Studio 1

Warsaw Course on Complex and High Risk Indicated Patients (WAR-CHIP) organized in cooperation with Euro4C group.
Course Directors: T. Pawłowski (Warsaw) and M. Ferenc (Bad Krozingen)
Scientific Committee: R. J. Gil (Warsaw), A. Witkowski (Warsaw), K. Reczuch (Wrocław), L. Bryniarski (Krakow)

9:30:11.00 Session 1: How to perform…
Chairman: R. J. Gil (Warszawa), K. Reczuch (Wrocław)

9:30-9:35 Welcome & Opening Robert J. Gil
• 9:35-9:45 CHIP patient identification and cathlab team preparation. Miroslav Ferenc (Bad Krozingen)
• 9:45-9:55 Heart Team andno-hope patients – hybrid revascularization could be an option. Michał Hawranek (Zabrze)
• 9:50-10:05 How to deal with severe calcifications in CHIP. The full toolkit for calcium. Florim Cuculi (Zurich)
• 10:05-10:20 When LVAD is necessary in CHIP? Proposal of algorithm. T. Pawłowski (Warsaw)

• 10:20-11:00 Recorded case 1PCI in patient with low EF supported by Impella CPSmart Assist
Operators: A. Dębski (Warsaw), M. Opolski (Warsaw)

• 11:05-12:30 Session 2: Preventing complications
Chairmen: Z. Chmielak (Warsaw), T. Pawłowski (Warsaw)
Panelists: A. Kern (Olsztyn), M. Tajstra (Zabrze), M. Kuzemczuk (Warsaw), P. Kralisz (Białystok)

• 11:05-11:15 Renal insufficiency. Piotr Pieniążek (Kraków)
• 11:15-11:25 Thrombotic events. Maciej Lesiak (Poznań)
• 11:25-11:35 Bleeding & vascular events. Piotr Andziak (Warszawa)
• 11:35-11:45 Device loss. Jarosław Wójcik (Nałęczów)

• 11:45-12:30 Recorded/Live case 2.
High risk PCI with rotational atherectomy& cutting balloon with ELCA.
Operators: R.J. Gil (Warsaw), T. Pawłowski (Warsaw)

12:30-12:45 TECHNICAL BREAK

12:45-14:15 Landscape after EXCEL Trial 5-years results. Should we change our approach to selection and way of treatment for Left Main Stem stenosis?
SESSION IN ENGLISH
Chairmen: A. Witkowski (Warsaw), D. Dudek (Krakow), Robert J. Gil (Warsaw)
Panelists: M. Deja (Katowice), P. Olszówka (Rzeszów), Maciej Lesiak (Poznan), J. Wójcik (Nałęczów)

• 12:45-13:00 Excel Trial – positive or negative trial for the interventionalists? Robert J. Gil (Warsaw)
• 13:00-13:15 Excel Trial form the perspectives of cardiac surgeon. P. Suwalski (Warsaw)

• 13:15-13:55 Recorded case 3. High risk PCI with distal left main stenosis supported by percutaneous assist device (iVAC).
Operators: T. Pawłowski/R.J. Gil (Warsaw)
• 13:55-14:10 Roundtable discussion
• 14:10-14:15 Wrap-up. A. Witkowski (Warsaw)

14:20-14:35 TECHNICAL BREAK

14:35-15:55 Joint Session of the Working Group on Cardiac Surgery & Association On Cardiovascular Interventions of the Polish Cardiac Society: How we can improve the results of cardiac interventions?
SESSION IN POLISH/ENGLISH
Chairmen: Robert J. Gil (Warsaw), Stanisław Bartuś (Krakow), Piotr Suwalski (Warsaw)
Panelists: M. Tajstra (Zabrze), M. Deja (Katowice), P. Olszówka (Rzeszów)

• 14:35-14:45  Introduction. R. J. Gil

• 14:45-15:25 Live case 4. PCI of LCX and RCA after robotic LIMA grafting to LAD
Operators: A. Rdzanek (Warsaw), T. Pawłowski (Warsaw)
• 15:25-15:35 What does interventionist can do today better than yesterday. D. Dudek (Krakow)
• 15:35-15:45 What options does a modern cardiac surgeon have? Piotr Suwalski (Warsaw)
• 15:45-15:55 Panel discussion and wrap-up. 

16:00-16:15 TECHNICAL BREAK

• 16:15- 17:45 WORKSHOP 1
Challenging heavy calcifications in daily practice.
Chairman: Robert J. Gil, Jacek Legutko
Panelists: Michał Hawranek, Krzysztof Reczuch, P. Waciński

• 16:15-16:45 Live case 5 – Complex PCI using different techniques for highly calcified lesion – synergistic approach guided by intravascular imaging
Operators: Tomasz Pawłowski (Warsaw), Z. Śliwiński (Warsaw)

• 16:45-17:05 Calcium imaging – from angiography to OCT. J. Kochman (Warsaw)
• 17:05-17:2 5 Atheroablative techniques for calcium modification. S. Dobrzycki (Białystok)
• 17:25-17:45 Lithoptripsy and laser angioplasty. T. Pawłowski (Warsaw)

17:45-18:00 TECHNICAL BREAK

18:00-19:30 The clinical trials in the field of the interventional cardiology sponsored by the Medical Research Agency. Joint Session of the Polish Cardiac Society and the Medical Research Agency
Chairmen: Lars Sondegaard (Copenhagen), Radosław Sierpiński (Warsaw, President of the Medical Research Agency), Adam Witkowski (Warsaw, President of the Polish Cardiac Society)
Panellists: Sang-Wook Kim (Seoul), Gary Mintz (New York)

• 18:00-18:10 Welcome and session outline.Radosław Sierpiński (Warsaw)
• 18:10-18:22 LAAC SBI trial. Witold Streb (Zabrze)
• 18:22-18:34 ADONIS PCI trial. Miłosz Jaguszewski (Gdańsk)
• 18:34-18:46 MetCool ACS trial. Piotr Kwiatkowski (Warsaw)
• 18:46-18:58 STOP-CLOT trial. Jerzy Pręgowski (Warsaw)
• 18:58-19:10 SAFE LAAC trial. Radosław Pracoń (Warsaw)
• 19:10-19:25 Discussion: session chairmen and panellists.
• 19:25-19:30 Wrap-up.Lars Sondergaard (Copenhagen)

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Studio 2

9:30-11:00 Session on closure management of large bore arterial access. State of the art.
Chairmen: M. Dąbrowski (Warsaw), D. Jagielak (Gdansk)
Panelists: S. Dobrzycki (Bialystok), A. Pietrasik (Warsaw), M. Grygier (Poznan), Ł. Tułecki (Zamosc), P. Olszówka (Rzeszow), J. Trębacz (Krakow)
• 9:30-9:45 Large bore access in cardiac procedures. Radosław Parma (Katowice)
• 9:45-9:50 Discussion
• 9:50-10:05 Suture based closure devices. Jerzy Sacha (Opole)
• 10:05-10:10 Discussion
• 10:10-10:25 Dedicated large bore closure devices. Andrzej Ochała (Katowice)
• 10:25-10:40 Discussion
• 10:40-10:45 Wrap-up

PCR SESSION @ WCCI

11:00-12:20 How Should I treat multivessel disease in pt with ACUTE CORONARY SYNDROMES?
SESSION IN ENGLISH
Chairmen: R.J. Gil (Warsaw), S. Bartuś (Kraków)
Panelists: W. Kochman (Warsaw), P. Waciński (Lublin), J. Zalewski (Krakow), J. Gorący (Szczecin)
• 11:00-11:05 Introduction and objectives. R.J.Gil

Case 1.
• Speaker 1: Case presentation (7 minutes). J. Skowroński (Warsaw)
• Expert: How would I treat? (7 minutes). J. Legutko (Krakow)
• Speaker 1: How did I treat. (7 minutes). J. Skowroński (Warsaw)
• Discussion – 10 minutes
• Consensus (5 minutes). S. Bartuś (Kraków)

Case 2.
• Speaker 2: Case presentation (7 minutes). Jacek Bil (Warsaw)
• Expert: How would I treat? (7 minutes). A. Witkowski (Warsaw)
• Speaker 2: How did I treat. (7 minutes). Jacek Bil (Warsaw)
• Discussion. (10 minutes)
• Consensus (5 minutes). R.J. Gil (Warsaw) 

12:30-12:45 TECHNICAL BREAK

12:45-14:20 Functional assessment of coronary stenosis – invasive vs non-invasive or together?
SESSION IN POLISH
Chairmen: J. Legutko (Kraków), M. Kruk (Warsaw)
Panelists: A. Araszkiewicz (Poznań), TBD

• 12:45-12:57 Coronary lesion significance – what does it mean? Adam Kern (Olsztyn)
• 12:57-13:09 FFR & iwFR vs non-invasive techniques. What do the trials say… Paweł Kleczyński (Kraków)
• 13:09-13:21 Angio-CT FFR: is it ready for common usage? Cezary Kępka (Warsaw)
• 13:21-13:33 Angiogram basedflow reserve (QFR): should we rely on? Krzysztof Milewski (Ustroń)
• 13:33-13:55 Does invasive coronary microcirculatory have any surrogate among non-invasive methods? Łukasz Kołtowski (Warszawa)
• 13:55-14:10 Roundtable discussion on place and role of functional coronary stenosis assessment.
• 14:10-14:15 Wrap-up. Jacek Legutko (Kraków)

14:20-14:35 TECHNICAL BREAK

14:35-16:00 Case based session on circulatory support devices in heart failure patients. 
SESSION IN POLISH
Chairmen: A. Witkowski (Warsaw), M. Gąsior (Zabrze)
Panelists: . Hawranek (Zabrze), M. Lesiak (Poznań), J. Legutko (Krakow), D. Ciećwierz (Gdańsk)

• 14:35-14:49 IMPELLA CP case. A. Dębski (Warsaw)
• 14.49-14.54 Discussion
• 14.54–15:09 VA ECMO case Radosław Smoczyński (Warsaw)
• 15.09-15.14 Discussion
• 15:14-15:28 Atrial Flow Regulator case Krzysztof Reczuch (Wrocław)
• 15:28-15:33 Discussion
• 15:33-15:47 IVAC-2L case. T. Pawłowski (Warsaw)
• 15:47-15:53 Discussion
• 15:45-16:00 Wrap-up

16:00-16:15 TECHNICAL BREAK

• 16:15-17:45 WORKSHOP 2
OCT & IVUS images recognition.
Chairman: Jacek Legutko, Tomasz Pawłowski
Panelists: Krzysztof Bryniarski, Paweł Tyczyński

• 16:15-16:35 IVUS – plaques & measurements – Tomasz Roleder (Wrocław)
• 16:35-16:55 OCT – plaques & measurements – Paweł Tyczyński (Warsaw)
• 16:55-17:15 Post stenting image interpretation – Paweł Kleczyński (Cracow)
• 17:15-17:35 Rare images – CAV and others – Krzysztof Dyrbuś (Zabrze)
• 17:35-17:45 Discussion & take home message – Jacek Legutko (Cracow)

17:45-18:00 TECHNICAL BREAK

7:30 -9:00 Investigator’s Meeting 1. TBD
Investigator’s Meeting 2. TBD

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Studio 1

Coronary Interventions and Mechanical Thrombectomy
2nd Warsaw CTO Symposium (WAR-CTO)
Course Co-Directors: Paul Knaapen (Amsterdam), Maksymilian Opolski (Warsaw)

07.30-08.00 Welcome and registration

Morning Session 1 (Warming-up)
Chair: Paul Knaapen (Amsterdam)
Panel: Wojciech Wojakowski (Katowice), Mateusz Tajstra (Zabrze)
Fellow: Jacek Kwieciński (Warsaw)

• 8:00-8:05 Opening. Adam Witkowski (Warsaw)
• 8:05-8:15 The brief history of CTO PCI in Poland: where are we going from? Jarosław Wójcik (Nałęczów)
• 8:15-8:25 Selection for CTO PCI: taking punch from the ISCHEMIA trial? Paul Knaapen (Amsterdam)
• 8:25-8:35 How to build a CTO program: recipe for success. Maksymilian Opolski (Warsaw)

• 8:35 Live Case 1 (Medical University of Warsaw)
Alex Nap (Amsterdam) – Arkadiusz Pietrasik (Warsaw)
• 8:50 Live Case 2 (National Institute of Cardiology)
Maksymilian Opolski (Warsaw) – Artur Debski (Warsaw)
• 10:30-11:00 Life Case transmission from Milan (part 1.) Gabriele Gasparini (Milan) – Damiano Regazzoli (Milan)
Panel: Konrad Nowak (Białystok), Jarosław Skowroński (Warsaw), Grzegorz Sobieszek (Lublin), Wojciech Wojakowski (Katowice)

Morning Session 2 (CTO Weapon)
Chair: Elliot Smith (London)
Panel: Carlo Di Mario (Florence), Maciej Lesiak (Poznan), Tomasz Pawłowski (Warsaw), Daniel Weilenmann (St. Gallen)
Fellow: Rafał Wolny (Warsaw)

• 11:00-11:15 Hybrid approach: no game was ever won by resigning. Elliot Smith (London)
• 11:15-11:25 Guidewires: what’s hot in 2021? Daniel Weilenmann (St. Gallen)
• 11:25-11:35 Microcatheters: what’s hot in 2021? Maciej Lesiak (Poznan)
• 11:35-11:45 IVUS: luxury or necessity? Rafał Wolny (Warsaw)
• 11:45-12:00 Making war on calcium and optimizing treatment. Carlo Di Mario (Florence)
• 12:00 Live Case 3 (Medical University of Warsaw)
Paul Knaapen (Amsterdam) – Arkadiusz Pietrasik (Warsaw)
• 13:30-14:00 Life Case transmission from Milan (part 2.) Gabriele Gasparini (Milan) – Damiano Regazzoli (Milan)
Panel: Leszek Bryniarski (Cracow), Andrew Lucking (Oxford), Grzegorz Mężyński (Białystok), Alex Nap (Amsterdam)

Afternoon Session 1 (Strategy of War)
Chair: Emmanouil S. Brilakis (Minneapolis, USA) / Andrew Lucking (Oxford)
Panel: Leszek Bryniarski (Cracow), Alex Nap (Amsterdam), Maksymilian Opolski (Warsaw), Arkadiusz Pietrasik (Warsaw)
Fellow: Jaroslaw Skowronski (Warsaw)

• 14:00-14:10 Septal or epicardial: long time marriage or brief affair? Andrew Lucking (Oxford)
• 14:10-14:20 When true-to-true doesn’t work: scratch, go & BASE madam! Alex Nap (Amsterdam)
• 14:20-14:30 ADR using CrossBoss/Stringray: as easy as ABC. Emmanouil S. Brilakis (Minneapolis, USA)
• 14:30 Live Case 4 (National Institute of Cardiology) Jo Dens (Genk) – Rafał Wolny (Warsaw)
• 15:40-15:50 Parallel wire technique: being a gentleman never gets old. Leszek Bryniarski (Cracow)
• 15:50-16:00 Bail-out strategies (LAST, STAR, AFR): the beast won’t go to sleep. Maksymilian Opolski (Warsaw)                        

Afternoon Session 2 (“Mayday”, we have complication)
Chair: Leszek Bryniarski (Cracow)
Panel: Jakub Drozd (Lublin), Paul Knaapen (Amsterdam), Maksymilian Opolski (Warsaw), Elliot Smith (London)

• 16:15-16:25 When things go out of hands: tips & tricks how to keep a cool head. Elliot Smith (London)
• 16:25-16:32 Aortic dissection. Grzegorz Sobieszek (Lublin)
• 16:32-16:39 Donor vessel injury. Adam Rdzanek (Warsaw)
• 16:39-16:46 Perforation. Grzegorz Mężyński (Białystok)
• 16:46-16:53 Tips and tricks how to prevent complications in CTO PCI. Jakub Drozd (Lublin)
• 16:53-17:03 Partner in crime: the rationale for second CTO operator. Paul Knaapen (Amsterdam)
• 17:03-17:05 Closing remarks and adjourn. Robert J. Gil (Warsaw)

17:05-17:30 BREAK

Mechanical Thrombectomy in Acute Stroke

17:30-19:10 Session 1. Mechaniczna trombektomia w udarze mózgu
SESSION IN POLISH
Moderatorzy: Witold Rużyłło (Warszawa), Jerzy Walecki (Warszawa), Adam Witkowski (Warszawa), Konrad Rejdak (Lublin)
Panel: Wacław Kuczmik (Katowice), Piotr Musiałek (Kraków), Wojciech Wojakowski (Katowice), Michał Zawadzki (Warszawa)

• 17:30-17:35 Wprowadzenie. Adam Witkowski (Warszawa)
Debata o programie trombektomii mechanicznej w Polsce
• 17:35-17:47 Pilotażowy program mechanicznej trombektomii w Polsce – perspektywa neurologa. Konrad Rejdak (Lublin)
• 17:47-17-59 Pilotażowy program mechanicznej trombektomii w Polsce – perspektywa kardiologa. Piotr Musiałek (Kraków)
• 17:59-18:11 Przebieg program pilotażowej trombektomii w Polsce. Łukasz Szumowski (Warszawa)
• 18:11-18:23 Trombektomia mechaniczna w leczeniu udaru mózgu – stanowisko Naczelnej Rady Lekarskiej. Jerzy Friediger (Kraków)
• 18:23-18:35 Program mechanicznej trombektomii zainicjowany w ośrodku kardiologicznym we współpracy z oddziałem neurologicznym. Marek Szołkiewicz (Wejherowo)
• 18:35-18:47 Program mechanicznej trombektomii w ośrodku akademickim: współpraca neuroradiologów, chirurgów naczyniowych, kardiologów i neurologów. Wacław Kuczmik (Katowice)
• 18:47-18:59 Dlaczego i jak zmodyfikować system leczenia interwencyjnego udaru mózgu w Polsce: Punkt widzenia z perspektywy zdrowia publicznego. Rafał Niżankowski (Kraków)
• 18:59-19:20 Czy potrzebujemy rozszerzenia programu mechanicznej trombektomii w Polsce? Dyskusja. Prowadzący: Jerzy Walecki (Warszawa)
• 19:20-19:30 Podsumowanie. Witold Rużyłło (Warszawa)

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STUDIO 2

9:00-15:30 Structural Heart Disease Interventions

9:00-11:30 Sesssion 1.  TAVI. Guidelines and Controversies.
Chairmen: Eberhard Grube (Bonn), Ariel Finkelstein (Tel Aviv), Adam Witkowski (Warsaw)
Panelists: Zenon Huczek (Warsaw), Marek Grygier (Poznan), Jarosław Trębacz (Krakow), Dariusz Jagielak (Gdansk), Piotr Olszówka (Rzeszow), Łukasz Tułecki (Zamosc), Jan Harnek (Lund), Sławomir Dobrzycki (Bialystok), Krzysztof Reczuch (Wroclaw), Robert J. Gil (Warsaw)

• 9:00-9:05 Introduction. Eberhard Grube (Bonn)
• 9:05-9:45 Live case 5. TAVI
Operators: Zbigniew Chmielak (Warsaw), Maciej Dąbrowski (Warsaw), ECHO: TBD
• 9:45-9:57 Recommendation for TAVI: 2017 ESC/EACTS Guidelines vs 2020 ACC/AHA Guidelines. Is the perspective much different? Ariel Finkelstein (Tel Aviv)
• 9:57-10:09 TAVI for bicuspid aortic valve. Lars Søndergaard (Copenhagen)
• 10:09-10:21 Commisural aligment in TAVI: ever or never? Zenon Huczek (Warsaw)

• 10:21- 11:00 Live case 6/Live-in-a-box (Valve-in-Valve)
Operators: Janusz Kochman (Warsaw), TBD
• 11:00-11:12 Valve-in-valve TAVI for degenerated transcatheter or surgical aortic bioprosthesis. Saibal Kar (Los Angeles) / Jan Harnek (Lund)
• 11:12-11:24 How to expedite patient’s in-hospital pathway to TAVI and extend number of cases per day? Michał Zembala (Zabrze)
• 11:24-11:30 Wrap-up. Adam Witkowski (Warsaw)

11:30-12:00 BREAK

12:00- 14:00 Session 2. LEFT ATRIAL APPENDAGE OCCLUSION
SESSION IN POLISH
Chairmen: Grzegorz Smolka (Katowice), Tadeusz Przewłocki (Krakow)
Panelists: Marcin Demkow (Warsaw), Zenon Huczek (Warsaw), Dariusz Ciećwierz (Gdansk), Paweł Kralisz (Bialystok)

• 12:00-12:05 Introduction. Tadeusz Przewłocki (Krakow)
• 12:05-12:17 Who is an optimal candidate for LAAO? Paweł Kralisz (Bialystok)
• 12:17-12:29 Who is an optimal candidate for oral anticoagulation in the LAOO era? Wojciech Wojakowski (Katowice)
• 12:29-12:41 For whom is LARIAT and how to do the procedure? Krzysztof Bartuś (Krakow)

Technical tips and tricks with:
• 12:41-12:51 Amulet. Grzegorz Smolka (Katowice)
• 12:51-13:01 Watchman Flex. Marek Grygier (Poznań)
• 13:01-13:13 LAAC in patients with thrombus in the left atrial appendage. Witold Streb (Zabrze)

• 13:13-13:53 Live case 7.
Operators: Marcin Demkow (Warsaw), Radosław Pracoń (Warsaw)
ECHO: Marek Konka (Warsaw)

• 13:53-14:00 Wrap-up. Grzegorz Smolka (Katowice)

14:00-14:30 BREAK

14:30-16:30 Session 3. TRANSCATHETER MITRAL INTERVENTIONS
Chairmen: Tomasz Hryniewiecki (Warsaw), Goran Olivecrona (Lund), Kazimierz Widenka (Rzeszów), Adam Witkowski (Warsaw)
Panelists: Arkadiusz Pietrasik (Warsaw), Krzysztof Reczuch (Wrocław), Jerzy Sacha (Opole), Piotr Waciński (Lublin), Paweł Kralisz (Białystok), Michał Chmielecki (Gdańsk), Piotr Scisło (Warsaw), Piotr Szymański (Warsaw), Marek A. Deja (Katowice)

• 14:30-14:35 Introduction. Adam Witkowski (Warsaw)
• 14:35-14:47 Who is an optimal candidate for transcatheter edge-to-edge repair in functional mitral regurgitation? How should we use COAPT criteria in clinical practice? Lars Søndergaard (Copenhagen)
• 14:47-14:59 Who is a candidate for mitral banding? Roman Pfister (Koln)
• 14:59-15:11 TEE to guide mitral transcatheter interventions. Piotr Scisło (Warsaw)

• 15:11-15:51 Live case 8. Transcatheter edge-to-edge therapy for functional mitral regurgitation
Operators: Jerzy Pręgowski (Warsaw), Adam Rdzanek (Warsaw)
ECHO: Piotr Scisło (Warsaw)
• 15:51-16:03 Patients after mitral sugery: valve-in-valve and valve-in-ring interventions. Marcin Demkow (Warsaw)
• 16:03-16:15 Transcatheter mitral valve replacement: what is new? Anson Cheung (Vacouver)

• 16:15-16:27 Case presentation 1. Transcatheter mitral valve replacement (High Life Mitral)
Operators: Wojciech Wojakowski, TBD (Katowice)
• 16:27-16:32 Wrap-up. Goran Olivecrona (Lund)

16:30-17:00 BREAK

17:00-18:02 Session 4. TAVI, TMVR and TMVI Complications. A case-based session.
Chairmen: Zbigniew Chmielak (Warsaw), Jerzy Sacha (Opole), Marek Jasiński (Wroclaw)
Panelists: Jarosław Trębacz (Krakow), Piotr Suwalski (Warsaw), Michał Hawranek (Zabrze), Piotr Kübler (Wroclaw), Krzysztof Milewski (Ustron)
• 17:00-17:10 Case 1. Wojciech Wojakowski (Katowice)
• 17:10-17:13 Discussion
• 17:13-17:23 Case 2. Marcin Misterski (Poznan)
• 17:23-17:26 Discussion
• 17:26-17:36 Case 3. Piotr Olszówka (Rzeszow)
• 17:36-17:39 Discussion
• 17:39-17:49 Case 4. Jonathan Michel (Zurich)
• 17:49-17:52 Discussion
• 17:52-18:02 Wrap-up Marek Jasiński (Wroclaw)