Crossroads Programs

Executive Fellowship Program

• Aimed at physicians with one to two years’ experience (depending on the country)
• Three or four modules to be completed over a period of 4 to 12 months; Institute or locally based
• Content includes:
• Module 1: “The Virtual PCI” (1.5 days)
• Module 2: “The Real World of PCIs: complex cases” (1.5 days)
• Module 3: “The Real World of PCIs: at risk cases and the essentials of medical statistics" (1 day)
• Module 4: Cath Lab (1 day, optional)

Clinical and Practical Aspects of Complex Lesions

• Aimed at physicians who perform > 50 PCIs / year as primary operator
• Two modules of 1.5 days each to be completed over a period of 2 to 3 months (one Institute or locally based, the other at Center of Excellence's cath lab)
• Content includes:
• bifurcation and left main stenting;
• multi-vessel disease (MVD);
• long lesions (LL);
• small vessels (SV);
• the role of DES in these lesions and the impact of diabetes on treatment options, indications and patient outcomes

Clinical and Practical Aspects of Chronic Total Occlusions (CTOs)

• Aimed at experienced physicians who perform > 100 PCIs / year as primary operator
• Two modules of 1.5 days each to be completed over a period of 2 to 3 months (one Institute or locally based, the other at Center of Excellence's cath lab)
• Content includes:
• definition and prevalence of the disease;
• anatomy and morphology of CTOs;
• patient preparation and outcome / benefit;
• hands-on practice at wire techniques

Best Practice in Management of AMI / ACS

• Aimed at specific interventional cardiologists treating AMI / ACS patients
• Full day program, Institute or locally based
• Discussion forum on how to improve and organize primary PCI for AMI / ACS patients. Content will be tailored to local needs and environment

Best Practice in Prevention and Management of Complications

• Aimed at physicians at all levels of experience
• Full day program, Institute or locally based
• Clinical Case Reviews with interactive discussions covering:
• subacute thrombosis, major causes;
• slow-flow, no-reflow;
• prevention and treatment;
• stent malpositioning and consequences;
• coronary vessel rupture;
• renal insufficiency post PCI etc.

Institute-in-a-Box: Modular Programs for Nurses and Cathlab Staff

• Aimed at nurses, technicians, pharmacists, purchasers and others, upon whom patient outcomes depend
• Modular programs in English or local language
• Modules cover many topics including:
• Coronary anatomy and angiographic views
• PCI: history and disease
• PCI and stenting, guide catheters, balloon catheters
• Guide wire design, guide wire strategy
• Stent basics, drug eluting stents
• Clinical trials
• Acute Myocardial Infarction

Executive Fellowship Program

• Aimed at physicians new to endovascular interventions
• Four modules to be completed over a period of 6 to 12 months; Institute or locally based
• Content includes:
• Module 1: Iliac / SFA (1.5 days)
• Module 2: SFA / BTK (1 day)
• Module 3: Renal (1 day, optional)
• Module 4: Carotid Artery Stenting (1 day, optional)

Clinical and Practical Aspects of SFA / BTK interventions

• Aimed at interventionists seeking insights into CLI and SFA / BTK procedures as primary operator
• Programs of 1.5 days organized at Institute or locally, with an additional module possible in a centre of excellence
• Case review based content includes:
• advantages / limitations of PAOD intervention;
• clinical data review and treatment choices;
• techniques and treatment strategy;
• complications;
• drug therapy and follow-up

Clinical and Practical Aspects of Carotid Artery Stenting

• Aimed at physicians who have performed > 50 peripheral interventions and
• Programs of 1.5 days organized at Institute or locally with an additional module possible in a centre of excellence
• Hands-on workshop content includes:
• indications, clinical signs of carotid disease;
• clinical data review and guidelines;
• clinical case review;
• procedure techniques and procedure strategy planning;
• complication management and prevention;
• hands-on exercises on simulators and flow models

Clinical and Practical Aspects of BTK Interventions, Introduction Program

• For physicians with 2+ years of experience in endovascular procedures, some level of confidence in Iliac/SFA procedures and having little BTK-procedure experience
• Program of 2 modules organized at Institute or locally with theoretical and hands-on exercises (1.5 days) and optional live case follow-up at a Center of Excellence (1 day)
• Content includes:
• Review and discussion of literature on BTK angioplasty/stent treatment, overview of current clinical practice
• Basic approaches, techniques and technologies for treating various Popliteal/BTK lesions
• Review of various techniques, advantages and limitations of interventional procedures in treating BTK disease
• Treatment strategy planning with focus on procedural techniques, use of materials, decision making process, including simple complication management and follow-up
• Case based discussion with interactive voting capability, hands-on training on Virtual reality Simulators and Hybrid Flow Models

Clinical and Practical Aspects of BTK Interventions and CTO, Advanced Program

• For physicians with 5+ years of experience in endovascular procedures, confident in complex Iliac/SFA procedures, having some BTK-procedure experience but wanting to learn more. Also for experienced physicians doing BTK procedures already but wanting to gain more knowledge especially on CTOs
• Program of 2 modules organized at Institute or locally with theoretical and hands-on exercises (1.5 days) and optional live case follow-up at a Center of Excellence (1 day)
• Content overview:
• Review of advantages and limitations of interventional procedures in treating BTK disease
• Discuss latest literature on BTK angioplasty/stent treatment, overview of current clinical practice
• Review of approaches, techniques and technologies for recanalising CTOs with additional use of special hands-on models to optimize learning on guide wire techniques
• Advanced clinical case discussions with focus on procedural techniques, selection of materials, decision making process and treatment strategy planning, including complication management and follow-up

Institute-in-a-Box: Modular Programs for Nurses and Cathlab Staff

• Aimed at nurses, technicians, pharmacists, purchasers and others, upon whom patient outcomes depend
• Modular programs in English or local language
• Modules cover various topics:
• Atherosclerotic artery disease process
• Evolution of angioplasty and stenting
• Stent basics
• PTA and stenting mechanisms
• Iliac and SFA anatomy and stenting
• Renal artery anatomy and stenting
• Carotid artery anatomy and stenting
• Vascular access management
• Organisation of the cath lab / OR

• Aimed at echocardiographers, cardiac surgeons and interventional cardiologists to gain knowledge and skills in performing percutaneous Mitral Valve Repair
• The program is 1.5 days organized at Crossroads Institute Brussels
• Key program objectives: Working with their team, participants will develop:
• Procedural success: optimizing patient outcomes with working knowledge of system functionality and procedural imaging
• Procedural efficiency: utilizing a systematic approach with standard imaging and consistent terminology
• Content includes:
• Pre-procedural preparation
• Procedural step-by-step review and hands-on
• Situational steering
• Post-procedure considerations
• Echo reviews of patient etiologies

• Aimed at practicing physicians who perform or plan to perform trans-septal punctures
• One-day program 

• Objectives:

• Understand clinical indications and contra-indications for trans-septal puncture 
• Understand different techniques in guidance of Fluoroscopy, TEE and ICE
• Understand use of different tools available to perform trans-septal puncture
• Understand navigation and positioning for different trans-septal puncture techniques
• Learn how to perform a safe trans-septal puncture
• Topcis covered by interactive discussion:
• Anatomy and pathophysiology of the Fossa Ovalis
• Indications and contra-indications for atrial trans-septal puncture
• devices and techniques
• Complications and tips-and-tricks
• Recorded cases and particse by computer based virutal simulation
• The event “Atrial Trans-septal puncture techniques” is accredited by the European Board for Accreditation in Cardiology (EBAC) for “number of 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).