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
4.8 /5
186 surveys
203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
Show Less
  • Milford
Al-Damluji, Mohammed, MD Al-Damluji, Mohammed, MD 860.636.2010
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Middletown
Ali, Ayyaz, MD, PhD Ali, Ayyaz, MD, PhD
5.0 /5
70 surveys
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
Show Less
  • Fairfield
  • Fairfield
  • Milford
  • Stratford
Show Less
Atef, Amr Mohamed, MD Atef, Amr Mohamed, MD
4.9 /5
223 surveys
860.886.0023
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Norwich
  • Willimantic
Show Less
Azemi, Talhat, MD, FACC, RPVI Azemi, Talhat, MD, FACC, RPVI
4.9 /5
46 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
  • Vascular Medicine
Show Less
  • Hartford
  • Norwich
Show Less
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 Borer, Steven Michael, DO, FACC
5.0 /5
364 surveys
860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
Show Less
Carreras, Edward Thomas, MD, FACC, FSCAI Carreras, Edward Thomas, MD, FACC, FSCAI 203.380.3910
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Interventional Cardiology
Show Less
  • Stratford
  • Bridgeport
  • Milford
Show Less
Casey, David Madigan, MD, FACC Casey, David Madigan, MD, FACC
4.9 /5
335 surveys
860.572.5400
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Plainfield
  • Mystic
  • Norwich
Show Less
Cheema, Mohiuddin, MD Cheema, Mohiuddin, MD
4.8 /5
188 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Criscuolo Beck, Aimee Jude, PA-C Criscuolo Beck, Aimee Jude, PA-C
4.8 /5
149 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
Decena, Katharine T., MD Decena, Katharine T., MD
4.7 /5
197 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
Show Less
  • Norwich
Dougherty, Kevin Russell, MD, FACC Dougherty, Kevin Russell, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Glastonbury
  • Wethersfield
Show Less
Duncan, Brett Hunter, MD, FACC Duncan, Brett Hunter, MD, FACC
4.9 /5
518 surveys
860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
Show Less
Duvall, William, MD 860.972.2976
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
Elwan, Ahmed M., MD Elwan, Ahmed M., MD 860.258.3477
  • Cardiovascular Medicine
  • Hospital Medicine
  • Internal Medicine
Show Less
  • Wethersfield
  • Cromwell
  • Farmington
  • Glastonbury
Show Less
Farrell, William Joseph, MD, FACC Farrell, William Joseph, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
  • Nuclear Cardiology
Show Less
  • Wallingford
Feingold, Andrew David, MD, FACC Feingold, Andrew David, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
Show Less
Ferraro-Borgida, Melissa Joy, MD, FACC Ferraro-Borgida, Melissa Joy, MD, FACC
4.8 /5
365 surveys
860.522.5712
  • Cardiovascular Medicine
  • Cardio-Obstetrics
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
Show Less
Fram, Daniel Bruce, MD Fram, Daniel Bruce, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
Fusco, Daniel Stephen, MD Fusco, Daniel Stephen, MD
4.9 /5
90 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
  • Hartford
Show Less
Goldblatt, Steven Bruce, MD, FACC Goldblatt, Steven Bruce, MD, FACC 860.456.2898
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Willimantic
Golub, Robert Joel, MD, FACC Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Wallingford
Granquist, John Dickson, MD, FACC Granquist, John Dickson, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
Show Less
  • Hartford
  • Glastonbury
  • Windsor
Show Less
Hagberg, Robert Carl, MD Hagberg, Robert Carl, MD
4.8 /5
138 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Haider, Jawad, MD, FACC, RPVI Haider, Jawad, MD, FACC, RPVI
4.8 /5
136 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Bloomfield
  • Hartford
Show Less
Hammond, Jonathan Acton, MD Hammond, Jonathan Acton, MD
5.0 /5
102 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Hanretta, Kelly Colleen, DO Hanretta, Kelly Colleen, DO 860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Willimantic
Show Less
Harris, Jessica, PA-C 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Hashim, Sabet W., MD, FACS Hashim, Sabet W., MD, FACS
4.9 /5
164 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
Show Less
Horblitt, Adam, MD Horblitt, Adam, MD
4.9 /5
139 surveys
203.867.5300
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Branford
  • Guilford
  • Hamden
  • New Haven
Show Less
Ingrassia, Joseph James, MD, RPVI Ingrassia, Joseph James, MD, RPVI
5.0 /5
66 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
  • Vascular Medicine
Show Less
  • Hartford
  • Winsted
Show Less
Katsetos, Manny Christos, MD Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • New Britain
Kramer, Daniel G., MD, FACC Kramer, Daniel G., MD, FACC
4.9 /5
393 surveys
860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
  • Farmington
Show Less
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
Show Less
  • Hartford
  • Avon
  • Glastonbury
Show Less
Lenhart, Kevin Kalman, MD Lenhart, Kevin Kalman, MD
4.9 /5
283 surveys
203.888.8510
  • Cardiovascular Medicine
  • Oxford
  • Branford
  • Derby
  • Hamden
Show Less
Lorenz, David Patrick, MD, FACC Lorenz, David Patrick, MD, FACC 203.845.2160
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Vascular Medicine
Show Less
  • Norwalk
  • Bridgeport
Show Less
Malkin, Robert Douglas, MD Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
Show Less
  • New Britain
Mamuya, Komsu Fidel, MD, FACC Mamuya, Komsu Fidel, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Wethersfield
  • Glastonbury
  • Granby
Show Less
Martinez, Fidel, MD Martinez, Fidel, MD
4.8 /5
122 surveys
860.489.1132
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Torrington
Memon, Sarfaraz, MD Memon, Sarfaraz, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
Merkatz, Kenneth Alan, MD Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Wethersfield
  • Enfield
Show Less
Oligino, Eric Joseph, MD, FACC Oligino, Eric Joseph, MD, FACC
4.9 /5
322 surveys
860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
  • Farmington
  • Manchester
Show Less
Paoletti, Daniel C., PA-C Paoletti, Daniel C., PA-C
4.8 /5
37 surveys
203.264.5911
  • Cardiovascular Medicine
  • Oxford
Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC
4.9 /5
218 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Piccirillo, Bryan James, MD Piccirillo, Bryan James, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
  • Norwich
Show Less
Portnay, Edward Lowell, MD, FACC, FSCAI Portnay, Edward Lowell, MD, FACC, FSCAI 203.353.1133
  • Interventional Cardiology
  • Stamford
Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD
4.9 /5
73 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Rizvi, Asad Ali, MD, FACC Rizvi, Asad Ali, MD, FACC
4.9 /5
39 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Norwich
Show Less
Robertson, Tara, APRN, DNP Robertson, Tara, APRN, DNP 203.254.2452
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
Show Less
Sadiq, Immad, MD Sadiq, Immad, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Vascular Medicine
Show Less
  • Hartford
  • Norwich
Show Less
Sanders, Graig, PA-C Sanders, Graig, PA-C
4.8 /5
199 surveys
203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
Show Less
Saucier, Stephanie J., MD, FACC, RPVI Saucier, Stephanie J., MD, FACC, RPVI
5.0 /5
179 surveys
860.972.1695
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Southington
Show Less
Selter, Jared Gideon, MD, FACC Selter, Jared Gideon, MD, FACC 203.445.7093
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Trumbull
  • Bridgeport
  • Fairfield
Show Less
Spivack, George, MD Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Squitieri, Rafael Paolo, MD Squitieri, Rafael Paolo, MD
4.8 /5
142 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
Swales, Heather Hunt, MD Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • New Britain
Tally, Kevin Joseph, MD, FACC Tally, Kevin Joseph, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
Show Less
  • Hartford
  • Glastonbury
  • West Hartford
Show Less
Teopengco, Ryan, APRN Teopengco, Ryan, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Thande, Njeri, MD Thande, Njeri, MD
4.9 /5
118 surveys
860.972.1506
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Middletown
Thompson, Craig Alan, MD Thompson, Craig Alan, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Vascular Medicine
Show Less
  • Hartford
Wagner, Anja, MD, FACC Wagner, Anja, MD, FACC 203.845.2160
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Bridgeport
  • Fairfield
Show Less
Walden, Jeffrey Howard, MD, FACC Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
Show Less
Yaffee, David, MD Yaffee, David, MD
4.9 /5
100 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
Show Less
  • Hartford