Solving difficult retrograde connection - IVUS in CTOs- Challenging septal connection - Ostial CTOs- Retrograde through epicardial collateral channels- Ping Pong technique- Post CABG CTOs- Complications of complex CTOs- Follow up on ML CTO 2016 cases
CONFERENCE VETTING SYSTEM SUBMISSION: COMPLIANT
LEARNING POINTS
Board & Scientific CommitteeCOURSE DIRECTORAlexandre Avran, MDSaint-Laurent-du-Var, France
COURSE DIRECTORStéphane Rinfret, MD, SMMontreal, Canada
SCIENTIFIC COORDINATORMax Amor, MDNancy, France
LIVE CASES COORDINATORLaurent Drogoul, MDSaint-Laurent-du-Var, France
PARAMEDICS COORDINATORHervé FaltotColmar, France
Local organizationTZANCK INSTITUTE DIRECTOR Michel Salvadori, MD
LIVE CASES COORDINATORS Alexandre Avran, MD
Laurent Drogoul, MD
HEAD OF CATHETERIZATION LABORATORIESPierre Meyer, MD
CATHLAB DEPARTMENT MEMBERS Philippe Durand, MD Claude Mariottini, MD
SHARING KNOWLEDGE
FACULTY
BELGIUM
• Stéphane Carlier, MD - Mons• Jo Dens, MD - Hasselt
CANADA
• Christopher Buller, MD - Toronto• Stéphane Rinfret, MD - Montreal
COREA
• Yangsoo Jang, MD - Yonsei
FINLAND
• Risto Jussila, MD - Vaasa
FRANCE
• Max Amor, MD - Nancy• Alexandre Avran, MD -
Saint-Laurent-du-Var• Nicolas Boudou, MD - Toulouse• Laurent Drogoul, MD -
Saint-Laurent-du-Var• Philippe Durand, MD - Paris• Benjamin Faurie, MD - Grenoble• Thomas Hovasse, MD - Paris• Thierry Lefèvre, MD - Paris• Sébastien Levesque, MD - Poitiers• Nicolas Lhoest, MD - Strasbourg• Pierre Meyer, MD -
Saint-Laurent-du-Var• Laurent Quilliet, MD - Tours
GERMANY
• Alexander Bufe, MD - Krefeld• Heinz Joachim Büttner, MD -
Bad Krozingen• Kambis Mashayekhi, MD -
Bad Krozingen, Germany• Nicolaus Reifart, MD - Bad Soden
GREECE
• Georges Sianos, MD - Thessaloniki
ITALY
• Lorenzo Azzalini, MD - Milano• Marouane Boukhris, MD - Catania• Mauro Carlino, MD - Milano• Andrea Gagnor, MD - Turin• Alfredo Galassi, MD - Catania• Roberto Garbo, MD - Turin
JAPAN
• Satoru Sumitsuji , MD - Suita• Masahisa Yamane, MD - Sayama
LATVIA
• Artis Kalnins, MD - Riga
POLAND
• Leszek Bryniarski, MD - Krakow• Jaroslaw Wójcik, MD - Lublin
SAUDI ARABIA
• Khalid Tammam, MD - Jeddah
SPAIN
• Javier Escaned, MD - Madrid
SWITZERLAND
• Daniel Weilenmann, MD - St. Gallen
THE NETHERLANDS
• Paul Knaapen, MD - Amsterdam
TURKEY
• Omer Goktekin, MD - Istanbul
UNITED KINGDOM
• Colm Hanratty, MD - Belfast• Jonathan Hill, MD - London• Sudhir Rathore, MD - Llandudno• Elliot Smith, MD - London• James Spratt, MD - Edinburgh
USA
• Khaldoon Alaswad, MD - Detroit• Emmanouil Brilakis, MD -
Minneapolis• Sanjog Kalra, MD - Philadelphia• William Nicholson, MD - New York• Michael R. Wyman, MD - Portland
Scientific program & Live cases presentation
The Multi-Level CTO Course is designated for a maximum of 18 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 with a maximum of 3 ECMECs for half a day and 6 ECMECs for a full-day event.
18 European
CME credits
SHARING KNOWLEDGE
PARAMEDICS FACULTY
CANADA
• Nathalie Ferlatte - Montreal
FRANCE
• Sabrina Benmesbah - Paris• Hervé Faltot - Colmar• Aurélie Fresselinat - Bordaux
• Rafik Lamari - Amiens• Nathalie Lattarico - Grenoble• Fanny Villanova - Marne-la-Vallée• Gilles Wilhelm - Colmar
SHARING KNOWLEDGE
Thursday, June 29th Level 1: DISCOVER CTO PCI
07:00 Registrations
SESSION 1 CTO PCI BASICS Chairman: James Spratt Panelists: Emmanouil Brilakis,
Nicolaus Reifart & Michael Wyman Provoker: Alexandre Avran
08:00 Introduction Alexandre Avran & Stéphane Rinfret
08:10 Why should we treat CTOs: impact on ischemia and LV function Christopher Buller
08:30 Recent trials on CTO PCI: should it change practice? Stéphane Rinfret
08:40 Coronary angiography in planning for CTO PCI Laurent Quilliet
08:50 CTO angiographic analysis: scoring systems and algorithms Marouane Boukhris
09:00 Requirements for initiation of CTO PCI program: tools and set up Thomas Hovasse
LIVE CASE #1 Long proximal LCx CTO with ipsilateral
and controlateral visualization UNRESTRICTED SPONSORING
Operators: William Nicholson & Khalid Tammam IVUS commentator: Stéphane Carlier
09:10 Live case clinical presentation
09:20 Starting procedure
Parallel case-in-box Wake up or close: tips & tricks
for complications Risto Jussila
10:10 Vascular access
and guide selection for CTO PCI Khaldoon Alaswad
10:20 Essential basic maneuvers for CTO PCI Colm Hanratty
10:30 How to prevent common complications? Javier Escaned
10:40 Radioprotection and contrast management Nicolaus Reifart
10:50 Coffee break
SESSION 2 ANTEGRADE CTO PCI BASICS Chairman: Colm Hanratty Panelists: Khaldoon Alaswad,
Jo Dens & Javier Escaned Provoker: Christopher Buller
11:15 Antegrade strategy with sequential wire escalation James Spratt
11:30 Modern parallel wire technique Daniel Weilenmann
LIVE CASE #2 Dominant LCx CTO
with septal collateral channels UNRESTRICTED SPONSORING
Operators: Satoru Sumitsuji & Nicolas Boudou IVUS commentator: Stéphane Carlier
11:45 Live case clinical presentation
12:00 Starting procedure
Parallel case-in-box Dangerous curves Lorenzo Azzalini
13:00 How and when to use dual-lumen catheters
Nicolas Lhoest
13:10 How to improve guide catheter support Benjamin Faurie
13:20 Lunch on Hyatt Terrace
SESSION 3 RETROGRADE CTO PCI BASICS Chairman: Benjamin Faurie
Panelists: Alexander Bufe, Artis Kalnins& Khalid Tammam
Provoker: Khaldoon Alaswad
14:30 Retrograde approach: step-by-step instructions William Nicholson
LIVE CASE #3 Long mid RCA CTO with a good landing zone UNRESTRICTED SPONSORING
Operators: Emmanouil Brilakis & Michael Wyman IVUS commentator: Stéphane Carlier
14:45 Live case clinical presentation
15:00 Starting procedure
Parallel case-in-box Ipsilateral epicardial retrograde
CTO PCI over single radial access Gregor Leibundgut
16:00 Reverse-CART technique Masahisa Yamane
16:15 Dissection technique using knuckled wires: use and indication Elliot Smith
16:25 Externalization and snaring techniques Satoru Sumitsuji
16:40 Coffee break
Chairman: Stéphane Rinfret Panelists: Sébastien Levesque, Sudhir Rathore, Masahisa Yamane
Provoker: Benjamin Faurie
17:10 INDUSTRY SESSION
17:30 How would you approach that CTO? An interactive session
Presenters: Sébastien Levesque & Masahisa Yamane
17:50 DEBATE Tip injection should always be used
to guide septal collateral crossing Pro: Sudhir Rathore Con: Stéphane Rinfret
18:05 ML CTO career achievement interview with Heinz Joachim Büttner
18:15 Closing remarks
20:30 ML CTO Dinner at the Restaurant & Bar Lounge du Passable (15, chemin de Passable, 06230 Saint-Jean-Cap-Ferrat)
Shuttles available from the Palais de la Meditérranée (from main entrance venue) between 7:30 and 8:00pm
Dress code: History of Rock
6 European
CME credits
EXCLUSIVE ON INCATHLAB.COMDIGITAL EXTRA OF THE DAY Lecture: BVS implantation in chronically occluded vessels Antonio Serra
bit.ly/mlctoDED
SHARING KNOWLEDGE
SCIENTIFIC PROGRAM
SHARING KNOWLEDGE SHARING KNOWLEDGE
Friday, June 30th Level 2: PROGRESS IN CTO PCI
SCIENTIFIC PROGRAM
08:00 Registrations
SESSION 1 ADVANCED ANTEGRADE TECHNIQUES Chairman: Elliot Smith Panelists: Marouane Boukhris,
Omer Goktekin & Daniel Weilenmann Provoker: Christopher Buller
08:30 Microcatheter overview: how to choose and use Paul Knaapen
08:45 When you cannot cross the proximal cap with a microcatheter Jonathan Hill
LIVE CASE #4 Dominant LCx CTO
with ipsilateral collateral channels UNRESTRICTED SPONSORING
Operators: Kambis Mashayekhi & Alexander Bufe IVUS commentator: Stéphane Carlier
09:00 Live case clinical presentation
09:10 Starting procedure
Parallel case-in-box Wire escalation tips & tricks
Thierry Lefèvre
10:30 Coffee break
SESSION 2 ADVANCED PROCEDURAL GUIDANCE AND COMPLICATIONS MANAGEMENT Chairman: Christopher Buller Panelists: Heinz Joachim Büttner,
Nicolas Lhoest & Khalid Tammam Provoker: Stéphane Rinfret
11:00 IVUS during CTO PCI Roberto Garbo
11:15 Principles of contrast modulation techniques Mauro Carlino
LIVE CASE #5 Ostial LAD CTO with short left main
and ipsilateral and contralateral collateral channels
UNRESTRICTED SPONSORING
Operators: Masahisa Yamane & Alexandre Avran IVUS commentator: Stéphane Carlier
11:30 Live case clinical presentation
11:40 Starting procedure
Parallel case-in-box RCA ostial CTO and snaring
Andrea Gagnor 13:00 How to manage ambiguous
proximal cap without a retrograde option Alexander Bufe
13:15 How to manage CTO PCI complications Emmanouil Brilakis
13:30 Perforations: the complete toolbox and how to use it Kambis Mashayekhi
13:45 Lunch on Hyatt Terrace
SESSION 3 BASICS IN ANTEGRADE DISSECTION RE-ENTRY Chairman: Max Amor
Panelists: Yangsoo Jang, Sanjog Kalra & Nicolaus Reifart
Provoker: Kambis Mashayekhi 14:45 Toolbox for effective dissection
re-entry techniques Jonathan Hill
LIVE CASE #6 LCx CTO with ambiguous proximal cap UNRESTRICTED SPONSORING
Operators: Roberto Garbo & Andrea Gagnor IVUS commentator: Stéphane Carlier
15:00 Live case clinical presentation
15:10 Starting procedure
Parallel case-in-box Heavily calcified distal RCA CTO
uncrossable with device neither retrogradely nor anterogradely Meruzhan Saghatelyan
16:30 Coffee break
Chairman: Alexander Bufe
Panelists: Georges Sianos, Mauro Carlino & Paul Knaapen
Provoker: Thierry Lefèvre
17:00 INDUSTRY SESSION
17:15 Device-based ADR: step-by-step instructions Michael Wyman
17:30 Wire-based ADR: bailout indications and Mini-Star technique Alfredo Galassi
17:45 How would you approach that CTO? An interactive session
Presenters: Lorenzo Azzalini & Mauro Carlino
SESSION 4 CTO PCI FOR FELLOWS Chairman: Alexandre Avran
Panelists: Nicolas Boudou, Emmanouil Brilakis & Stéphane Rinfret
18:00 The hybrid algorithm: choosing the right approach Emmanouil Brilakis
18:15 Case presentations
18:45 The new Jedi meets Yoda: Q&A session All Faculty members
19:00 Closing remarks
6 European
CME credits
EXCLUSIVE ON INCATHLAB.COMDIGITAL EXTRA OF THE DAY Lecture: Management of septal complications Daniel Weilenmann
bit.ly/mlctoDED
SHARING KNOWLEDGE
Saturday, July 1st Level 3: MASTER CTO PCI
SESSION 1 RETROGRADE ADVANCED STRATEGIES Chairman: Alfredo Galassi Panelists: Philippe Durand,
Andrea Gagnor & William Nicholson Provoker: Elliot Smith
08:30 Solution for difficult retrograde re-entry Yangsoo Jang
LIVE CASE #7 Blunt mid RCA CTO UNRESTRICTED SPONSORING
Operators: Georges Sianos & Omer Goktekin IVUS commentator: Stéphane Carlier
08:45 Live case clinical presentation
09:00 Starting procedure
Parallel case-in-box Late acquired malapposition
and sub-occlusive restenosis after reverse CART for ostially occluded LAD Erion Xhepa
10:15 Wire crosses septal channel but microcatheter doesn’t follow: what to do? Khalid Tammam
10:30 Retrograde approach through epicardial collateral channels Kambis Mashayekhi
10:45 Ping-pong technique for retrograde approach Nicolas Boudou
10:55 Coffee break
SESSION 2 ANTEGRADE DISSECTION RE-ENTRY ADVANCED STRATEGIES Chairman: Jonathan Hill Panelists: Kambis Mashayekhi,
Satoru Sumitsuji & Michael Wyman Provoker: Alexandre Avran
11:25 How would you approach that CTO? An interactive session
Presenters: Kambis Mashayekhi & Alexandre Avran
11:45 Difficult ADR situations: how to handle? Colm Hanratty
12:00 How to deal with ostial RCA CTOs Alexandre Avran
LIVE CASE #8 RCA CTO with good landing zone UNRESTRICTED SPONSORING
Operators: Christopher Buller & James Spratt IVUS commentator: Stéphane Carlier
12:15 Live case clinical presentation
12:30 Starting procedure
Parallel case-in-box Multivessel Disease with double CTO
Eugenio La Scala
13:45 Lunch on Hyatt Terrace
SESSION 3 DIFFICULT CTO PCI, COSTS AND OUTCOMES Chairman: Masahisa Yamane
Panelists: Max Amor, Laurent Drogoul & Risto Jussila
Provoker: Jonathan Hill 14:50 The RECHARGE registry:
what have we learned? Jo Dens
15:00 Specific issues with post-CABG CTOs Heinz Joachim Büttner
LIVE CASE #9 Long and double RCA CTO
in a post-CABG patient UNRESTRICTED SPONSORING
Operators: Stéphane Rinfret & Alexandre Avran IVUS commentator: Stéphane Carlier
15:15 Live case clinical presentation
15:30 Starting procedure
Parallel case-in-box Previous CABG alter the native
coronary disease nature Albert Alahmar
16:25 INDUSTRY SESSION
16:45 Coffee break
Chairman: Omer Goktekin
Panelists: Colm Hanratty, Thomas Hovasse & Daniel Weilenmann
17:15 Supported CTO PCI using percutaneous left ventricular assist devices Sanjog Kalra
17:30 Cost of CTO PCI: the cathlab manager perspective Aurélie Fresselinat
17:40 How are they doing? Angiographic follow-up of last year cases Laurent Drogoul
18:00 Take home messages and conclusion Alexandre Avran & Stéphane Rinfret
6 European
CME credits
EXCLUSIVE ON INCATHLAB.COMDIGITAL EXTRA OF THE DAY Lecture: Overview of PERFECTO trial Sébastien Levesque
bit.ly/mlctoDED
SHARING KNOWLEDGE
SCIENTIFIC PROGRAM
LIVE CASE #3Long mid RCA CTO with a good landing zone
CLINICAL DATA • 56 yo male• Risk factors: dyslipidemia, hypertension• No history• Stable angina CCS2 – positive exercise
stress test 90 watts• TTE: LVEF 65%• Angiogram: severe disease to LAD/D1, CTO to RCA• PCI to left system (reverse TAP) 05.2017• Scintigraphy 06/2017: + posterior/
normal IVA territory
LIVE CASE #4Dominant LCx CTO with ipsilateral collateral channels
CLINICAL DATA • 71 yo male• Risk factors: hypertension, ex smoker• History: COPD• Stable angina on exertion CCS2• EF 70%• Stress perfusion: inferolateral ischemia
(Lcx territory)• Angiogram: severe disease to LAD, CTO to LCx,
mild to moderate RCA• PCI to LAD (1DES 3.5x34mm) – FFR to RCA 0.89• Lcx: AWE attempt at the end of the procedure
LIVE CASE #1Long proximal LCx CTO with ipsilateral and controlateral visualization
CLINICAL DATA • 78 yo male• Risk factors: ex-smoker, hypertension,
family history • History: AAA treated by endoprothesis,
severe PAD femoral bypass, CKF (45 MDRD)• On VKA• Admitted for stable angina• EF 45%• Ischemia 3 segments: Lcx territory• Angiogram: CTO to LCx, severe disease
to RCA, moderate PDA/PLA bifurcation, PCI to RCA - 1 DES (3.0x30 mm)
LIVE CASE #2Dominant LCx CTO with septal collateral channel
CLINICAL DATA • 74 yo female• Risk factors: dyslipidemia• Previous PCI LAD 2012• Troponin positive ACS following
carotid endarterectomy• EF 50% • Angiogram: mild to moderate ISR LAD,
significant disease to 1st OM, CTO to AV Lcx, diffuse disease to non dominant RCA
• Proceed to PCI to LCx - 1st OM with kissing ballon inflation to AV Lcx (CTO prox cap) 05.2017
• Scintigraphy 06.2017: + post and lateral
Live cases presentationSHARING KNOWLEDGESHARING KNOWLEDGE
LIVE CASE #7Blunt mid RCA CTO
CLINICAL DATA • 66 yo male• Risk factors: hypertension, current smoker• History: COPD• Exertional symptomatology (SOB/Angina) • EF 45%• Stress perfusion: positive to Lcx and RCA territory• Stress test stopped 60 Watts for symptoms
LIVE CASE #8LRCA CTO with good landing zone
CLINICAL DATA • 50 yo male• Risk factors: dyslipidemia, smoker, hypertension• History: PAD (stented)• Angina on exertion CCS2• Positive stress perfusion: severe infero
posterior segments ischemia• EF: 60%• Angiogram: severe disease to LCx - 1st OM
bifurcation, CTO to RCA• 03.2017: PCI to LCx - 1st OM: provisionnal 2DES –
final kissing• 05.2017: angina, scintigraphy + posterior
LIVE CASE #5Ostial LAD CTO with short left main and ipsilateral and contralateral collateral channels
CLINICAL DATA • 57 yo male• Risk factors: dyslipidemia – ex smoker• History: PCI to RCA 2010
(CTO to lAD medically treated) • Recent admission for chest pain at rest • Scintigraphy: + LAD territory
LIVE CASE #6LCx CTO with ambiguous proximal cap
CLINICAL DATA • 50 yo male• Risk factors: hypertension,
dyslipidemia, diabetic insulin therapy.• History: troponin positive ACS 12.2016,
PCI to OM1 • Now complains of stable angina CCS2• EF 64%, no RWMA • Angiogram: severe disease to PDA
(1DES 2,5x8), patent stent to LCX/OM, blocked LCx, atheroma to LAD
• Still symtomatic despite OMT• Stress perfusion: + LCx territory
Live cases presentationSHARING KNOWLEDGESHARING KNOWLEDGE
LIVE CASE #9Long and double RCA CTO in a post-CABG patient
CLINICAL DATA • 74 yo male• Risk factors: ex smoker, dylipidemia, hypertension• History: CABG 1989 (LIMA –LAD, SVG to RCA/OM/Intermediate)• All SVG blocked 5 years ago• Stable angina CCS3 • Stress perfusion: ischemia to LCx and RCA territory • Angiogram: CTO to LAD / LCx / OM / RCA, 1st: PCI to OM (1DES) and Lcx (2DES)
Live cases presentationSHARING KNOWLEDGESHARING KNOWLEDGE
AsPeCaF
Austrian Society of Cardiology
Young Cardiologists’ Club (YCC) of the Belgian Society of Cardiology
Brazilian Society of Cardiology
British Cardiovascular Intervention Society (BCIS)
Colombian Society of Cardiology and Cardiovascular Surgery
Working Group on Interventional Cardiology of the Cyprus Society of Cardiology
Danish Working Group on Interventional Cardiology
Egyptian Society of Cardiology
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
Young Cardiologists Group of the Irish Cardiac Society
Mexican Society of Cardiology
Latin American Society of Interventional Cardiology (SOLACI)
Latvian Society of Cardiology
Working Group on Interventional Cardiology of the Lebanese Society of Cardiology
Working Group on Interventional Cardiology of the Norwegian Society of Cardiology
Pan African Society of Cardiology (PASCAR)
Peruvian Society of Cardiology
South African Society of Cardiovascular Intervention (SASCI)
Swedish Society of Cardiology
Turkish Society of Cardiology
AFFILIATIONS
MEDIAS
EVENTS
COLLABORATION
DIAMOND
SAPPHIRE
OTHER SPONSORS
CRYSTAL
RUBY
PARTNERSSHARING KNOWLEDGE
NOTES
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
NOTES
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
NOTES
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
NOTES
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
SAVE THE DATE
DIRECTORSAlexandre AVRAN, MDStéphane RINFRET, MD
www.mlcto.com
MULTI-LEVELCTO COURSEJUNE 28TH - 29TH - 30TH 2018Nice, French Riviera
Simultaneous translation
CONTACT ORGANIZATION: Morgane Airaudi - [email protected] Tel. +33(0) 783 454 563 - www.incathlab.com
3RD EDITION
S H A R I N G K N O W LE D G E
INFORMATIONVenueHyatt Regency Palais de la Méditerranée13, promenade des Anglais 06000 Nice, FranceTel. +33 0) 492 147 736Fax +33(0) 492 147 727www.nice.regency.hyatt.com
ContactGeneral organizationStanMed Morgane [email protected]. +33(0) 783 454 563www.incathlab.com
Registration & logistics
Marie [email protected]. +33(0) 491 097 053 www.comnco.com