Agenda

Saturday, September 26

All topics and times are subject to change. Times are in Central Standard Time (CST).

7:30 – 7:35 AM
Welcome & Why Are We Here
Leah Raj

7:35 – 7:40 AM
Opening Survey & Pre-Assessment
Nadia Sutton

7:40 – 8:15 AM
SESSION I — CT-Guided PCI: Planning the Complex Case
Moderators: Jimmy Kerrigan & Omar Khalique

• 7:40 – 7:46 AM
  CT-Guided PCI — What It Is and Why It Changes the Game
  Jimmy Kerrigan
• 7:46 – 7:52 AM
  Building a Successful CT-Guided PCI Program — Key Ingredients and Institutional Requirements
  Omar Khalique
• 7:52 – 7:58 AM
  What Good Looks Like — Imaging Standards, Workflow Integration, and Real-World Benchmarks
  Andrew Zurick
• 7:58 – 8:03 AM
  CT-Guided PCI in Action — Informed Planning, Lab Execution, and Outcome
  Evan Shlofmitz
• 8:03 – 8:15 AM
  Discussion — What Does It Take to Start Planning on CT?

8:15 – 9:15 AM
SESSION II — Physiology-Guided PCI: From the Epicardial Lesion to the Microvasculature
Moderators: Allen Jeremias & Nadia Sutton

• 8:15 – 8:20 AM
  Wire-Based vs. Angio-Derived Physiology — Knowing When to Use What
  Brian Jefferson
• 8:20 – 8:25 AM
  Discussion — Wire or Angio-Derived: Where Is the Line?
  
  
• 8:25 - 8:45 AM
  Technology Showcase: Same Case, Different Workflows
  • 8:25 – 8:28 AM
    Platform Review: Medtronic CathWorks FFRangio
    Sean Stewart
  • 8:28 – 8:31 AM
    Platform Review: Medis QFR
    Jimmy Kerrigan
  • 8:31 – 8:34 AM
    Platform Review: Pie Medical vFFR
    Rahil Rafeedheen
  • 8:34 – 8:37 AM
    Platform Review: Philips HyperVue X1-FFR
    Paul Sapia
  • 8:37 – 8:45 AM
    Discussion — Same Case, Four Numbers: Did They Agree?
• 8:45 - 9:15 AM
  CMD In-Focus
  • 8:45 – 8:55 AM
    In Focus: CMD in Practice — From Suspicion to Diagnosis to Treatment
    Nadia Sutton
  • 8:55 – 9:05 AM
    What Good Looks Like — Building and Running a CMD Program
    Giorgio Medranda
  • 9:05 – 9:15 AM
    Discussion — Starting a CMD Program: What Stops You?

9:15 – 9:30 AM
BREAK   

9:30 – 10:25 AM
HANDS-ON ROTATION 1 

• Room A | Plan Before You Cross — CT & Angiography-Derived Physiology -Heartflow, Medis, Medtronic
  Leads: Jimmy Kerrigan, Omar Khalique, Leah Raj
• Room B | See the Vessel — OCT-Based Imaging - Abbott, Gentuity, Philips
  Leads: Ann Gage, Saad Ghumman, Rahil Rafeedheen
• Room C | Guide & Treat at the Table — IVUS-Integrated Workflows & Complex PCI Tools - Boston Scientific, Philips, Teleflex
  Leads: Hady Lichaa, Sean Stewart, Nadia Sutton

10:25 – 11:10 AM
SESSION III — From Rock to Result: A Playbook for Calcium   
Moderators: Ziad Ali & Ann Gage

• 10:25 – 10:30 AM
  Know Your Enemy: Understanding Calcium and What the Evidence Tells Us
  Allen Jeremias
• 10:30 – 10:35 AM
  Discussion — Assess Before You Treat: When Do You Modify?
• 10:35 - 11:10 AM
  The Calcium Toolbelt: Mechanisms of Modification
  • 10:35 – 10:38 AM
    Fracture: Intravascular Lithotripsy
    Rahil Rafeedheen
  • 10:38 – 10:41 AM
    Ablation: Orbital Atherectomy
    Hady Lichaa
  • 10:41 – 10:44 AM
    Ablation: Rotational Atherectomy
    Leah Raj
  • 10:44 – 10:47 AM
    Focal Force: Cutting & Scoring Balloons
    Jared O'Leary
  • 10:47 – 10:50 AM
    Brute Force: Very-High-Pressure Balloons
    Yasir Akhtar
  • 10:50 – 10:57 AM
    Discussion — What to Use When
  • 10:57 – 11:05 AM
    In Focus: Tough Decisions in Calcium — Calcified Nodules and How to Treat Them
    Ziad Ali
  • 11:05 – 11:10 AM
    Discussion — The Nodule: Which Tool, and What Result Do You Accept?

11:10 AM – 12:10 PM
WORKING LUNCH SYMPOSIUM
Sponsored by J&J MedTech
Impella in Protected PCI: A Practical Playbook for Patient Selection, Procedural Approach and Real-World Evidence
Presenter: Leah Raj
Panel: Ziad Ali, Brian Jefferson, Nadia Sutton

12:10 PM – 1:05 PM
HANDS-ON ROTATION 2    

• Room A | Plan Before You Cross — CT & Angiography-Derived Physiology -Heartflow, Medis, Medtronic
  Leads: Jared O'Leary, Nadia Sutton, Andrew Zurick
• Room B | See the Vessel — OCT-Based Imaging - Abbott, Gentuity, Philips
  Leads:  Allen Jeremias, Raj Baljepally, Evan Shlofmitz
• Room C | Guide & Treat at the Table — IVUS-Integrated Workflows & Complex PCI Tools - Boston Scientific, Philips, Teleflex
  Leads: BSC: Brian Jefferson, Philips: Yasir Akhtar, Teleflex: Jimmy Kerrigan

1:05 – 2:05 PM
SESSION IV — When Stents Fail: The ISR Playbook — Diagnose the Mechanism, Know the Tools, Optimize the Result   
Moderators: Allen Jeremias & Sean Stewart

Part 1 — Diagnose the Mechanism

• 1:05 – 1:10 PM
  Why Stents Fail — ISR Mechanisms and Types
  Saad Ghumman
• 1:10 – 1:18 PM
  Imaging Is the Gold Standard — The Platform Landscape and What Is Optimal for What
  Evan Shlofmitz
• 1:18 – 1:25 PM
  Discussion — Mechanism First: What Would You Image, and With What?

Part 2 — Know Your Tools: What We Have to Treat ISR

• 1:25 – 1:28 PM
  Balloon-Based Preparation in ISR — Scoring, Cutting, and Very-High-Pressure
  Beau Yawn
• 1:28 – 1:31 PM
  Laser Atherectomy in ISR — Mechanism, Technique, and What the Data Says
  Jared O'Leary
• 1:31 – 1:34 PM
  Lithotripsy and Atherectomy for the Underexpanded Stent
  Hady Lichaa
• 1:34 – 1:37 PM
  Repeat Drug-Eluting Stent — When a New Layer Is the Right Answer
  Leah Raj
• 1:37 – 1:40 PM
  Brachytherapy — Where It Still Fits
  Jimmy Kerrigan
• 1:40 – 1:50 PM
  Discussion — What to Use When

Part 3 — Optimize the Result: Diagnose, Treat, Verify

• 1:50 – 1:58 PM
  Case: What good looks like — From Mechanism to Endpoint
  Ziad Ali
• 1:58 – 2:05 PM
  Discussion — Diagnose, Treat, Verify: When Are You Done?

2:05 – 2:15 PM
BREAK     

2:15 – 3:10 PM
SESSION V — DCB Frontiers: Scaffold-Free Strategies & What's Coming Next
Moderators: Raj Baljepally & Leah Raj

• 2:15 – 2:20 PM
  DCB Evidence, Approved Indications & Off-Label Practice
  John Baker
• 2:20 – 2:25 PM
  Paclitaxel vs. Limus: Mechanism, Data Review, and Clinical Implications
  Ziad Ali & Allen Jeremias 
• 2:25 – 2:30 PM
  Discussion — The Verdict: Which Drug, and How Far Off-Label?
• 2:30 – 3:10 PM
  Scenario-Based Decisions: What Is the Same, Which Strategy Wins
  • 2:30 – 2:33 PM
    Scenario 1: Neointimal Hyperplasia — Does the DCB Win?
    Yasir Akhtar
  • 2:33 – 2:38 PM
    Discussion — Neointima: Is the DCB the Default?
  • 2:38 – 2:41 PM
    Scenario 2: Underexpanded Stent — Is There Any Role for a DCB?
    Giorgio Medranda
  • 2:41 – 2:46 PM
    Discussion — Underexpansion: Fix It First, Then What?
  • 2:46 – 2:49 PM
    Scenario 3: Diffuse or Multilayer ISR — DCB, DES, Brachytherapy, or Surgery?
    Paul Sapia
  • 2:49 – 2:54 PM
    Discussion — Multilayer ISR: When Do You Stop Stenting?
  • 2:54 – 3:00 PM
    In Focus: Leave Nothing Behind — Where Scaffold-Free PCI Is Heading, and the Signs It's Already Here
    Raj Baljepally
  • 3:00 – 3:03 PM
    Case: A Bioresorbable Scaffold for In-Stent Restenosis — Would You Have Done It?
    Evan Shlofmitz
  • 3:03 – 3:10 PM
    Discussion — Out of the Box: Expanded Uses in Practice, and the Devices on the Horizon

3:10 – 4:05 PM
HANDS-ON ROTATION 3   

• Room A | Plan Before You Cross — CT & Angiography-Derived Physiology -Heartflow, Medis, Medtronic
  Leads: Ziad Ali, Allen Jeremias, Sean Stewart
• Room B | See the Vessel — OCT-Based Imaging - Abbott, Gentuity, Philips
  Leads: Rahil Rafeedheen, Saad Ghumman, Evan Shlofmitz
• Room C | Guide & Treat at the Table — IVUS-Integrated Workflows & Complex PCI Tools - Boston Scientific, Philips, Teleflex
  Leads: Brian Jefferson, Hady Lichaa, Leah Raj

4:05 – 4:25 PM
SESSION VI — Complex Situations and Complication Management     
Moderator: Brian Jefferson 
Panel: Jimmy Kerrigan, Leah Raj, Nadia Sutton

• 4:05 – 4:08 PM
  Extreme Calcium Modification for RCA ISR
  Niravkumar Patel
• 4:08 – 4:15 PM
  Discussion
• 4:15 – 4:18 PM
  Cracking Calcific Conundrums, Imaging-Guided PCI with IVUS​
  Deepika Potarazu
• 4:18 – 4:25 PM
  Discussion

4:25 – 4:30 PM
WRAP-UP & CLOSING | Final Assessment & Post-Survey
Nadia Sutton

5:15 PM
END & NETWORKING RECEPTION