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Basics of Angioplasty
Course Syllabus
14 February 2013
Day 1 Programme
9 am to 11 am Session I

Proctor- Dr.C.Raghu
  Lecture 1 – Vascular access – radial and femoral - 20 minutes
  Lecture 2 – Radial spasm - 20 minutes
  Lecture 3 – En-route issues of radial access - 20 minutes
  Live Case 1 – Coronary angiography
  Demo 1 – Femoral access - 20 minutes
  Demo 2 – Radial access - 20 minutes
  Demo 3 – Basics of hardware – needles,
micro-puncture sets, sheaths, wires - 30 minutes
 11 am to 11.15 am – Coffee break
 11.15 am to 1.15 pm Session II

Proctor - Dr.C.Raghu
  Lecture 1 – Coronary angiography views
  Lecture 2 – How and what information to obtain in the angiography
  Lecture 3 –Risk stratification prior to coronary angiography
  Live Case 2 – Coronary angioplasty
  Demo 1 – Cannulation of coronaries – Right and Left
  Demo 2 – Basics of hardware - catheters used in coronary angiography
  Demo 3 – Anomalous origin of coronaries and cannulation
 1.15 pm to 2.00 pm – Lunch break
 2.00 to 4.00 pm Session III
  Lecture 1 – Guide catheter
  Lecture 2 – Special hardware for Better guide
  Lecture 3 – Guide Catheter manipulation
  Live Case 3 – Distal RCA angioplasty
  Demo 1 – Canulating coronaries with Guide catheter
  Demo 2 –Cannulating bypass grafts
  Demo 3 – Circumventing a complex RCA angioplasty
4.00 pm to 6.00 pm Session IV

Simulator based training for
cannulating coronaries
  Case based learning opportunities:
 
» Radial access difficulties
» Anomalous right from left sinus
» Ostial lesion
» Calcified lesion
15 February 2013
Day 2 Programme
9 am to 11 am Session V

Guide wire
  Lecture 1: Coronary Guide wires – A Primer
  Lecture 2: Coronary Guide wires – Practical tips
  Lecture 3: Coronary Guide wires – A company wise discussion and synopsis
  Live Case 4 Circumflex coronary angioplasty
  Demo 1: How to manipulate and position coronary guide wire
  Demo 2: How to exchange a coronary guide wire
  Demo 3: Traversing a tortuous lesion – Strategies and tips
Tea Break 11to 11.15 am
11.15 am to 1.15 pm Session VI

Balloons
  Lecture 1: Coronary balloons – A Primer
  Lecture 2: Coronary Micro-catheters – A Primer
  Lecture 3: Wire crossed but balloon not crossing – Strategies and tips
  Live Case 5 LAD angioplasty – hard lesion
  Demo 1: How to use a Cutting balloon
  Demo 2: How to use a micro-catheter
  Demo 3: Tips to prevent “melon seeding”
 Lunch Break: 1.15 to 2.00 pm
History of Coronary angiography
2.00 to 4.00 pm Session VII

Stents
  Lecture 1: Evolution of stent technology
  Lecture 2: A Glimpse into the future of stent technology
  Lecture 3: Stent Thrombosis – Strategies for prevention and treatment
  Live case 5
  Demo 1: Unexpanded stent – What to do?
  Demo 2: Stent restenosis – Tips to prevent it
  Demo 3: Direct stenting – What are the pros and Cons?
4 to 6 pm Session VIII

Miscellaneous issues in Coronary Angioplasty
Pharmacotherapy
  Lecture 1: Antiplatelet therapy during PCI in ACS
  Lecture 2: Anti-platelets and surgery – Practical Guidelines
  Lecture 3: Radiation protection after angioplasty
  Live case 6
  Demo 1: Stent thrombosis – Management
  Demo 2: No reflow phenomenon – Management
  Demo 3: Tortuous lesion – Strategies to improve stent deliverability
 
Advanced Angioplasty
Course Syllabus
16 February 2013
Day 1 Programme
9 am to 11 am Session I

Bifurcation lesion angioplasty
  Anatomy of bifurcation
  Approaches to bifurcation
  Choosing the appropriate hardware
  Tips and tricks
  Live case 1
  Ten commandments to avoid complications
  Role of physiologic assessments
  Special techniques in bifurcation angioplasty
  Live case
  Simulator based learning
Tea Break 11 to 11.15 am
Lunch 1 to 2 pm
History of Coronary angioplasty
11.15 am to 1.15 pm Session II

Left main angioplasty, ostialand aorto-ostial lesions’ angioplasty
  Special features of anatomy of left main and ostial lesions
  Choosing the appropriate hardware
  Tips and tricks
  Live in box case 1 – RCA ostial
  Live in box case 2 – LAD ostial
  Live in box case 3 – Left main
  Special techniques and technologies for ostial stenting
  Live Case 2
Lunch Break 1.15 to 2.00 pm
History of Coronary angioplasty
 2 pm to 4 pm Session III

Complications during and
after angioplasty
  Coronary dissection and perforation
  Stent thrombosis
  Anaphylactic reaction
  Slow flow/No reflow phenomenon
  Abrupt vessel closure
  Major bleeding
  Vascular access complications
  Stroke after PCI
  Retained angioplasty equipment
  Stent infection
  Air embolism
4 pm to 6 pm Session IV

Thrombotic lesion angioplasty
  Planning a strategy for AMI angioplasty
  Tips and tricks for a successful angioplasty
  Technologies for thrombus containing lesions
  Pharmacotherapy for a huge thrombus lesion
  Live in box case 1
  Live in box case 2
17 February 2013
Day 2 Programme
8 am to 1 pm Session V

Chronic total occlusion
  Anatomy of a chronic total occlusion
  CTO jargon
  Planning a CTO angioplasty strategy
  Understanding CTO hardware
  Choosing the appropriate hardware
  Live in box case 1 – antegrade approach
  Live in box case 2 – retrograde approach
  Special techniques and technologies in
CTO angioplasty
2 pm to 4 pm Session VI

Bypass graft angioplasty
  Tips and tricks in canulation of grafts
  Planning a strategy for bypass graft angioplasty
  Selecting appropriate hardware
  Technologies in bypass graft angioplasty
  Live in box case 1
  Live in box case 2
 
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