Complete Revascularization in High Risk Indicated Patients Program (CHIP)

Patients with blockages caused by coronary artery disease who are considered high risk for complex surgical or percutaneous (nonsurgical) revascularization often require urgent evaluation and our multidisciplinary “Heart Team” approach.  

The Heart & Vascular Institute’s CHIP “Heart Team,” which reviews these highest-risk and most complex cases, includes interventional cardiologists, cardiothoracic surgeons, advanced heart failure cardiologists, perfusionists, anesthesiologists, clinical cardiologists and electrophysiologists.

The CHIP “Heart Team,” guided by our coordinator, standardizes our approach to care for the sickest coronary patients with improved communication and coordination with our specialists.

Percutaneous Coronary Intervention (PCI)

Patients with heart disease may undergo a procedure called PCI. During this nonsurgical procedure, also known as angioplasty, a heart doctor inflates a small balloon in the narrowed portion of the artery to reopen it and restore normal blood flow. Doctors then insert a small device called a stent through a catheter to open blood vessels. When PCI isn’t an option, patients are referred for heart surgery. 

Protected PCI

If your doctor determines your heart disease is too severe for traditional PCI and too high risk for heart surgery, Protected PCI may be an option. During this PCI procedure, a mechanical circulatory support device temporarily assists the pumping function of the heart. The device typically is inserted through the large leg artery and advanced to the heart, ensuring that blood flow is adequately maintained to critical organs such as the brain, lungs, kidneys during a high-risk PCI procedure. It’s usually removed at the end of the procedure. 

CHIP Program Details

The goal of our CHIP Program is to improve clinical outcomes by standardizing the evaluation of patients with complex, high-risk, severe coronary disease.  

When evaluating a patient referred to the CHIP Program, the “Heart Team” meets for a multidisciplinary conference to review and discuss the patient’s condition. The team determines the optimal treatment plan depending on the patient’s coronary artery disease process, comorbidities and hemodynamic state. 

The treatment plan may be:

  1. Surgical intervention.
  2. Conventional PCI.
  3. Protected PCI.
  4. Medical management.

Benefits of the Heart Team approach:

  • Timely evaluation and multidisciplinary collaboration.
  • Standardized clinical care algorithm.
  • In-depth discussion among all caregivers on how to proceed safely and efficiently with patient procedures and treatment.
  • Enhanced communication to the referring physician regarding treatment plan and post-procedural care.

For more information or questions, please contact the CHIP Program Coordinator:


Carolyn Martindale, APRN, ACNP-BC
carolynmartindale@hhchealth.org
860.305.2556

 


Meet our Coronary Specialists:

Name Specialties Location
Agin, Elliot David, MD, FACC Agin, Elliot David, MD, FACC 203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
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  • Milford
Al-Damluji, Mohammed, MD Al-Damluji, Mohammed, MD 860.636.2010
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Middletown
Ali, Ayyaz, MD, PhD Ali, Ayyaz, MD, PhD 860.696.5520
  • Cardiac Surgery
  • Hartford
Alter, Eric Louis, MD, FACC, RPVI Alter, Eric Louis, MD, FACC, RPVI 203.254.2452
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Fairfield
  • Fairfield
  • Milford
  • Stratford
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Atef, Amr Mohamed, MD Atef, Amr Mohamed, MD
4.9 /5
204 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Azemi, Talhat, MD, FACC, RPVI Azemi, Talhat, MD, FACC, RPVI
4.9 /5
35 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Medicine
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
  • Norwich
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Barbour, Mohamad Firas, MD Barbour, Mohamad Firas, MD 860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Bleich, Steven, MD Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Glastonbury
Borer, Steven Michael, DO, FACC, DipABLM Borer, Steven Michael, DO, FACC, DipABLM 860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Manchester
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Carreras, Edward Thomas, MD, FACC, FSCAI Carreras, Edward Thomas, MD, FACC, FSCAI 203.380.3910
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
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  • Stratford
  • Bridgeport
  • Milford
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Casey, David Madigan, MD, FACC Casey, David Madigan, MD, FACC 860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Norwich
  • Mystic
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Cheema, Mohiuddin, MD Cheema, Mohiuddin, MD
4.8 /5
132 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Criscuolo Beck, Aimee Jude, PA-C Criscuolo Beck, Aimee Jude, PA-C
4.8 /5
138 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
Decena, Katharine T., MD Decena, Katharine T., MD
4.8 /5
207 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
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  • Norwich
Dougherty, Kevin Russell, MD, FACC Dougherty, Kevin Russell, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Glastonbury
  • Wethersfield
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Duncan, Brett Hunter, MD, FACC Duncan, Brett Hunter, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Manchester
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Duvall, William, MD 860.972.2976
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
Elwan, Ahmed M., MD Elwan, Ahmed M., MD 860.258.3477
  • Cardiovascular Medicine
  • Wethersfield
  • Cromwell
  • Farmington
  • Glastonbury
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Farrell, William Joseph, MD, FACC Farrell, William Joseph, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
  • Nuclear Cardiology
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  • Wallingford
Feingold, Andrew David, MD, FACC Feingold, Andrew David, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Avon
  • Glastonbury
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Ferraro-Borgida, Melissa Joy, MD, FACC Ferraro-Borgida, Melissa Joy, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Cardio-Obstetrics
  • Echocardiography
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Manchester
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Fram, Daniel Bruce, MD Fram, Daniel Bruce, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Hartford
Franke, Sara, APRN Franke, Sara, APRN 203.315.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
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Fusco, Daniel Stephen, MD Fusco, Daniel Stephen, MD
4.8 /5
34 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
  • Hartford
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Golub, Robert Joel, MD, FACC Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
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  • Wallingford
Granquist, John Dickson, MD, FACC Granquist, John Dickson, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
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  • Hartford
  • Glastonbury
  • Windsor
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Hagberg, Robert Carl, MD Hagberg, Robert Carl, MD
4.9 /5
86 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Haider, Jawad, MD, FACC, RPVI Haider, Jawad, MD, FACC, RPVI 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Bloomfield
  • Hartford
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Hammond, Jonathan Acton, MD Hammond, Jonathan Acton, MD
4.9 /5
51 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Hanretta, Kelly Colleen, DO Hanretta, Kelly Colleen, DO 860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Willimantic
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Harris, Jessica, PA-C 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Hashim, Sabet W., MD, FACS Hashim, Sabet W., MD, FACS
4.9 /5
54 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
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Horblitt, Adam, MD Horblitt, Adam, MD 203.867.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
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Ingrassia, Joseph James, MD, RPVI Ingrassia, Joseph James, MD, RPVI 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
  • Winsted
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Katsetos, Manny Christos, MD Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • New Britain
Kramer, Daniel G., MD, FACC Kramer, Daniel G., MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
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Kreiter, Marina, APRN Kreiter, Marina, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Lee, Maximilian H., MD, FACC Lee, Maximilian H., MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Avon
  • Glastonbury
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Lenhart, Kevin Kalman, MD Lenhart, Kevin Kalman, MD 203.888.8510
  • Cardiovascular Medicine
  • Oxford
  • Branford
  • Derby
  • Hamden
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Lorenz, David Patrick, MD, FACC Lorenz, David Patrick, MD, FACC 203.845.2160
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Vascular Medicine
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  • Norwalk
  • Bridgeport
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Malkin, Robert Douglas, MD Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
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  • New Britain
Mamuya, Komsu Fidel, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Wethersfield
  • Glastonbury
  • Granby
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Martinez, Fidel, MD Martinez, Fidel, MD 860.489.1132
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Torrington
Memon, Sarfaraz, MD Memon, Sarfaraz, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Hartford
  • Norwich
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Merkatz, Kenneth Alan, MD Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
  • Enfield
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Oligino, Eric Joseph, MD, FACC Oligino, Eric Joseph, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
  • Manchester
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Paoletti, Daniel C., PA-C Paoletti, Daniel C., PA-C 203.264.5911
  • Cardiovascular Medicine
  • Oxford
Peckham, Elizabeth Nicole, APRN Peckham, Elizabeth Nicole, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
  • Plainfield
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Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Hartford
Piccirillo, Bryan James, MD Piccirillo, Bryan James, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Hartford
  • Norwich
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Portnay, Edward Lowell, MD, FACC, FSCAI Portnay, Edward Lowell, MD, FACC, FSCAI 203.353.1133
  • Interventional Cardiology
  • Stamford
Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD 860.696.5520
  • Cardiac Surgery
  • Hartford
Richards, Kyle A., MD, FACC, FASNC, RPVI Richards, Kyle A., MD, FACC, FASNC, RPVI 860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Norwich
Rizvi, Asad Ali, MD, FACC Rizvi, Asad Ali, MD, FACC 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
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  • Hartford
  • Norwich
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Robertson, Tara, APRN, DNP Robertson, Tara, APRN, DNP 860.972.1212
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
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Sadiq, Immad, MD Sadiq, Immad, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
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  • Hartford
  • Norwich
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Sanders, Graig, PA-C Sanders, Graig, PA-C 203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
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Saucier, Stephanie J., MD, FACC, RPVI Saucier, Stephanie J., MD, FACC, RPVI 860.972.1695
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
  • Southington
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Selter, Jared Gideon, MD, FACC Selter, Jared Gideon, MD, FACC 203.445.7093
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Trumbull
  • Bridgeport
  • Fairfield
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Singh, Parmanand, MD Singh, Parmanand, MD 860.489.1132
  • Echocardiography
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Torrington
Spivack, George, MD Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Squitieri, Rafael Paolo, MD Squitieri, Rafael Paolo, MD 203.576.5708
  • Cardiac Surgery
  • Bridgeport
Swales, Heather Hunt, MD Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • New Britain
Tally, Kevin Joseph, MD, FACC Tally, Kevin Joseph, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
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  • Hartford
  • Glastonbury
  • West Hartford
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Teopengco, Ryan, APRN Teopengco, Ryan, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Thande, Njeri, MD Thande, Njeri, MD 860.636.2010
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Middletown
Thompson, Craig Alan, MD Thompson, Craig Alan, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
Show Less
  • Hartford
Wagner, Anja, MD, FACC Wagner, Anja, MD, FACC 203.845.2160
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Bridgeport
  • Fairfield
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Walden, Jeffrey Howard, MD, FACC Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
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Yaffee, David, MD Yaffee, David, MD
4.8 /5
42 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
Show Less
  • Hartford