Complex Cardiovascular Therapeutics 2O21

Friday, October 29
15:00〜17:00

Overcoming calcified lesions

Coordinator

Masaru Yamaki

While the COVID19 epidemic was forcing various live demonstration courses to change, the year of 2020 ushered in a new era oftreatment against calcified lesions. The facility standards for rotablators and diamondbacks have been revised, and new facilities andphysicians have been born. Therefore, we selected three doctors among top 10 proctors who have mostly instructed at newfacilities in the past year, and we are planning to have them give lectures about the instructing point at new facilities, conversely,
what they noticed and learnt from their experiences.
Because there are many dialysis cases in Japan and the number of cases with complications of chronic kidney disease isincreasing due to the growing of an aging population at an unprecedented speed, the number of calcified lesions is also increasing.
Calcified is one of the lesions that young operators should overcome. We look forward to your active participation.

CCT2O21(Nayoro City General Hospital)

Dates

ChairsHiroaki Hirase (Takaoka Minami Heart Center)
Kaoru Iwabuchi (Osaki Citizen Hospital)[Rota][Complications]

What you need to know to treat calcified lesions with arotablator

Various complication

Yoshiaki Ito (Saiseikai Yokohama-City Eastern Hospital)

Premise knowledge on how to use rotablator

Masaru Yamaki (Nayoro City General Hospital)

The logic of ROTA/OAS related vessel perforation

October 28 thu.-29 sat., 2021

Coronary Theater II
Meeting Format Online Meeting (Webcast)
ChannelHirooki Higami (Japanese Red Cross Otsu Hospital)

Yoshifumi Kashima (Sapporo Cardio Vascular Clinic)[DB]

How to use OAS

Tomoko Kobayashi (Kyoto Katsura Hospital)

Our experience of OAS

Fuminobu Yoshimachi (Tokai University Hachioji Hospital)

17:00〜19:00

Bifurcation

Coordinator

Takeshi Niizeki(Okitama Public General Hospital)

This time, I have been appointed to plan a session of bifurcation lesions, the CCT2021 Fellow Course. Bifurcation lesions are one ofcomplex lesions that we often encounter when providing PCI treatment to patients. The treatment for bifurcation lesions is updated
daily. Also, because emergency cases such as ACS also include complex bifurcation lesions at a certain frequency, it is aninevitable field for all operators including young operators who have begun to become independent.
In this Fellow Course, I have prepared lectures that are suitable for actual clinical practice, mainly for young operators. I believe thatthe participants can learn not only textbook contents but also tips and tricks that are useful for more practical clinical practice. It is asystematic course where you can learn about bifurcation anatomy, physiological characteristics, prediction of side branch occlusion,
treatment strategies including debulking, stent implantation methods, complications and the bailout which should be remembered.
We look forward to your active participation so that we can provide patients with optimal bifurcation treatments that lead to favorable
outcomes in chronic phase.

Chairs

Masashi Kimura (Hiroshima Heart Center)
Takeshi Niizeki (Okitama Public General Hospital)

Basic treatment strategy for bifurcation lesions

Predictors and prevention of side branch occlusion

Clinical implications of OCT/OFDI in bifurcation PCI

The practical side of the jailed balloon (Corsair) technique

Strategy for severe calcified bifurcation lesion

Complications and countermeasures peculiar to bifurcation
lesions 〜Bailout method

Toru Takii (Sendai Open Hospital)

Ryoji Koshida (Toyohashi Heart Center)

Kaname Takizawa (JCHO Sendai Hospital)

Ryo Gotoh (Shuuwa General Hospital)

Makoto Sekiguchi (Fukaya Red Cross Hospital)

Yoriyasu Suzuki (Nagoya Heart Center)

Contacts CCT Administration OfficeCentral Residence 201, 48 Higashiodawaracho, Toyohashi, Aichi, 440-0886, Japan
TEL +81-532-57-1275 FAX +81-532-52-2883 E-mail:secretariat@cct.gr.jp

Fellow Course

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CCT2O21ellow Course

CCT2021 will hold a Fellow Course. In this year's Fellow Course, we are going to have the courses of FFR,
OCT/OFDI, CTO, bifurcation lesions, calcified lesions, and complication during PCI. For the treatment of suchcomplicated coronary artery lesions, it is important to prevent and cope with complications as well as
understanding the characteristics of lesions and treatment methods. We hope that the courses will be an
opportunity for participants to deepen their understanding of treatments for various lesions.

CCT2021 Coronary Course Director

Kenya Nasu (Toyohashi Heart Center)

Thursday, October 28
12:30〜14:30

CTOCoordinator

Hiromasa Katoh

17:00〜19:00
Although CTO is a representative of complex lesions, its clinical condition is stable. Thus, we have to develop an in-depth treatment
strategy and perform a safe and reliable procedure to avoid procedure-related complications. While the treatment success rate has
improved more than ever with the development of various devices and the algorithm establishment for the treatment strategy, it isstill a high-hurdle lesion for young operators.
In this session, experts who are playing the leading role in this field will give presentations regarding tips and logics according toeach theme including their own experiences. We believe that this session will be useful for not only young operators who will start
CTO-PCI but also mid-career operators who want to deepen their understanding of the treatment. We look forward to theparticipation of many physicians and learning about the CTO-PCI together.

Physiology (FFR)

Coordinator

Yoshiaki Kawase(Fukui Prefectural Hospital)(Gifu Heart Center)

ChairsChairs

Yoshiaki Kawase (Gifu Heart Center)
Koichi Tamita (Nishinomiya Watanabe Cardiovascular Center)

Yoshiaki Ito (Saiseikai Yokohama-City Eastern Hospital)
Hiromasa Katoh (Fukui Prefectural Hospital)

Assessment of indication of CTO-PCI
Souichirou Ebisawa (Shinshu University)

What information to get from preoperative examinations andhow to build a treatment strategy
Ryusuke Yamamoto (Takaoka Minami Heart Center)

Antegrade approach, how to choose a guide wire and build
up a strategy?
Rei Fukuhara (Hyogo Prefectural Amagasaki General Medical Center)

Optimal timing of retrograde approach in CTO-PCICollateral channel selection and crossing

Let's study coronary physiology from basic!
Yoshiaki Kawase (Gifu Heart Center)

Treatment strategy based on physiology

Takaki Tsutsumi (Saiseikai Fukuoka General Hospital)

The ABC of Reverse CART

Let's study resting indices all together!

Shoichi Kuramitsu (Kokura Memorial Hospital)

How do you diagnose INOCA?

Ryuichi Funada (Cardiovascular Hospital of Central Japan)

How should we do for difficult situation of Reverse CART?

The summary of non-wire based invasive physiology

What’s the ISCHEMIA trial ?

Koshi Matsuo (Yao Tokushukai General Hospital)

13:00〜15:00

Complications
There is a risk of complications in each case and in each operation. As long as you are involved in PCI, you will not be able
to escape from the risk. The risk of complications must be predicted, the occurrence of complications must be prevented,and if complications occur, they must be bailed out. This can only come from knowledge, observation, and the scientificjudgement supported by them. It is a necessary condition for operators who are allowed to perform, rather than are able toperform operations safely for complex cases. In this session, we will unravel complications hidden in PCI and learn theprediction, the prevention method, and the countermeasure (bailout method) for each complication from experts. We lookforward to your participation.

Coordinator

Tomoko Kobayashi

Wataru Nagamatsu

ChairsChairsTomoko Kobayashi (Kyoto Katsura Hospital)
Takehiro Yamashita (Hokkaido Ohno Memorial Hospital)

Shingo Hosogi (Hosogi Hospital)
Wataru Nagamatsu (Hokusetsu General Hospital)(Kyoto Katsura Hospital)

Toshiro Shinke (Showa University)

Coronary pathology and intracoronary imaging
Kenichi Fujii (Kansai Medical University)

How to use properly between IVUS and OCT/OFDI ?
Masashi Kimura (Hiroshima Heart Center)

Yuichi Saito (Chiba University Hospital)

Friday, October 29

Successful interventional procedure in the acute phase and lower rate of restenosis in the chronic phase require the accurate
diagnosis of the lesion and the logical treatment. IVUS/OCT/OFDI are intravascular imaging devices that can obtain more detailed
lesion information than angiography. In this session, we would like to propose how to utilize IVUS/OCT/OFDI in order to perform safeand reliable interventions.
We have planned a program where you can learn the basics of imaging and the relationship with pathological tissues and can sortout what you see and what you should see in the interventional procedure with an imaging guide, which is directly linked to clinical
trials. We hope that it will help for logical interventions.

Fundamental imaging of IVUS/OCT/OFDI

Koichi Tamita (Nishinomiya Watanabe Cardiovascular Center)

Masaki Fujita (Edogawa Hospital)

IVUS / OCT / OFDI

Coordinator

Toru Tanigaki (Gifu Heart Center)

Takuya Mizukami (Showa University)

Complication of the CTO-PCI and coping

Masanori Teramura (Ichinomiya Nishi Hospital)

15:00〜17:00

Following the result of ISCHEMIA trial, the validity of ischemia diagnosis itself is now in question. The requirement for the risk
assessment with less invasive modality is growing more than ever before.
The role of physiology itself has been expanding from an indication for the invasive treatment to a guide for the invasive treatment
strategy. In addition, the diagnosis and treatment of ischemia and no obstructive coronary artery disease (INOCA) has recently beencollecting more attention. Following above changes, the knowledge of physiology required in catheterization room is dynamicallychanging.
In this session, we will sort out the knowledge of physiology, summarize the knowledge regarding non-wire-based physiology andINOCA. We also have experts to give presentations regarding how the ISCHEMIA trial changes daily clinical practice. We lookforward to the participation of not only young operators who want to study physiology but also all operators who want to update
their knowledge in the rapidly changing field.

(Hokusetsu General Hospital)

IVUS guided STENT implantation
Ken Kozuma (Teikyo University)

OCT/OFDI guidance for optimal stent implantation
Takayuki Okamura (Yamaguchi University)

OFDI-guided rota ablation: Every OFDI run tells a story...
Hiromasa Otake (Kobe University Hospital)

Management of stuck rotablation burr

Bail out technique for stent migration

IVUS stuckCoronary perforation

Management of stucked and fractured guide wires

Coronary artery thrombosis

Koki Omi (Nihonkai General Hospital)

Yuichi Kobori (Toda Chuo General Hospital)
Masaki Tanabe (Nozaki Tokushukai Hospital)

Shozo Ishihara (Mimihara General Hospital)

Yoshihide Fujimoto (International University of Health and Welfare Narita Hospital)
Ruka Yoshida (Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital)