9th Interventional Cardiology Workshop

9th Interventional Cardiology Workshop 22 24 April 2005, Warsaw Hotel Radisson SAS Centrum, ul. Grzybowska 24, 00-132 Warsaw, Poland Leading topics: 1. Complex coronary and peripheral percutaneous interventions 2. Imaging methods of the coronary and peripheral arteries 3. Drug-eluting stents and restenosis 4. Drug therapy facilitating percutaneous coronary angioplasty 5. Correction of abnormal intracardiac and extracardiac communications 6. Mitral valvuloplasty 7. Pulmonary hypertension and pulmonary embolism 1

Procedures: Cardiac Angiography Suite, The Ministry of Internal Affairs and Administration Central Clinical Hospital in Warsaw and the Haemodynamics Unit of the Institute of Cardiology in Warsaw - Anin. Workshop Directors: Robert J. Gil, MD, PhD, FESC, Adam Witkowski, MD, PhD, FESC Organising Committee: H. Rdzanek, MD, PhD (secretary), J. Rzezak, MD (secretary), Maciej Dąbrowski, MD, Tomasz Deptuch, MD, A Gziut, MD, PhD, S. Gołębiewski, MD, Cezary Kępka, MD, R. Krzyżewski, MD, T. Kulawik, MD, P. Kwiatkowski, MD, T. Pawłowski, MD, PhD, P. Seweryniak, MD, Z. Śliwiński, MD. Faculty: Prof. Jacek Białkowski, MD, PhD, FESC, Prof. Andrzej Bochenek, MD, PhD, Paweł Buszman, MD, PhD, FESC, Grażyna Brzezińska, MD, PhD, Zbigniew Chmielak, MD, PhD, Marcin Demkow, MD, PhD, Dariusz Dudek, MD, PhD, Robert J. Gil, MD, PhD, FESC, Prof. Jan Gmiński, MD, PhD, Prof. Stefan Grajek, MD, PhD, Magdalena Januszewicz, MD, PhD, Andrzej Kleinrok, MD, PhD, Prof. Jacek Kubica, MD, PhD, Prof. Hubert Kwieciński, MD, PhD, Prof. Antoine Lafont, MD, FESC, Giuseppe De Luca, MD, Prof. Grzegorz Opolski, MD, PhD, FESC, Prof. Lech Poloński, MD, PhD, Olgierd Rowiński, MD, PhD, Prof. Witold Rużyłło, MD, PhD, FESC, Prof. Jerzy Sadowski, MD, PhD, Prof. Sigmund Silber, MD, FESC, Prof. Tomasz Siminiak, MD, PhD, FESC, Prof. Adam Torbicki, MD, PhD, FESC, Prof. Jerzy Walecki, MD, PhD, Adam Witkowski, MD, PhD, FESC, Jarosław Wójcik, MD, PhD, Krzysztof Żmudka, MD, PhD. 2

P R O G R A M M E 22 April 2005 (Friday) 9.00-9.20: Opening of the Workshop: Robert J. Gil, Workshop Director Antoine Lafont, Chairman of the Working Group on Interventional Cardiology of the ESC Adam Witkowski, Workshop Director, Chairman of the Working Group on Interventional Cardiology of the Polish Cardiac Society Morning session: Diagnostic work-up of the coronary and peripheral arteries Co-ordinator: Adam Witkowski 9.20-9.40: Clinical presentation of patients treated during the previous workshop. Jarosław Rzezak 9.40-10.00: Lecture 1: Noninvasive imaging of the coronary arteries. Jerzy Walecki 10.00-10.40: Television broadcast I. Moderators: Andrzej Ochała, Piotr Pieniążek, Witold Rużyłło, Jerzy Walecki. Percutaneous coronary revascularisation in a patient with multivessel coronary artery disease: presentation of the qualification process (including MSCT) and the procedure itself. Operators: Jacek Kubica, Maciej Lesiak. 10.40-11.20: Discussion panel The use of noninvasive imaging techniques (MRI, MSCT, EBCT, PET) for diagnosing patients with suspected or known ischaemic heart disease. Moderators: Witold Rużyłło, Jerzy Walecki. Participants: Andrzej Bochenek, Zbigniew Chmielak, Robert J. Gil, Magdalena Januszewicz, Andrzej Kleinrok, Giuseppe De Luca, Zbigniew Peruga, Tadeusz Przewłocki, Jerzy Sadowski. 11.20-11.40: Lecture 2: Do we still need invasive methods in the diagnosis of the coronary arteries? Jacek Legutko 11.40-12.20 Television broadcast II. Moderators: Zbigniew Chmielak, Stefan Grajek, Andrzej Lekston. Percutaneous coronary and peripheral angioplasty in a patient with multilevel atherosclerosis. Operators: Tadeusz Przewłocki, Jarosław Wójcik. 12.20-12.40: Coffee break 12.40-13.00: Debate 1: Diagnosing the peripheral arteries in patients with coronary artery disease the place and role of arteriography against the other diagnostic methods. Approach of the interventional cardiologist vs the vascular radiologist Paweł Buszman vs Olgierd Rowiński. Moderators: Maciej Kośmider, Tomasz Siminiak. 13.00-13.40: Television broadcast III. Moderators: Marcin Demkow, Andrzej Kleinrok, Jacek Kubica. 3

Presentation of the employment of invasive methods to assess the significance of coronary artery stenosis (ICUS, IcD, IcP) during percutaneous coronary angioplasty in a patient with multivessel coronary artery disease. Operators: Robert J. Gil, Jacek Legutko. 13.40-15.00 Lunch 13.40-15.00: Lunch meeting with the experts (room KOSSAK) entitled: How I select the target lesion in patients with multivessel coronary artery disease in the course of ACS. Moderators: Janusz Rzeźniczak, Jarosław Wójcik. Afternoon session: Percutaneous angioplasty of the coronary, carotid and peripheral arteries Co-ordinator: Robert J. Gil 15.00-15.20: Lecture 3: Qualification for percutaneous coronary revascularisation: new recommendations of the European Society of Cardiology. Witold Rużyłło. 15.20-16.00: Television broadcast IV. Moderators: Olgierd Rowiński, Janusz Rzeźniczak, Krzysztof Żmudka. Percutaneous angioplasty in a patient with multilevel atherosclerosis. Operators: Piotr Pieniążek, Adam Witkowski. 16.00-16.20: Coffee break 16.20-16.40 Lecture 4: Should we select specific 2b3a glycoprotein receptor blocker for specific PCI case? Sigmund Silber 16.40-17.20: Television broadcast V. Moderators: Janusz Drzewiecki, Mieczysław Dziarmaga, Hubert Kwieciński, Janusz Tarchalski. Carotid artery stenting in a patient with multilevel atherosclerosis. Operators: Dariusz Ciećwierz, Tadeusz Przewłocki. 17.20-17.35 Lecture 5: How to choose the contrast medium in percutaneous interventional procedures? Piotr Pieniążek 17.40-17.55 Lecture 6: Principles of radiological protection in the interventional cardiology suite. Andrzej Ciszewski 18.30-22.00: Party for all the participants of the Workshop at the exhibition area 19.30-22.00: Faculty Dinner 4

23 April 2005 (Saturday) Morning session: Drug-eluting stents and restenosis Co-ordinator: Robert J. Gil 8.00-8.20: Lecture 1: Stents eluting antiproliferative drugs: are they all equal? Maciej Lesiak 8.20-9.00: Television broadcast I. Moderators: Stefan Grajek, Janusz Kochman, Jacek Kubica. Percutaneous coronary angioplasty using DES in a patient with multivessel coronary artery disease. Operators: Andrzej Ochała, Giuseppe De Luca. 9.00-9.20: Debate 1: Multivessel coronary artery disease: DES or CABG? An opinion of an interventional cardiologist vs a cardiac surgeon. Robert J.Gil vs Andrzej Bochenek. Moderator: Witold Rużyłło. 9.20-9.40: Coffee break 9.40-10.00: Debate 2: Left main disease: PCI or CABG? An opinion of an interventional cardiologist vs a cardiac surgeon. Adam Witkowski vs Jerzy Sadowski. Moderator: Lech Poloński. 10.00-10.40 Television broadcast II. Moderators: Andrzej Bochenek, Maciej Kośmider, Jarosław Rzezak. Percutaneous coronary angioplasty using DES in a patient with left main coronary artery stenosis. Operators: Paweł Buszman, Janusz Rzeźniczak. During the broadcast, presentation of the results of Le Mans study (Paweł Buszman). 10.40-11.00 Lecture 3: In-stent restenosis in the DES era do we finally solved the problem? Antoine Lafont 11.00-11.20 Discussion panel Is it time we replaced BMS with DES in everyone? Moderators: Antoine Lafont, Tadeusz Przewłocki, Adam Witkowski. Participants: Dariusz Ciećwierz, Marcin Demkow, Mariusz Gąsior, Jacek Kubica, Jacek Legutko, Maciej Lesiak, Tomasz Siminiak. 11.20-12.00 Television broadcast III. Moderators: Jarosław Wójcik, Jerzy Sadowski, Krzysztof Żmudka. Angioplasty in a patient with multilevel atherosclerosis. Operators: Krzysztof Cedro, Magdalena Januszewicz. 12.00-13.00: Lunch. 12.00-13.00 Lunch meeting with the experts (room KOSSAK): How to select and implant DES. Moderators: Krzysztof Wilczek, Krzysztof Żmudka. 5

Afternoon session: Pulmonary hypertension and pulmonary embolism, mitral valvuloplasty, closure of PFO Co-ordinator: Adam Witkowski 13.00-13.40 Television broadcast III. Moderators: Marek Dąbrowski, Krzysztof Żmudka, Andrzej Lekston. Percutaneous mitral valvuloplasty for mitral stenosis. Live presentation of the case and discussion of the qualification criteria. Operators: Zbigniew Chmielak, Witold Rużyłło. 13.40-14.00 Lecture 3. Severe pulmonary hypertension pathophysiological principles of modern therapy. Adam Torbicki 14.00-14.20 Lecture 4. Atrial septostomy personal experience. Marek Dąbrowski 14.20-15.00 Television broadcast IV. Moderators: Jacek Białkowski, Maciej Lesiak, Tadeusz Przewłocki. Closure of PFO. Live presentation of the case and discussion of the qualification criteria. Operators: Marcin Demkow, Cezary Kępka. 15.00-15.20 Discussion panel. Are we able to fight pulmonary hypertension and pulmonary bolism effectively? Moderator: Adam Torbicki. Participants: Paweł Buszman, Marek Dąbrowski, Jacek Jańczak, Tadeusz Zębik. 15.00-15.40: Television broadcast V. Moderators: Paweł Buszman, Marek Dąbrowski, Jacek Jańczak, Adam Torbicki. Placement of a temporary venous filter. Operators: Robert J. Gil, Jarosław Rzezak. 15.40-17.10 Symposium: Using interventional cardiology techniques for the correction of abnormal communications between the cardiac chambers and the great vessels. Moderators: Grażyna Brzezińska, Jacek Różański, Witold Rużyłło 1. How and in what patients should abnormal communications between the cardiac chambers and the great vessels be sought? Piotr Hoffman 2. PFO and recurrent stroke is closure the best option? - Pros: Marcin Demkow - Cons: Hubert Kwieciński 3. Panel debate: Will percutaneous techniques fully replace surgery? How and whom to qualify? Participants in the discussion: Grażyna Brzezińska, Marcin Demkow, Piotr Hoffman, Hubert Kwieciński, Jacek Różański, Witold Rużyłło 17.10-17.30 Coffee break 17.30-19.00: General Assembly of the members of the Working Group on Interventional Cardiology of the Polish Cardiac Society. 17.30-19.00: Session for interventional cardiology nurses and technicians (room KOSSAK) 19.30-23.00: Social meeting for the participants of the Workshop and guests of honour. 6

24 April 2005 (Sunday) Theme symposia: Procedures outside the coronary arteries and drug therapy in interventional cardiology 8.00-9.30: Symposium 1a: Bivalirudin will it replace heparin and 2b3a receptor blockers in coronary interventions? Moderators: Marcin Demkow, Robert Gil, Jerzy Sadowski 1. Structure and pharmacokinetics of bivalirudin Lecturer will be announced at a later date 2. A review of multicentre studies investigating the clinical usefulness of bivalirudin - Jacek Legutko 3. Who should receive bivalirudin in Poland, in 2005? - Mariusz Gąsior 4. Panel debate: Bivalirudin in percutaneous coronary procedures. Participants in the discussion: Marcin Demkow, Mariusz Gąsior, Robert Gil, Jacek Legutko, Jerzy Sadowski 9.30-9.50: Coffee break 11.20-12.20: Lunch break 9.50-11.20 Symposium 2a: Angioplasty of the carotid, vertebral and subclavian arteries everyday routine or still a rarity? Moderators: Piotr Andziak, Paweł Buszman, Dariusz Dudek, Olgierd Rowiński 1. Diagnostic work-up of stenoses of the aortic arch arteries and percutaneous management of subclavian artery stenosis. Tadeusz Przewłocki 2. Qualification of patients with stenosed carotid arteries for interventional treatment: percutaneous or surgical. Marek Dąbrowski 3. Contemporary percutaneous therapeutic techniques used in the management of significantly stenosed carotid and vertebral arteries. The role of neuroprotection. Piotr Pieniążek 4. Management of complications associated with carotid artery stenting. Paweł Buszman 12.20-13.50: Symposium 3a: Renal artery angioplasty in the management of arterial hypertension. Moderators: Zbigniew Gaciong, Andrzej Lekston, Magdalena Januszewicz 1. Diagnostic evaluation and qualification for interventional treatment of patients with renovascular hypertension the role and position of arteriography. B. Symonides 2. Current techniques of renal artery angioplasty. Are there any differences in relation to coronary procedures? Robert J. Gil 3. Management of complications of renal artery angioplasty. Olgierd Rowiński 4. Drug therapy in patients after renal artery angioplasty. Zbigniew Gaciong 7

8.00-9.30 Symposium 1b: Abciximab an ideal platelet 2b3a receptor blocker for expeditous PCI? Moderators: Dariusz Dudek, Jacek Kubica, Giuseppe De Luca 9.30-9.50: Coffee break 1. Current indications for use of abciximab based on the ESC and AHA/ACC standards. Maciej Lesiak 2. Abciximab in STEMI patients optional or mandatory? Giuseppe De Luca 3. Does abciximab treatment improve immediate and remote results of PCI? If so, then in which patients? Dariusz Dudek 4. Using abciximab in emergencies during PCI. Adam Witkowski 9.50-11.20 Symposium 2b: Does interventional cardiology and cardiac surgery need Integrilin? Moderators: Mirosław Dłużniewski, Grzegorz Opolski, Adam Witkowski 11.20-12.20: Lunch break 1. Structure and pharmacokinetics of the currently available 2b3a platelet receptor blockers. Krzysztof Filipiak 2. A review of the results of multicentre studies investigating the clinical usefulness of Integrilin. Jacek Legutko 3. Current indications for use of Integrilin based on the ESC and AHA/ACC standards. Zbigniew Chmielak 4. Integrilin in unstable patients qualified for CABG. Andrzej Bochenek 12.20-13.50 Symposium 3b: Clopidogrel an ideal antiplatelet agent, not only in the haemodynamics unit. Moderators: Andrzej Budaj, Jan Gmiński, Grzegorz Opolski 1. The role of platelets in the pathogenesis of acute coronary syndrome. Jan Gmiński 2. A review of the results of multicentre studies investigating the clinical usefulness of clopidogrel. Andrzej Budaj 3. Current indications for use of clopidogrel in percutaneous coronary interventions. Lech Poloński 4. Panel debate: Will placement of clopidogrel on reimbursement lists in Poland improve the results of PCI? Participants in the discussion: Andrzej Budaj, Jan Gmiński, Lech Poloński, Grzegorz Opolski 8