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 203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
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  • Milford
Ali, Ayyaz, MD, PhD 860.696.5520
  • Cardiac Surgery
  • Hartford
Arcoleo, James Anthony, DO 860.749.1985
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
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  • Enfield
Atef, Amr Mohamed, MD
4.8 /5
153 surveys
860.886.0023
  • Cardiovascular Medicine
  • Internal Medicine
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  • Norwich
  • Willimantic
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Azemi, Talhat, MD
5.0 /5
40 surveys
860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Borer, Steven Michael, DO, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Casey, David Madigan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Glastonbury
  • Wethersfield
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Chaudhry, Waseem, MD 860.972.1793
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Cheema, Mohiuddin, MD
4.8 /5
104 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
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  • Hartford
Criscuolo Beck, Aimee Jude, PA-C 860.626.2010
  • Cardiovascular Medicine
  • Middletown
Decena, Katharine T., MD
4.7 /5
111 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
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  • Norwich
Dougherty, Kevin Russell, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Enfield
  • Glastonbury
  • Wethersfield
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Duncan, Brett Hunter, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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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 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 860.522.5712
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Fram, Daniel Bruce, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Fusco, Daniel Stephen, MD
5.0 /5
56 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
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  • Wallingford
Gonzalez, Alex C., PA-C 860.636.2010
  • Cardiovascular Medicine
  • Middletown
  • Marlborough
  • Old Saybrook
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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
4.9 /5
76 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
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  • Hartford
Haider, Ali, MD 860.749.1985
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Surgery
  • Nuclear Cardiology
  • Vascular Medicine
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  • Enfield
Hammond, Jonathan Acton, MD
4.9 /5
39 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Hashim, Sabet W., MD, FACS
4.9 /5
77 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
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Hirst, Jeffrey Alan, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • New Britain
Khachane, Vasant B., MD 203.407.2500
  • Thoracic Surgery
  • Cardiac Surgery
  • General Surgery
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  • Bridgeport
Kiernan, Francis John, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Kramer, Daniel G., MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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LaSala, Anthony Francis, MD 860.659.8830
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
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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Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
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  • New Britain
Mamuya, Komsu Fidel, MD, FACC 860.659.8830
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Wethersfield
  • Glastonbury
  • Granby
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Mansoor, Mohamed, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Glastonbury
  • Wethersfield
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McKay, Raymond George, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
  • Enfield
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Piccirillo, Bryan James, MD 860.972.3570
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Rizvi, Asad Ali, MD
4.8 /5
34 surveys
860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
Sadiq, Immad, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • New Britain
Tally, Kevin Joseph, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
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  • Hartford
  • Enfield
  • Glastonbury
  • West Hartford
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Underhill, David Joseph, MD
5.0 /5
63 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
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  • Hartford
Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
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Yaffee, David, MD
4.9 /5
59 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
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  • Hartford