Dear colleagues,

On behalf of the Organizing Committee we are honored to invite you to the Seventh Bulgarian Bifurcation and Complex
Coronary Interventions Course, which is going to be held on 19‐21 January 2018 at Acibadem City Clinic Tokuda Hospital

Traditionally Bulgarian Bifurcation Course is articulated around a highly educational program, driven by innovation.
Our aim is to produce a comprehensive program offering broad range of sessions related to bifurcations and complex
coronary interventions, covering from essentials to the latest controversies in the field.

This edition of the Course will be dedicated to IVUS imaging. Presentations on IVUS basics and interpretation of IVUS
recorded and live cases will be included in the program guided by prominent foreign experts in the field.

After the success of the last‐edition hands‐on sessions designed for young interventional cardiologists we are positive to
conduct hands‐on sessions for young specialists as per tradition. Fellows will benefit again the unique chance to perform
live‐cases under supervision of eminent foreign specialists.

Recorded best‐case sessions for fellows will also be included in the program for a second year.
Every year we invite some of the leading experts in the field to share their latest innovative knowledge as we
understand your urge to access the latest results and data.

Close to 10 nationalities are represented every year by Faculty and participants. Around 120 attendees join the Course.

Strong partnership with the Industry is established in order to be kept up to date with innovation.

No registration fees will be applicable.

For further information please contact our partner:
Congress Management and Events (CME) Ltd., www.cmebg.com
Contact person: Mrs. Denitza Yonkova
Tel: + 359 896 700 952 E‐mail: denitza@cmebg.com

Participation in the hands‐on sessions will be possible for fellows or licensed cardiologists whose licenses have been
acquired not more than two years ago counted back from 19 January 2018. Participants willing to attend the hands‐on
sessions should send a scanned copy of a letter of recommendation given by their head of the cath lab, medical diploma
copy, license copy if applicable. Submission of applications will be possible till 1 December 2017, at the e‐mail address of
the event management company. As places for the hands‐on sessions are limited, applicants with valid documents will
be listed on a first come first served basis.

Best case will be nominated by the foreign faculty.

Cases should consist of a short pdf presentation in English and a movie in Quicktime H.264 format and resolution 720 p
or 1080 p. Materials should be sent via WeTransfer, prior to 1 December 2017, to the e‐mail address of the event
management company. The file should be compressed if its size exceeds 2 gigabytes.

We look forward to meeting you in Sofia!

Sincerely yours,

Yves Louvard MD – Honorable Course Director

Robert J. Gil MD, PhD – International Course Director

Dobrin Vassilev MD, PhD – Course Co‐Director

Vassil Velchev MD, PhD – Course Co‐Director

Valery Gelev MD, PhD – Course Co‐Director





Friday, 19 January 2018

8:30 Registration

/floor 9/

9:00 11:00 Session I: Modern treatment of bifurcations – step by step approach.

/Study hall, floor 9/ Part I – Hands-on session for young interventional cardiologists with live transmission from the cathlab

Moderators: Y. Louvard, A. Maehara, D. Prvulovic

Case 1

Case 2

Case 3

11:00 – 11:30 Coffee-break

11:30 – 13:15 Session II: Intravascular imaging in everyday practice. Challenging IVUS cases.

/Study hall, floor 9/ Moderators: Y. Louvard, D. Trendafilova, P. Gatzov

11:30 – 11:50 Basic interpretation for PCI procedure, how to size stent, length, optimization by IVUS or OCT

A. Maehara

11:50 – 12:00 Case presentation

Aleksandrovska University Hospital

12:00 – 12:05 Discussion

12:05 – 12:25 When and how should we use intravascular imaging? Left Main, bifurcation, stent failure, CTO, basically complex lesion

A. Maehara

12:25 – 12:35 Case presentation

Bulgarian Cardiac Institute

12:35 – 12:40 Discussion

12:40 – 13:00 Differences between IVUS, OCT, HD-IVUS or others (NIRS)

A. Maehara

13:00 – 13:10 Case presentation

Acibadem City Clinic Tokuda Hospital

13:10 – 13:15 Discussion

13:15 – 14:30 Lunch

/floor 9/

14:30 – 16:30 Session III: Intravascular imaging in everyday practice.

/Study hall, floor 9/ Part II – Hands-on session for young interventional cardiologists.

Live cases with use of intravascular imaging from the cathlab

Moderators: A. Maehara, Y. Louvard, P. Gatzov, D. Trendafilova, G. Mazhdrakov, H. Mateev

Case 1

Case 2

Case 3

16:30 – 17:00 Coffee-break

17:00 – 17:40 Session IV: Case presentations of young interventional cardiologists.

/Study hall, My best case of the year

floor 9/ Moderators: A. Maehara, Y. Louvard, F. Fouladvand

17:00 – 17:08 Case 1 – Cullote technique of large Cx and OM2, over dissection of OM2 – patient was after 1 year of MI on Cx

S. Nikolov, HI Clinical Hospital Shtip

17:08 – 17:10 Discussion

17:10 – 17:18 Case 2 – National Heart Hospital

17:18 – 17:20 Discussion

17:20 – 17:28 Case 3 – Bulgarian Cardiac Institute

17:28 – 17:30 Discussion

17:30 – 17:38 Case 4 – Aleksandrovska University Hospital

17:38 – 17:40 Discussion

Saturday, 20 January 2018 Auditorium, floor 9

8:00 – 8:15 Opening ceremony

8:15 – 9:15 Session V: LM PCI and Coronary Bifurcation Treatment

Moderators: M. Pan, I. Sheiban, G. Rigatelli, G. Mazhdrakov,

D. Vassilev, V. Velchev

8:15 – 8:35 What is best for coronary bifurcation treatment in 2017

Y. Louvard

8:35 – 8:55 When and how to switch to two stents strategy – which is best?

I. Iakovou

8:55 – 9:15 How to obtain the best result with distal left main stenting?

R. Gil

9:15 10:45 Live case session I

Moderators: Y. Louvard, I. Iakovou, I. Sheiban, D. Trendafilova, I. Jeleva, G. Mazhdrakov, H. Mateev, D. Vassilev, V. Velchev


Case 1: G. Sianos

Case 2: M. Pan

Case 3: G. Rigatelli

10:45 – 11:15 Symposium of Meril – Silver Sponsor

Clinical Kaleidoscope of Novel Interventional Technologies

Co-Chair and Moderator: V. Gelev

Expert panel: V. Velchev, D. Vassilev, G. Mazhdrakov

10:45– 10:52 BioMime and Bulgarian clinical experience

H. Mateev

10:52 – 10:59 BioMime Morph – first tapered coronary stent and science behind it

D. Vassilev

10:59 – 11:06 Journey from Substance to Sublime: evolution of MeRes100 & Clinical update

V. Gelev

11:06 – 11:13 New technologies from Meril Life sciences

G. Mazhdrakov

11:13 – 11:15 Discussion

11:15 – 11:30 Coffee-break and a visit to the exhibition

11:30 12:15 Session VI: with educational grant from Astra Zeneca

Antithrombotic treatment strategy in CHIP patient

Moderators: Y. Louvard, I. Iakovou, D. Trendafilova, I. Petrov,

H. Mateev, V. Velchev

11:30 – 11:45 What new in antithrombotic treatment of coronary bifurcation stenting patients in 2017? I. Sheiban

11:45 – 12:00 The bleeding patient after CHIP intervention – “Oh my God!” M. Pan

12:00 – 12:15 The coronary bifurcation lesion treatment in atrial fibrillation patient G. Rigatelli

12:15 – 12:45 Symposium of SMT – Silver Sponsor Supraflex and The Healing Experience

Chairpersons: D. Vassilev, R. Gil, G. Mazhdrakov

12:15 – 12:25 Supraflex in UK

A. Choudhury, Cardiff, UK

12:25 – 12:35 Supraflex interesting cases

I. Petrov, Sofia, Bulgaria

12:35 – 12:45 MIDAAS – For the researcher in you

Pledged to save millions…!

C. Uthirapathi, SMT India

12:45 – 13:30 Lunch

13:30 – 15:15 Session VII: Intravascular Image-Guided Complex Coronary Interventions

Moderators: R. Gil, A. Maehara

Panelists: G. Sianos, I. Iakovou, V. Velchev, D. Vassilev

13:30 – 13:45 Complex lesion subset – role of IVUS

A. Maehara

13:45 – 13:55 Case presentation – How IVUS changed my strategy I – Aleksandrovska University Hospital

13:55 – 14:05 Discussion

14:05 – 14:20 EXCEL – Left Main IVUS Findings

A. Maehara

14:20 – 14:30 Case presentation – How IVUS changed my strategy II

Bulgarian Cardiac Institute

14:30 – 14:40 Discussion

14:40 – 14:55 PROSPECT type vulnerable plaque

A. Maehara

14:55 – 15:05 Case presentation –How IVUS changed my strategy III – Acibadem City Clinic Tokuda Hospital

15:05 – 15:15 Discussion

15:15 – 15:45 Symposium of Actavis – Silver Sponsor

15:15 – 15:30 Bleeding risk assessment in patients undergoing PCI

D. Vassilev

15:30 – 15:45 Patient with bleeding after PCI – practical approach

V. Velchev

15:45 – 16:00 Coffee-break and a visit to the exhibition

16:00 – 16:30 Symposium of Bracco – Silver Sponsor

High definition intravascular ultrasound

V. Gelev

16:30 – 16:50 Did New Data and Devices change my approach for CTO Recanalization

G. Sianos

Moderators: V. Gelev, I. Jeleva

16:50 – 17:05 Presentation Vega Medical

BioFreedom – use in complex coronary lesions and high-bleeding risk patients

D. Vassilev

17:05 – 17:25 Focus lecture: What we have achieved and what we are missing in bifurcation treatment

G. Stankovic

Moderators: Y. Louvard, V. Gelev

17:25 – 17:35 Discussion

17:35 – 19:45 Live case session II

Moderators: Y. Louvard, G. Stankovic, G. Heyndrickx,

D. Trendafilova, G. Sianos, V. Velchev


Case 4: I. Sheiban

Case 5: R. Gil

Case 6:

Sunday, 21 January 2018 Auditorium, floor 9

8:30 10:30 Session VIII: Controversies in stable IHD – polemic session

Moderator: R. Gil

Panelists: I. Sheiban, Y. Louvard, G. Stankovic, G. Sianos, V. Velchev, V. Gelev

8:30 – 9:00 Shall we treat asymptomatic / mildly symptomatic proximal LAD with positive FFR

8:30 – 8:45 Yes (for prognostic benefits)

I. Petrov

8:45 – 9:00 No (there is nothing the patient can gain out of the PCI)

P. Gatzov

9:00 – 9:30 Shall we do PCI only after OMT failed to control symptoms?

9:00 – 9:15 Yes (because there is only QoL benefit)

  1. Postadjan

9:15 – 9:30 No (because compliance with OMT in real world is worst then in RCTs)

K. Karamfiloff

9:30 – 10:00 Shall the MSCT become a new gate keeper (for the gate to the Cath lab)

9:30 – 9:45 Yes (because the data are convincing)

G. Heyndrickx

9:45 – 10:00 No (MSCT coronarography is not ready)

M. Nedevska

10:00 – 10:15 IHD and coronary stenosis – an elusive link

V. Velchev

10:15 – 10:30 Discussion

10:30 – 11:00 Symposium of Terumo – Silver Sponsor

Chairman & Moderator: V. Gelev

10:30 – 10:45 Impact of Stent Platform on Long Term Outcome of Bifurcation PCI G. Stankovic  

10:45 – 10:50 Discussion

10:50 – 11:00 Case report/s – Complex TR PCI – FineDuo application D. Vassilev

11:00 – 11:15 Coffee-break and a visit to the exhibition

11:15 – 11:45 Symposium of Biotronik – Silver Sponsor

Biotronik innovative solutions for coronary patients

Why Orsiro is gaining prominence in the crowded DES market? D. Vassilev
Magmaris: Continue to Show No Evidences of Scaffold Thrombosis V. Gelev
24 month experience with Magmaris – case report Alexandrovska Hospital K. Karamfiloff

11:45 – 12:45 Session IX: Bioresorbable scaffolds on a crossroad – current status and future

Moderators: R. Gil, Y. Louvard, D. Trendafilova, V. Velchev, V. Gelev, I. Petrov

11:45 – 12:00 BRS in coronary bifurcations – where we are, where we go

D. Vassilev

12:00 – 12:05 Discussion

12:05 – 12:20 Why BRS failed?

S. Mot

12:20 – 12:25 Discussion

12:25 – 12:40 BVS – what new on the horizon

G. Rigatelli

12:40 – 12:45 Discussion

12:45 – 13:25 Session X: Case presentations of young interventional cardiologists II

Moderators: D. Trendafilova, Y. Louvard, G. Sianos, G. Heyndrickx, D. Prvulovic, I. Petrov, V. Velchev, D. Vassilev

My worst case of the year

12:45 – 12:53 Case 1 – Diffuse progressive coronary artery disease in a young woman with no obvious risk factors assessed by IVUS and ending with an unplanned PCI

I. Hadzibegovic, Clinical hospital Dubrava, Zagreb, Croatia

12:53 – 12:55 Discussion

12:55 – 13:03 Case 2 – L. Giunio

13:03 – 13:05 Discussion

13:05 – 13:13 Case 3 – Acibadem City Clinic Tokuda Hospital

13:13 – 13:15 Discussion

13:15 – 13:23 Case 4 – L. Giunio

13:23 – 13:25 Discussion

13:25 – 13:35 Best cases awards and closing remarks




Уважаеми колеги,
От името на Организационния комитет имаме удоволствието да ви поканим на Седми български курс по
бифуркации и комплексни коронарни интервенции със случаи на живо, който ще се състои на 19 ‐ 21 януари 2018
г., в Аджибадем Сити Клиник Болница Токуда.

Както всяка година, така и тази, се стремим да изготвим програма с висока научна стойност, като акцентираме
върху обучителния аспект и едновременно с това се стремим да се фокусираме върху актуалните тенденции в
областта. Програмата включва широк спектър от сесии, свързани с бифуркации и комплексни коронарни
интервенции, обхващащи най‐важните и спорни акценти в тази сфера.

Гост‐лектори ще бъдат авторитетни експерти в областта от страната и чужбина, които ще имат възможността да
споделят своите иновационни открития и опит.

Това издание на курса ще бъде посветено на IVUS диагностиката. В програмата ще бъдат включени презентации
и анализи на случаи по темата, представени от известни чуждестранни експерти в областта.

След успеха и силния интерес към практическата сесия за млади интервенционални кардиолози, организирана
на ВВС 2017, нашият стремеж е да превърнем тази сесия в традиционна част от програмата. Специализанти по
кардиология отново ще имат уникалната възможност да се включат в случаи на живо, под ръководството на
изтъкнати чуждестранни специалисти.

За втора поредна година програмата ще включва сесия с интересни клинични случаи, като най‐интересният
случай ще бъде оценен от комисия от чуждестранни гост‐лектори и награден.
Всяка година делегати от 10 националности се включват в събитието. Участниците в курса са около 120 души.
Официален език на курса е английският език.

По време на курса се провежда съпътстваща изложба на водещи фармацевтични и инструментални фирми, които
представят най‐съвременните достижения в индустрията.
Достъпът до курса е свободен – не се изискват такси правоучастие. Необходима е само предварителна

Нашият партньор при организацията на събитието е фирма Конгреси и събития ООД.

Лице за контакт: Деница Йонкова
Тел.: (02) 9877 422, 0896 700 952
Факс: (02) 988 80 35
Е‐mail: denitza@cmebg.com
Адрес: ул. Цар Калоян № 8, ет.3, офис 19, София 1000

Участници в практическите сесии могат да бъдат нелицензирани лекари или работещи самостоятелно
лицензирани кардиолози, чийто лиценз е придобит преди не повече от две години, считано от дата 19 януари
2018 г. Желаещите да се включат следва да изпратят сканирано копие от препоръка от завеждащ
катетаризационната лаборатория, в която работят, копие от диплома и копие от лиценз, в случай че е приложим.
Заявки ще се приемат до 1 декември 2018 г., на ел. адрес на конгресния организатор, посочен по‐долу. Тъй като
местата се ограничени, ще бъдат уважени заявките с коректни документи, получени по реда на постъпването.

Комисия от чуждестранни лектори ще определи най‐интересния случай.

Случаите следва да включват кратка презентация в pdf, на английски език, и движещ се филм във формат
Quicktime H.264 и резолюция 720 p или 1080 p. Материалите следва да се изпратят през платформата WeTransfer,
до 2 декември 2016 г., на е‐mail адреса на конгресния организатор, посочен по долу. Файлът следва да се
архивира, ако размерът му надхвърля 2 гигабайта.

Тъй като броят на местата е ограничен, побързайте да се регистрирате!

Ще ви очакваме!
С уважение,

Yves Louvard MD – Почетен директор на курса

Robert J. Gil MD, PhD – Международен директор на курса

Добрин Василев MD, PhD – Директор на курса

Васил Велчев MD, PhD – Директор на курса

Валери Гелев MD, PhD – Директор на курса



Дружество по Интервенционална Кардиология.