9 ¾ Bulgarian Bifurcation and Complex Coronary Interventions Course

Dear colleagues,

Due to COVID-19 infection of two of the Bulgarian Course Directors the 9 ¾ Bulgarian Bifurcation and Complex Coronary Interventions Course will be held on NEW DATES: 20-21 February 2021.

For updates on program and additional information, please visit:  http://bbccardio.com

Streaming will be available at: www.bbccardio.com

The sequence of the edition we have chosen for the coming Course in 2021 reflects our desire to save the celebration of the 10th Anniversary for brighter times when we shall be able share it by having you all at a reviving face-to-face summit. It gives us also a hint to the idea that we shall need a variety of skills in order to continue the completion of our mission at present turbulent times – developing our knowledge, enhancing our expertise, most important – preserving our community networking and vivid spirit.

Due to ongoing COVID-19 pandemic 9 ¾ Bulgarian Bifurcation and Complex Coronary Interventional Course will be held virtually. Hopefully this will enable many more new colleagues to join us. No registration fees will be applicable.

Our highly distinguished faculty ensures that all aspects of the proposed event will offer high-quality scientific content.

The Course will include as usual a state of the art overview of scientific achievements on bifurcation lesions and their treatment during the last year and a presentation on the practical approach in implementation of the latest innovations.

The focus of the 2021 edition will be based on profound research on up-to-date role of computed tomography in treatment of coronary artery disease.

Following the tradition BBC 2021 will hope to inspire passionate discussions over the interesting live-case sessions. A dedicated session for fellows will be incorporated in the program as well.

The Course will offer an outstanding, cutting edge scientific program, with support from our partnering companies – sponsors and exhibitors.

We are looking forward to the pleasure of greeting you to the coming 9 ¾ Bulgarian Bifurcation and Complex Coronary Interventions Course!

Stay safe!

Sincerely yours,

Yves Louvard MD Robert J. Gil MD, PhD
Honorable Course Director International Course Director

Dobrin Vassilev MD, PhD Vassil Velchev MD, PhD Valery Gelev MD, PhD

Course Co-Director Course Co-Director Course Co-Director

Online Registration Form

PROGRAM

Saturday, 20 February 2021

8:20 – 8:30 Our sponsors’ videos

8:30 – 8:45 Opening ceremony
Production host: D. Vassilev / V. Gelev

8:30 – 8:35 Y. Louvard

8:35 – 8:40 R. Gil

8:40 – 8:45 D. Vassilev

8:45 – 9:40 Session I: Bifurcation update
Production host: D. Vassilev / V. Gelev
Moderator: Y. Louvard
Panelists: G. Stankovic, R. Gil

8:45 – 9:05 Keynote presentation: Bifurcation treatment
overview – what is new?
G. Stankovic

9:05 – 9:10 Discussion

9:10 – 9:30 How would latest theory change my practical
approach?
Y. Louvard

9:30 – 9:40 Discussion

9:40 – 10:10 Take off to a new reality

9:40 – 10:00 Robotic PCI for the treatment of LAD-Diagonal
bifurcation lesion
J. Fajadet

10:00 – 10:10 Discussion

10:10 – 10:30 Teva – Silver sponsor symposium
Production host: V. Velchev
Moderator: D. Vassilev
Therapeutic approaches in high bleeding risk patients and
patients with PAD

10:10 – 10:20 Clinical case – patient with high bleeding risk,
undergoing PCI
D. Vassilev

10:20 – 10:30 Clinical case – patient with PAD
K. Karamfilov

10:30 – 12:30 Session II:
Computer Tomography in Interventional Cardiology – Part I
Production host: D. Vassilev / V. Gelev
Moderator: C. Collet
Panelists: J. Sonck, N. Mileva

10:30 – 11:00 Normal coronary tree with CT and the importance of
image quality: How to Recognize and Avoid Artefacts
N. Mileva

11:00 – 11:10 Discussion

11:10 – 11:40 Stenosis evaluation in stable coronary artery disease
J. Sonck

11:40 – 11:50 Discussion

11:50 – 12:20 Plaque evaluation: volume, extent, and composition
C. Collet

12:20 – 12:30 Discussion

12:30 – 12:50 Abbott – Silver sponsor symposium
Production hosts: V. Velchev / V. Gelev
Moderator: G. Stankovic
PCIO optimization in bifurcations
M. Lesiak

12:30 – 12:33 Introduction and session objectives
G. Stankovic

12:33 – 12:45 Physiology and imaging assessment in the
bifurcations
M. Lesiak

12:45 – 12:50 Take home messages and conclusions
G. Stankovic

12:50 – 13:30 Lunch break

13:30 – 15:30 Session III:
Computer Tomography in Interventional Cardiology – Part II
Production host: D. Vassilev / V. Gelev
Moderator: J. Sonck
Panelists: C. Collet, N. Mileva, M. Nedevska, G. Kirova

13:30 – 14:00 Assessing calcium with CT before PCI
J. Sonck

14:00 – 14:10 Discussion

14:10 – 14:40 CT Guided PCI Principles
C. Collet

14:40 – 14:50 Discussion

14:50 – 15:20 CT in the Cath-lab
N. Mileva

15:20 – 15:30 Discussion
Vascular

15:30 – 15:40 Coffee-break

15:40 – 16:00 Gedeon Richter – Silver sponsor symposium
Production host: V. Velchev / V. Gelev
Antiplatelet therapy – State of Art
K. Karamfilov

16:00 – 18:00 Live in a box – Session I
Production host: V. Gelev / V. Velchev
Moderator: D. Vassilev
Panelists: Y. Louvard, G. Sianos

16:00 – 16:30 CTO recanalization – where did it start, where are we
now and where are we going?
G. Sianos

16:30 – 16:40 Discussion

16:40 – 18:00 Case 1: Complex left main PCI supported by
ROTAShock facility
R. Gil, T. Pawlowski, Poland

18:00 – 18:20 Bracco – Silver sponsor symposium
Production host: V. Velchev / V. Gelev
Moderator: D. Vassilev
An introduction to dPR
A new, non-hyperemic index for physiological assessment
Discussion
M. Green, F. Kramer
ACIST distributor sales team in Europe, Middle East, Africa,
Russia & India

18:20 – 20:00 Live in a box – Session II
Production host: V. Gelev / V. Velchev
Moderator: D. Vassilev
Panelists: Y. Louvard, G. Sianos, G. Rigatelli

18:20 – 18:40 Left Main Stenting – State of art
G. Rigatelli

18:40 – 18:50 Discussion

18:50 – 20:00 Case 2
D. Vassilev

Sunday, 21 February 2021

8:50 – 9:00 Our sponsors’ videos

9:00 – 10:00 Session IV: Fellows dedicated session
Production host: V. Velchev / V. Gelev
Panelists: I. Jeleva, D. Vassilev, D. Kitanoski, N. Stoyanov

9:00 – 9:15 Non-dilatable coronary lesions- a practical approach
to optimizing outcomes in PCI
I.Jeleva

9:15 – 9:20 Discussion

9:20 – 9:35 How to improve my support during complex PCIstep-
by-step approach
N. Stoyanov

9:35 – 9:40 Discussion

9:40 – 9:55 Contemporary vascular access in the cardiac
catheterization laboratory
D. Kitanoski

9:55 – 10:00 Discussion

10:00 – 10:20 Medtronic – Silver sponsor symposium
Production host: V. Velchev / D. Vassilev
Complex bifurcation case, but not only.
When you don’t work at home.
M. Postu

10:20 – 10:30 Coffee-break

10:30 – 10:50 Bayer – Silver sponsor symposium
Production host: V. Velchev / D. Vassilev
Administration of Rivaroxaban in patients with
NVAF undergoing PCI – clinical case
K. Karamfilov

10:50 – 11:10 Balton – Silver sponsor symposium
Production host: V. Velchev / D. Vassilev
What do we know about dedicated bifurcation
stent BiOSS LimC – interim results during ongoing
clinical trials.
R. Gil

11:10 – 13:30 Session V:
Complex intervention in high risk
patients – CHIP
/with educational grant by Biotronik/
Production host: V. Gelev / D. Vassilev
Moderator: Y. Louvard
Panelists: R. Gil, G. Sianos, I. Ungi

11:10 – 11:30 Presentation: CHIP overview – Déjà vu
R. Gil
How should I treat? Challenging situations.

11:30 – 11:35 Case presentation:
High speed rotational atherectomy in distal coronary
lesion – T. Pawlowski

11:35 – 11:45 Discussion: How would I treat?

11:45 – 11:50 How I treated it?

11:50 – 12:00 Discussion and consensus

12:00 – 12:05 Case presentation 2 – I. Ungi

12:05 – 12:15 Discussion: How would I treat?

12:15 – 12:20 How I treated it?

12:20 – 12:30 Discussion and consensus

12:30 – 12:35 Case presentation 3 – A. Jovkovski, O. Kalpak

12:35 – 12:45 Discussion: How would I treat?

12:45 – 12:50 How I treated it?

12:50 – 13:00 Discussion and consensus

13:00 – 13:05 Case presentation 4 – D. Vassilev

13:05 – 13:15 Discussion: How would I treat?

13:15 – 13:25 How I treated it?

13:20 – 13:30 Discussion and consensus

13:30 – 13:45 Closing remarks
Production host: V. Gelev / D. Vassilev
Y. Louvard
R. Gil
D. Vassilev
V. Velchev
V. Gelev

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