The Advanced Revascularization-Chapter XII (ARCH) Symposium held in St. Louis is the nation’s premier interventional cardiology course specifically designed for the busy practicing physician and trainees. ARCH 2019 will focus on evidence based data, newer technological advances, case-based discussions, tips and tricks in complex cases, innovative therapeutic strategies that will enable physicians to treat their patients with high-risk and complex coronary, peripheral vascular and structural anatomy. Attendees will learn from experts on the use of novel techniques and interventional tools, new CTO techniques, hemodynamic support during high-risk Coronary, Peripheral and Structural Interventions and decompensated heart failure, structural heart disease interventions and novel intravascular coronary anatomy/physiology techniques. In addition, use of newer adjunctive imaging modalities to optimize Coronary, Peripheral and Structural Interventions outcomes will be presented. Participants will observe live cases and hear from International experts who will present their data and share their expertise. With a strong emphasis on participant-faculty interactions, attendees will learn the latest advances in interventional cardiology.


  • Discuss interventional approaches to end stage heart failure patients.
  • Evaluate the development of new technology-imaging modalities, IVUS, OCT, MRA and CT angiography.
  • Interpret the pivotal coronary disease management trials of the past year and how they can be applied to bedside patient management in 2019.
  • Learn and observe techniques to improve mapping accuracy and ablation success for arrhythmias such as ventricular tachycardia and atrial fibrillation.
  • Discuss appropriate patient selection and discover manual skill sets to perform novel pacing techniques such as His-bundle pacing and leadless pacing.
  • Exploring new cutting-edge developments in noninvasive cardiac ablation, virtual reality in the EP lab, and painless defibrillation to improve the patient and physician EP experience.
  • Discuss interventional dilemmas / controversial cases of the day: instructive, unique and interesting cases by faculty members concentrating on procedural strategy and solutions to complications.
  • Explain practical techniques relating to highly stenosed lesions and the use of percutaneous left ventricular assist devices (LVAD).
  • Differentiate the distinction between the specific clinical features of appropriate use criteria and the evidence-based summaries on which PCI guidelines are developed.
  • Discuss the indications, benefits and relative risk of radial artery based coronary interventions.
  • Identify the role of adjunctive imaging and physiology for diagnosis and management of complex cardiovascular disease.
  • Discuss strategies in improving quality and cost reduction in the modern cath lab.
  • Define technically difficult & high-risk subsets.
  • Discuss the relative role of trans-catheter and surgical therapies for advanced structural heart disease, both valvular and non-valvular and atrial fibrillation.
  • Appraise serious complications – how to avoid them, how to treat them.
  • Understanding the risks of radiation and ways to minimize exposure


This course has been designed to meet the educational needs of Interventional and General Cardiologists, Electrophysiologist, Internists, Cardiothoracic Surgeons, General Surgeons, Primary Care Physicians, and Neurologists plus Nurses, Nurse Practitioners and Ancillary staff.