8th Bulgarian Bifurcation and Complex Coronary Interventions Course

8th Bulgarian Bifurcation and Complex Coronary Interventions Course,

25-27 January 2019, Sofia, Bulgaria

Dear colleagues,
On behalf of the Organizing Committee we are honored to invite you to the Eighth Bulgarian Bifurcation and Complex Coronary Interventions Course, which is going to be held on 25-27 January 2019 at Acibadem City Clinic Tokuda Hospital Sofia.

As per tradition eminent foreign faculty members are involved in the program and become an active part of our forum. We shall be honored to enjoy the presence of Yves Louvard, Goran Stankovic, Robert Gil, George Sianos, Kambis Mashayekhi, Carlos Colett, Gianluca Rigatelli, Imad Sheiban, Ioannis Iakovou, Guy Heyndrickx, Manuel Pan.   

Two main focuses will be treated by the BBC 2019 program: advances in bifurcation treatment – theory and practice and the controversial topic on complex bifurcations with 2-stent technique.   

The Eight edition of the Course will be dedicated to the very disputable field of CTO PCI as we realize that this is considered to be the most complex lesion subset in contemporary practice, even called the last frontier in interventional cardiology. The risks and benefits of PCI for chronic total occlusion (CTO) along with its place in treatment continue to be debated.

After the success of the last-editions hands-on sessions designed for young interventional cardiologists we are positive to conduct proctored 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. Some of the most anticipated and valuable sessions of the program for a third year will be the recorded best/worst case sessions for fellows.

No registration fees will be applicable. For confirmation of participation an on-line registration is necessary to be done HERE.

CME Ltd. has provided hotel accommodation at preferential rates in Maison Hotel 4*. For hotel booking and on-line payment, please register at the above mentioned site.

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

Enclosed please find the official invitation with all details on the possible forms of participation.

We look forward to welcome you at BBC 2019!

Sincerely yours,

Download invitation here


Friday, 25 January 2019

12:00 Registration

floor 9
Session below is dedicated to fellows. Number of participants is limited to 30.
Participation without preregistration for the session will not be possible.

13:00 – 16:20 Session I: CTO fundamentals
Study Hall, floor 2 Chairpersons: G. Sianos, K. Mashayekhi, Y. Louvard

13:00 – 13:15 10 Golden rules in CTO PCI
K. Mashayekhi

13:15 – 13:20 Discussion

13:20 – 13:35 Access, guiding catheter’s choice and basic materials in CTO recanalization
G. Sianos

13:35 – 13:40 Discussion

13:40 – 14:40 CTO Course for fellows: Hands-on session for young interventional cardiologists

Live case from cathlab

Case 1
14:40 – 14:55 Overview of dedicated CTO wires
G. Sianos

14:55 – 15:00 Discussion

15:00 – 15:15 Complications during CTO recanalization
K. Mashayekhi

15:15 – 15:20 Discussion

15:20 – 16:20 CTO Course for fellows: Hands-on session for young interventional cardiologists

Live case from cathlab

Case 2

Saturday, 26 January 2019 Auditorium, floor 9

8:00 – 8:15 Opening ceremony

8:00 – 8:05 Y. Louvard

8:05 – 8:10 R. Gil

8:10 – 8:13 D. Vassilev

8:13 – 8:15 V. Gelev

8:15 – 8:45 Keynote presentation: What’s new in bifurcation treatment?
G. Stankovic

8:45 – 9:25 Session II: Management of complex bifurcations with two-stent technique
Moderators: G. Stankovic, Y. Louvard, R. Gil, G. Mazhdrakov, D. Vassilev, F. Fouladvand

8:45 – 9:00 Crush techniques in bifurcations
G. Rigatelli

9:00 – 9:05 Discussion

9:05 – 9:20 Two-stent non-crush technique in bifurcations
Y. Louvard

9:20 – 9:25 Discussion

9:25 – 9:40 Presentation of Medis QFR a credible alternative to FFR
G. Koning

9:40 – 10:10 Symposium of SMT – Silver Sponsor

Chairpersons: R. Gil, G. Stankovic
Moderators: V. Gelev, D. Vassilev
TALENT Randomized Controlled Trial – Supraflex vs Xience (12month follow up)
TALENT Randomized Controlled Trial Supraflex vs Xience 12m follow up results
O. Hlinomaz, Senior Interventional Cardiologist at Sv. Anny Brno, Czech Republic
Interesting Cases with Supraflex in the TALENT RCT from Bulgaria
Z. Stankov, Cardiologist Acibadem City Clinic Sofia

10:10 – 10:25 Coffee-break and visit to the exhibition

10:25 – 12:25 Live-case session I
Moderators: Y. Louvard, G. Stankovic, K. Mashayekhi, S. Mot, Pl. Gatzov, H. Mateev, V. Stoyanov, I. Samra
Operators: R. Gil, G. Rigatelli, I. Sheiban, M. Pan, I. Ungi
Case 1:
Case 2:
Case 3:
Case 4:

12:25 – 12:55 Symposium of Bracco – Silver Sponsor
Moderator: D. Vassilev
Improving outcomes using post PCI imaging and physiology
J. Daemen, Erasmus MC – Thoraxcenter, Rotterdam (NL)

12:55 – 13:30 Lunch

13:30 – 14:30 Symposium of Balton – Gold Sponsor
Panelists: D. Vassilev, F. Fouladvand, V. Gelev
12 Months Results of First-In-Man Study with Coronary Dedicated Bifurcation Cobalt-chromium Sirolimus- eluting Stent BiOSS Lim C® based on Clinical, Angiographic and OCT Data
R. Gil
POLBOS 3 and POLBOS LM: design and first cases
R. Gil

14:30 – 19:30 Session III: CTO session with live cases
Chairpersons: G. Sianos, V. Gelev
Moderators: K. Mashayekhi, Y. Louvard, M. Ferenc, I. Ungi, S. Mot,
I. Jeleva, O. Radev
Presentation 1

14:30 – 14:45 CTO and bifurcations?
M. Pan

14:45 – 14:50 Discussion

14:50 – 15:20 Symposium of Meril – Silver Sponsor
Clinical Kaleidoscope of Novel Interventional Technologies
Co-chair and moderator: V. Gelev
Expert panel: G. Mazhdrakov, H. Mateev, K. Kichukov

14:50 – 14:59 Journey of thinner strut DES
F. Fouladvand

14:59 – 15:07 Management of long diffused complex lesion – Biomime Morph
D. Vassilev

15:07 – 15:15 Exciting New Era with MyVal THV
V. Gelev

15:15 – 15:20 Novel upcoming technologies from Meril Life Sciences
Ch. Donode
CTO with live cases
Chairpersons: G. Sianos, V. Gelev
Moderators: Y. Louvard, I. Jeleva, M. Ferenc, I. Ungi, S. Mot, G. Heyndrickx
Presentation 2 /15 minutes/:
Rational for CTO revascularization in 2019 – what we have, what is needed and will we get it?
I. Ungi

5 minute discussion
Live case: G. Sianos
Presentation 3 /15 minutes/:
Antegrate approach from basics to complex
K. Mashayekhi

5 minute discussion
Presentation 4 /15 minutes/:
Retrograde approach
G. Sianos

5 minute discussion
Live case: K. Mashayekhi
Presentation 5 /15 minutes/:
How to implement available techniques for successful CTO revascularization – what we have and what is lacking in our armamentarium
G. Sianos

5 minute discussion

20:30 Dinner on behalf of SMT /silver sponsor/
/for participants who have confirmed dinner participation in advance/
Saffron Restaurant
Traditional Indian cuisine and music
Address: Studentski grad, Francois Mitheran Str., at builging 42 B, behind Fantastiko Supermarket/
The bus to the restaurant will start at 20:15 h from Atanas Dukov Blvd., at Maison Hotel – opposite to Acibadem City Clinic Tokuda Hospital.
Places in the bus will be provided only for participants who have confirmed their dinner participation in advance.

Sunday, 27 January 2019 Auditorium, floor 9

8:30 – 10:30 Session IV: Distal LM bifurcation treatment
Moderators: R. Gil, G. Heyndrickx, M. Ferenc, G. Rigatelli, S. Mot,
F. Fouladvand

8:30 – 8:45 Rotablation in bifurcation
M. Ferenc

8:45 – 8:50 Discussion

8:50 – 9:05 Role of invasive functional assessment in LM disease
G. Heyndrickx

9:05 – 9:10 Discussion

9:10 – 9:25 LM Revascularization in 2019
I. Sheiban

9:25 – 9:30 Discussion

9:30 – 9:45 Imaging in LM
R. Gil

9:45 – 9:50 Discussion

9:50 – 10:05 Distal LM stenting – critical overview of current studies
C. Collet

10:05 – 10:10 Discussion

10:10 – 10:25 DAPT in complex bifurcation
D. Vassilev

10:25 – 10:30 Discussion

10:30 – 10:40 Coffee-break and a visit to the exhibition

10:40 – 11:10 Symposium of Actavis – Sponsor
Clopidogrel in modern antiplatelet therapy
D. Vassilev

When less is more – balance between optimal anti-aggregation and bleeding risk
V. Gelev

11:10 – 13:25 Session V: A potpourri of cases – Best, Worst, Best & Worst case, Why did I fall with this CTO case
/10 min + 5 min discussion/
Moderators: Y. Louvard, R. Gil, C. Colett, G. Rigatelli, I. Jeleva, D. Vassilev, V. Gelev

11:10 – 11:25 Case 1: S. Zhezhovski

11:25 – 11:40 Case 2: O. Maxudov

11:40 – 11:55 Case 3: S. Mot

11:55 – 12:10 Case 4: N. Stoyanov

12:10 – 12:25 Case 5: D. Prvulovic

12:25 – 12:40 Case 6: F. Fouladvand

12:40 – 12:55 Case 7: T. Letilovic

12:55 – 13:10 Case 8: R. Parapunova

13:10 – 13:25 Case 9: I. Samra and R. Borisov

13:25 – 13:30 Closing remarks

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