Bulgarian Bifurcation Course – BBC 2012

Bulgarian Bifurcation Course

13-14 January, 2012

Dedeman Princess Hotel

Sofia, Bulgaria

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Dear colleagues,
On behalf of the Bulgarian Society of Interventional Cardiology and the Bulgarian Society of Cardiology it is my pleasure to welcome you to the first Bulgarian Bifurcation Course, 13-14 January 2012, in Sofia, Bulgaria, where specialists from European countries will gather seeking to grow in the field of Interventional Cardiology.

The Bulgarian Bifurcation Course’s mission is to enhance the quality, efficiency, and effectiveness of health services in the field of Interventional Cardiology in the Balkan countries by conducting a broad practical educational program based on international scientific research and professional experience.

This course will review the latest approaches to the treatment of coronary bifurcation lesions focusing on important theoretical, but mainly very practical topics in interventional therapy for coronary bifurcation stenoses.

The course will give a unique chance to the attendees to practice the techniques during specially dedicated “hands-on” sessions on special dedicated flexible coronary bifurcation models, guided by eminent experts from around the world. It will provide the opportunity to learn, interact, update and have hands-on training with in-depth review of the subject with the pioneers in the field. Leading experts from Europe and Asia will be available to have one to one interaction during the course.

The course will be held in English. There are only limited 100 seats for the course. Register fast to avoid disappointment.

For further information and registration please contact our partner:
Company for International Meetings (CIM) Ltd.
Contact person: Mrs. Denitza Yonkova
Tel: + 359 2 988 80 35, + 359 2 980 89 61
Fax: + 359 2 980 60 74
E-mail: [email protected]

Please join us for what promises to be a wonderful occasion to learn and socialize with the best in the field.

Sincerely yours,

Dobrin Vassilev MD, PhD
Chairman of the Organizing Committee
Vassil Velchev MD, PhD
Chairman of the Scientific Committee

Bulgarian Bifurcation Course
organised by Bulgarian Society of Cardiology
13 – 14 January 2012
Sofia, Bulgaria
Course directors: Bojidar Finkov, Yulia Djorgova, Robert Gil


Learning objectives:
To provide basic knowledge for bifurcation anatomy and physiology important
to understand angioplasty mechanisms;
To give knowledge about novelties about single and double stenting techniques;
To introduce and provide basic hands-on training with a new dedicated bifurcation stents.
In compliance with EBAC/ EACCME guidelines, all speakers/ chairpersons participating in this programme have disclosed or indicated potential conflicts of interest which might cause a bias in the presentations. The Organizing Committee/Course Director is responsible for ensuring that all potential conflicts of interest relevant to the event are declared to the audience prior to the CME activities.
Supported by an unrestricted grant from:
Bulgarian Society
of Cardiology
Bulgarian Society
of Interventional Cardiology
European Bifurcation Club
This programme is accredited by the European Board for Accreditation in EBAC Cardiology (EBAC) for „9“ hours of external CME credits. Each participant should claim only those hours of credit that have actually been spent in the educational activity. EBAC works according to the quality standards of the European Accreditation Council for Continuing Medical Education (EACCME), which is an institution of the European Union of Medical Specialists (UEMS).

Friday, 13 January
8:00 – 8:45 Registration
8:45 – 9:00 Opening ceremony: Intro – Course director welcome speech
Opal Hall 8:45 – 8:50 Bojidar Finkov
8:50 – 8:55 Robert Gil
8:55 – 9:00 Yves Louvard on behalf of EBC
9:00 – 9:50 Session I: Motivation and objectives of the meeting
Opal Hall Moderator: Yves Louvard Panelists: Valeri Gelev, Robert Gil
9:00 – 9:10 Course structure and objectives Dobrin Vassilev
9:10 – 9:30 Bifurcation problem – what the EBM tells us? Carlos Van Mieghem
9:30 – 9:50 Which bifurcation should be treated (or what is actually bifurcation lesion)?
Yves Louvard
9:50 – 10:40 Session II: Basics bifurcation anatomy
Opal Hall Moderator: Dobrin Vassilev Panelists: Yves Louvard, Ioannis Iakovou
9:50 – 10:00 Assessment of important factors for achieving optimal angioplasty result
Dobrin Vassilev
10:00 – 10:10 Angiographic assessment – role of 3D software Yves Louvard
10:10 – 10:20 IVUS assessment
Robert Gil
10:20 – 10:30 OCT assessment
Ioanis Iakovou
10:30 – 10:40 Discussion
10:40 – 11:25 Session III: Physiology
Opal Hall Moderator: Carlos Van Mieghem Panelists: Plamen Gatzov, Bon-Kwon Koo
10:40 – 10:55 Bifurcation flow dynamics
Carlos Van Mieghem
10:55 – 11:10 FFR assessment of bifurcation stenosis severity – MB, SB
Bon–Kwon Koo
11:10 – 11:25 FFR assessment of SB ostial stenosis after stenting –
case-in-a-box demonstration Bon-Kwon Koo
11:25 – 11:40 Coffee- break
Rubin Hall
11:40 – 13:20 Session IV: Getting started
Opal Hall Moderator: Maciej Lesiak Panelists: Yves Louvard, Vasil Velchev
11:40 – 12:00 Basic principles and classification of treatment strategies
Luis Inigo
12:00 – 12:20 Single stenting of bifurcation lesions – general principles
Valeri Gelev

12:20 – 12:40 Lesion preparation – when and how? Robert Gil
12:40 – 13:00 Single stenting of bifurcation lesions – tips and tricks (how to jail wire, how to withdraw jailed wire, how to rewire, how to introduce balloon into the SB, how to do KBI, POT)
Yves Louvard
13:00 – 13:20 Always finish with a kiss – tips and tricks
Imre Ungi
13:30 – 14:00 Lunch symposium of the Silver sponsor (Minvasys)
Opal Hall Bifurcation dilemmas: case discussion on different treatment strategies
13:00 – 13:05 Bifurcations: be ready to modify your initial treatment strategy Gregory Pavlides
13:05 – 13:10 The Nile Concept: learn the technique step-by-step
Ivo Petrov
13:10 – 13:20 A complex bifurcation case, options, discussion and solution
Ivo Petrov
13:20 – 13:30 A Left Main case, options, discussion and solution
Gregory Pavlides
14:15 – 16:45 Session V: Advanced techniques
Opal Hall
14:15 – 15:45 Two stent techniques Moderator: Shaoliang Chen
Panelist: Ivo Petrov
14:15 – 14:25 Should we have to stent SB? Pro Shaoliang Chen
14:25 – 14:35 Contra Bon Kwon Koo
14:35 – 14:45 Rebuttal
14:45 – 15:00 Classic T and T- And Protrusion/ TAP – principles and how to do it
Maciej Lesiak
15:00 – 15:15 Culottes – principles and how to do it Imre Ungi
15:15 – 15:30 To crush or not – is the crush still alive – and if you crush how to do it right
Shaoliang Chen
15:30 – 15:45 SKS Maciej Lesiak
15:45 – 16:00 Coffee-break
Rubin Hall
16:00 – 16:45 Advanced specific topics
Opal Hall 16:00 – 16:15 How to overcome difficult situations during stenting coronary bifurcations
Valeri Gelev
16:15 – 16:30 PCI in bifurcations during ACS – tips and tricks Imre Ungi
16:30 – 16:45 Stent thrombosis in coronary bifurcations – still an issue?
Ioanis Iakovou

16:55 – 17:55 Satellite symposium of the Gold sponsor (Balton)
Opal Hall BIOSS session
Moderators: Robert Gil, Luis Inigo
16:55 – 17:15 Bifurcation optimized stent system BIOSS (BALTON,Poland) –
One year results of FIM Studies
Robert Gil
17:15 – 17:30 3 cases of Bioss implantation
Slawomir Dobrzycki
17:30 – 17:45 3 cases of Bioss implantation in LM Dobrin Vassilev
17:45 – 17:55 Summary of Bioss Satellite session Dobrin Vassilev
18:00 Welcome drink
Rubin Hall
Saturday, 14 January
8:45 – 10:05 Session VI: LM stenting- a different animal?
Opal Hall Moderators: Ivo Petrov, Vasil Velchev
Panelists: Robert Gil, Dobrin Vassilev
8:45 – 9:05 LM stenting – specific requirements, tips and tricks Gregory Pavlides
9:05 – 10:05 Case-in-a-box presentation
Discussants: Shiaoliang Chen, Gregory Pavlides, Valeri Gelev,
Maciej Lesiak, Robert Gil
10:05 – 11:20 Session VII: Dedicated bifurcation stents
Opal Hall Moderator: Robert Gil Panelists: Ivo Petrov, Carlos Van Mieghem
10:05 – 10:20 General overview and scientific data Carlos Van Mieghem
10:20- 10:35 Minvasys Ivo Petrov
10:35 – 10:50 Devax Carlos Van Mieghem
10:50 – 11:05 Tryton Maciej Lesiak
11:05 – 11:20 BiOSS Robert Gil
11:20 – 11:35 Coffee- break
Rubin Hall
11:35 – 12:35 Satellite symposium of the Platinum sponsor (Astra Zeneca)
Opal Hall Translating ACS Guidelines into real-world clinical practice – swept in routine or inspired by innovation
Moderator: Vasil Velchev
11:35 – 11:40 Introduction
11:40 – 12:00 New Guidelines in ACS – what led to a change? Plamen Gatzov
12:00 – 12:20 From clinical trials to clinical practice – challenges and solutions Diana Trendafilova
12:20 – 12:35 Discussion
12:40 – 13:40 Lunch
Diamant Hall
13:40 – 14.10 Satellite symposium of the Silver sponsor (Biotronik)
Opal Hall How should I treat?
Moderator: Ivo Petrov
Introduction and objectives, Ivo Petrov
Case presentation, Manfred Grisold
How would I treat? Ivo Petrov
How would I treat? Valeri Gelev
How I did it? Manfred Grisold
Discussion and consensus, Valeri Gelev, Ivo Petrov
Case presentation, Valeri Gelev
How would I treat? Ivo Petrov
How would I treat? Manfred Grisold
How I did it? Valeri Gelev
Discussion and consensus, Ivo Petrov, Manfred Grisold
14:20 – 16:20 Hands-on session I (10 tables with bifurcation models, 2 participants per table
Evropa Hall (primary operator and assistant), 1 trainer per group (5 tables)
16:20 – 16:35 Coffee-break
Rubin Hall
16:35 – 16:55 Session VIII: Summary lecture Opal Hall How to choose optimal strategy for bifurcation stenting?
Robert Gil
16:55 – 17:45 Take home messages (wrap-up) Opal Hall Robert Gil
17:45 – 18:45 Hands-on session II (optional, depending on number of participants willing to do Evropa Hall training)
19:00 Dinner
Diamant Hall

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