CLINICAL CASE FORM - IMC LIVE - Complex Chronic Total Occlusions

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CASE SUBMISSION FORM

Title(Required)

Pr

Dr

Mrs

M

First name(Required)

Last name(Required)

Email address(Required)

Phone number(Required)

Medical center(Required)

City(Required)

Country(Required)

Country

Profil(Required)

Physician

Fellow

Paramedic

Category(Required)

Antegrade / Retrograde

Antegrade dissection re-entry

Retrograde dissection re-entry

Imaging guidance

Complications

Failures

Describe your clinical case in few lines(Required)

Upload your clinical case ppt(Required)

Max. file size: 128 MB.

(ppt made with the ML CTO template)

Additionals files

Max. file size: 128 MB.

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Program
Registration
Live Centers
Case submission
Committee
Partners
- Institutional Partners
- Our sponsors
Information
Contact
Archive

Program
Registration
Live Centers
Case submission
Committee
Partners
- Institutional Partners
- Our sponsors
Information
Contact
Archive

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