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
Bleich, Steven, MD Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Glastonbury
Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD
4.9 /5
82 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Barbour, Mohamad Firas, MD Barbour, Mohamad Firas, MD
4.9 /5
177 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
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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Peckham, Elizabeth Nicole, APRN Peckham, Elizabeth Nicole, APRN
4.9 /5
54 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
  • Plainfield
Show Less
Ali, Ayyaz, MD, PhD Ali, Ayyaz, MD, PhD
4.8 /5
61 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Sanders, Graig, PA-C Sanders, Graig, PA-C
4.8 /5
263 surveys
203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
Show Less
Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC
4.9 /5
234 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Martinez, Fidel, MD Martinez, Fidel, MD
4.8 /5
168 surveys
860.489.1132
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Torrington
Franke, Sara, APRN Franke, Sara, APRN 203.315.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
Show Less
Horblitt, Adam, MD Horblitt, Adam, MD
4.9 /5
218 surveys
203.867.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
Show Less
Kreiter, Marina, APRN Kreiter, Marina, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Teopengco, Ryan, APRN Teopengco, Ryan, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Harris, Jessica, PA-C 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Robertson, Tara, APRN, DNP Robertson, Tara, APRN, DNP 860.972.1212
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
Show Less
Cheema, Mohiuddin, MD Cheema, Mohiuddin, MD
4.9 /5
188 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Golub, Robert Joel, MD, FACC Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Wallingford
Casey, David Madigan, MD, FACC Casey, David Madigan, MD, FACC
4.9 /5
348 surveys
860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Norwich
  • Mystic
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Wagner, Anja, MD, FACC Wagner, Anja, MD, FACC 203.845.2160
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Bridgeport
  • Fairfield
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Lee, Maximilian H., MD, FACC Lee, Maximilian H., MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
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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
Criscuolo Beck, Aimee Jude, PA-C Criscuolo Beck, Aimee Jude, PA-C
4.8 /5
142 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
Haider, Jawad, MD, FACC, RPVI Haider, Jawad, MD, FACC, RPVI
4.8 /5
146 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Bloomfield
  • Hartford
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Walden, Jeffrey Howard, MD, FACC Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
Show Less
Portnay, Edward Lowell, MD, FACC, FSCAI Portnay, Edward Lowell, MD, FACC, FSCAI 203.353.1133
  • Interventional Cardiology
  • Stamford
Memon, Sarfaraz, MD Memon, Sarfaraz, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
  • Norwich
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Paoletti, Daniel C., PA-C Paoletti, Daniel C., PA-C 203.264.5911
  • Cardiovascular Medicine
  • Oxford
Duvall, William, MD 860.972.2976
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
Elwan, Ahmed M., MD Elwan, Ahmed M., MD 860.258.3477
  • Cardiovascular Medicine
  • Wethersfield
  • Cromwell
  • Farmington
  • Glastonbury
Show Less
Oligino, Eric Joseph, MD, FACC Oligino, Eric Joseph, MD, FACC
4.9 /5
327 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
  • Manchester
Show Less
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
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Ferraro-Borgida, Melissa Joy, MD, FACC Ferraro-Borgida, Melissa Joy, MD, FACC
4.8 /5
382 surveys
860.522.5712
  • Cardiovascular Medicine
  • Cardio-Obstetrics
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
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
Lenhart, Kevin Kalman, MD Lenhart, Kevin Kalman, MD
4.9 /5
352 surveys
203.888.8510
  • Cardiovascular Medicine
  • Oxford
  • Branford
  • Derby
  • Hamden
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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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Hashim, Sabet W., MD, FACS Hashim, Sabet W., MD, FACS
5.0 /5
160 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
Show Less
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
Borer, Steven Michael, DO, FACC, DipABLM Borer, Steven Michael, DO, FACC, DipABLM
4.9 /5
376 surveys
860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
Show Less
Thande, Njeri, MD Thande, Njeri, MD
4.8 /5
166 surveys
860.636.2010
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Middletown
Katsetos, Manny Christos, MD Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • New Britain
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
Atef, Amr Mohamed, MD Atef, Amr Mohamed, MD
4.9 /5
257 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Swales, Heather Hunt, MD Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • New Britain
Kramer, Daniel G., MD, FACC Kramer, Daniel G., MD, FACC
4.9 /5
365 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
Show Less
Hagberg, Robert Carl, MD Hagberg, Robert Carl, MD
4.9 /5
186 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Thompson, Craig Alan, MD Thompson, Craig Alan, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
Show Less
  • Hartford
Malkin, Robert Douglas, MD Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
Show Less
  • New Britain
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
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Merkatz, Kenneth Alan, MD Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Wethersfield
  • Enfield
Show Less
Spivack, George, MD Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Rizvi, Asad Ali, MD, FACC Rizvi, Asad Ali, MD, FACC 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Hartford
  • Norwich
Show Less
Richards, Kyle A., MD, FACC, FASNC, RPVI Richards, Kyle A., MD, FACC, FASNC, RPVI
4.7 /5
31 surveys
860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Norwich
Duncan, Brett Hunter, MD, FACC Duncan, Brett Hunter, MD, FACC
4.9 /5
377 surveys
860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
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Fram, Daniel Bruce, MD Fram, Daniel Bruce, MD 860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
Agin, Elliot David, MD, FACC Agin, Elliot David, MD, FACC
4.9 /5
193 surveys
203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
Show Less
  • Milford
Sadiq, Immad, MD Sadiq, Immad, MD
4.8 /5
36 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
Show Less
  • Hartford
  • Norwich
Show Less
Azemi, Talhat, MD, FACC, RPVI Azemi, Talhat, MD, FACC, RPVI
4.9 /5
61 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Medicine
  • Nuclear Cardiology
  • Vascular Medicine
Show Less
  • Hartford
  • Norwich
Show Less
Mamuya, Komsu Fidel, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Wethersfield
  • Glastonbury
  • Granby
Show Less
Hammond, Jonathan Acton, MD Hammond, Jonathan Acton, MD
4.9 /5
85 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Fusco, Daniel Stephen, MD Fusco, Daniel Stephen, MD
5.0 /5
87 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
  • Hartford
Show Less
Squitieri, Rafael Paolo, MD Squitieri, Rafael Paolo, MD
4.9 /5
204 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
Hanretta, Kelly Colleen, DO Hanretta, Kelly Colleen, DO
4.9 /5
120 surveys
860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Willimantic
Show Less
Carreras, Edward Thomas, MD, FACC, FSCAI Carreras, Edward Thomas, MD, FACC, FSCAI 203.380.3910
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
Show Less
  • Stratford
  • Bridgeport
  • Milford
Show Less
Singh, Parmanand, MD Singh, Parmanand, MD
4.9 /5
125 surveys
860.489.1132
  • Echocardiography
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Torrington
Piccirillo, Bryan James, MD Piccirillo, Bryan James, MD
4.9 /5
58 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
  • Norwich
Show Less
Al-Damluji, Mohammed, MD Al-Damluji, Mohammed, MD 860.636.2010
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Middletown
Ingrassia, Joseph James, MD, RPVI Ingrassia, Joseph James, MD, RPVI
5.0 /5
34 surveys
860.524.3070
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
  • Vascular Medicine
Show Less
  • Hartford
  • Winsted
Show Less
Decena, Katharine T., MD Decena, Katharine T., MD
4.8 /5
260 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
Show Less
  • Norwich
Saucier, Stephanie J., MD, FACC, RPVI Saucier, Stephanie J., MD, FACC, RPVI
4.9 /5
204 surveys
860.972.1695
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
  • Southington
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Yaffee, David, MD Yaffee, David, MD
4.9 /5
135 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
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  • Hartford