Agenda

Preliminary Agenda
3rd Meeting of the Euro4C Group
8th Wroclaw Rotablation Course
Wroclaw, Poland
21-22.01.2022
IBIS STYLES HOTEL & on-line

Friday 21.01.2022

15.00 – 15.15

Welcome and introduction
  • Krzysztof Reczuch and Mirosław Ferenc – Course Directors
  • Emanuele Barbato – President-Elect of the European Association of Percutaneous Cardiovascular Interventions
  • Mirosław Ferenc – President of the EURO 4C Group
  • Marek Grygier – President of the Association of Percutaneous Cardiovascular Interventions of the Polish Cardiac Society
  • Piotr Ponikowski – Rector of the Wroclaw Medical University

15.15 – 16.15

Session 1 The growing problem of coronary calcifications

Chairmen: Emanuele Barbato, Beatriz Vaquerizo
Panel: Javier Escaned, Flavio Ribichini, Maciej Lesiak, Nick Mezilis, Sławomir Dobrzycki, Wojciech Wojakowski


  • Coronary calcifications – prevalence, impact on procedural and long term outcomes
    Marek Grygier       10`
  • The increasing role of noninvasive and intracoronary imaging in the planning and performing rotational atherectomy
    Jacek Legutko       10`
  • How to treat calcified plaques today? Balloons, IVL, atherectomy, laser - pros & cons
    Javier Escaned       15`
  • Indications and contraindications for rotablation AD 2022
    Mohamed Abdel-Wahab       10`
  • Q&A and Discussion       15`

16.15 – 16.20

Technical break

16.20 – 17.50

Session 2 How to perform rotablation as smoothly as possible

Chairmen: Flavio Ribichini, Mohamed Abdel-Wahab
Panel: Emanuele Barbato, Mirosław Ferenc, Jacek Legutko, Krzysztof Wilczek, Georg Gaul, Tomasz Roleder


  • Arterial access & guiding catheter
    Nick Mezilis       10`
  • How to select the rotawire & burr
    Petros Dardas       10`
  • When to use temporary pacemaker?
    Piotr Kübler       5`
  • Rotablation step by step, technical issues
    • How to place the rotawire; how to deliver/exchange the burr
      Mirosław Ferenc       10`
    • All about the burr, the brake & other tips and tricks
      Georg Gaul       10`
    • The burr is through – what next: imaging, bigger burr, balloons, IVL?
      Flavio Ribichini       10`
  • Rotablation – problem-solving
    • problems with the rotawire (positioning, goes out, bend etc.)
      Mirosław Ferenc       10`
    • problems with the burr – rotablation resistant lesion and other
      Georg Gaul       10`
  • Q&A, discussion     15`

17.50 – 18.05

Coffee break

18.05 – 20.20

Session 3 Complications & different clinical scenarios

Chairmen: Mirosław Ferenc, Maciej Lesiak
Panel: Petros Dardas, Beatriz Vaquerizo, Jorge Palazuelos, Jarosław Wójcik, Mohamed Abdel-Wahab, Stanisław Bartuś


  • 18.05 – 19.05 Part 1: Complications - when to expect, how to avoid, warning signs
    • Stuck burr/burr entrapment
      Wojciech Wojakowski       7`+8` discussion
    • Slow/no flow during burr passage
      Beatriz Vaquerizo       7`+8`
    • Perforation/tamponade during/before burr passage
      Sławomir Dobrzycki       7`+8`
    • Q&A, discussion     15`

    • 19.05 – 19.10 Technical break

    • 19.10 – 20.20 Part 2: Rotablation in different clinical scenarios
      • Acute coronary syndrome
        Emanuele Barbato       10`+5` discussion
      • TAVI
        Flavio Ribichini       10`+5`
      • Chronic total occlusion
        Leszek Bryniarski       10`+5`
      • Low EF/last remaining vessel
        Stanisław Bartuś       10`+5`
      • Q&A, discussion     15`

20.20

Adjourn

Saturday 22.01.2022

9.00 – 10.30

Session 4 Live case 1, live in the box 1

Chairmen: Flavio Ribichini, Mirosław Ferenc
Panel: Georg Gaul, Jorge Palazuelos, Leszek Bryniarski, Petros Dardas, Andrzej Ochała, Tomasz Pawłowski


  • Part 1. Live case 1 - live transmission from the University Hospital Wrocław
    A 68-y-o man with 3 vessel disease and heavily calcified lesions
    Operators: Maciej Lesiak, Marcin Protasiewicz; IVUS: Tomasz Roleder
  • Part 2. Live in the box 1 - from Verona
    Operators:
    Flavio Ribichini & Team

  • Preliminary report: Which strategy is less traumatic after first burr passage: bigger burr or high pressure inflation? Pilot, randomized OCT study
    Tomasz Roleder, Krzysztof Reczuch, Wrocław       10'

10.30 – 10.45

Coffee break

10.45 – 12.15

Session 5 Live case 2, live in the box 2, prerecorded cases 1

Chairmen: Nick Mezilis, Georg Gaul
Panel: Petros Dardas, Tomasz Pawłowski, Marcin Protasiewicz, Sławomir Dobrzycki, Krzysztof Wilczek, Wojciech Wojakowski


  • Part 1. Live case 2 - live transmission from the University Hospital Wrocław
    A 50-y-o man with end stage renal disease, multivessel disease and calcified lesions
    Operators: Mirosław Ferenc, Piotr Kübler; OCT: Tomasz Roleder
  • Part 2. Live in the box 2 - from Kraków
    How imaging may change plans in a patient with multivessel calcified lesions
    Operators: Jacek Legutko & Team
  • Part 3. Prerecorded cases 1

12.15 – 13.00

Lunch

13.00 – 14.30

Session 6 Live case 3, live in the box 3, prerecorded cases 2

Chairmen: Mohamed Abdel-Wahab, Jacek Legutko
Panel: Nick Mezilis, Wiktor Kuliczkowski, Maciej Lesiak, Stanisław Bartuś, Tomasz Pawłowski, Sławomir Dobrzycki


  • Part 1. Live case 3 - live transmission from the University Hospital Wrocław
    A 62-y-o man with a critical calcified Cx lesion (functional occlusion) and a long calcified lesion in LAD - protected PCI?
    Operators: Mirosław Ferenc, Piotr Kübler; IVUS: Tomasz Roleder
  • Part 2. Live in the box 3 - from Poznań
    Rotational atherectomy of the unprotected left main coronary artery with mechanical circulatory support
    Operators:Maciej Lesiak & Team
  • Part 3. Prerecorded cases 2

14.30 – 14.50

Coffee break

14.50 – 16.50

Session 7 Live in the box 4-7, prerecorded cases 3-6

Chairmen: Georg Gaul, Stanisław Bartuś
Panel: Piotr Kübler, Petros Dardas, Jarosław Wójcik, Leszek Bryniarski, Nick Mezilis, Andrzej Ochała


  • Live in the box 4 - from Białystok
    84-y-o women with a calcified LM, LAD and Cx
    Operators: Sławomir Dobrzycki & team
  • Live in the box 5 - from Wrocław
    Heavily calcified CTO LAD in a patient with multivessel disease
    Operators: Wojciech Zimoch & Wiktor Kuliczkowski
  • Live in the box 6 - from Thessaloniki
    TAVI followed by RCA rotablation
    Operators: Petros Dardas & Nick Mezilis
  • Live in the box 7 - from Thessaloniki
    IVUS-guided LM-LAD rotablation
    Operators: Petros Dardas & Nick Mezilis

  • Prerecorded cases:
    3. A patient with acute coronary syndrome Krzysztof Domagała       7`+ 5`
    4. Uncrossable, ostial RCA lesion - use of Turnpike Gold microcatheter and rotablation
    Krzysztof Ściborski      7`+ 5`

    5. Rotablation of a side branch through the cell of the stent
    Krzysztof Ściborski    7`+ 5`

    6. Rotablation via LIMA
    Krzysztof Ściborski      7`+ 5`

17.00

Summary of the Meeting