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
[email protected]
860.305.2556

 


Meet our Coronary Specialists:

Name Specialties Location
McAree, Patrick C., PA-C McAree, Patrick C., PA-C
4.7 /5
123 surveys
860.456.2898
  • Cardiovascular Medicine
  • Willimantic
Bleich, Steven, MD Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Glastonbury
Padegimas, Allison Seinmetz, MD, FACC Padegimas, Allison Seinmetz, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
  • Cheshire
  • West Hartford
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Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD
4.9 /5
82 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Carroll, Lenore Ann, APRN Carroll, Lenore Ann, APRN
4.8 /5
187 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
  • Old Saybrook
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Altszuler, David Jay, MD Altszuler, David Jay, MD 203.265.9831
  • Cardiovascular Medicine
  • Glastonbury
  • Wallingford
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Barbour, Mohamad Firas, MD Barbour, Mohamad Firas, MD
4.9 /5
177 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Holub, Meredith Sullivan, DO Holub, Meredith Sullivan, DO
4.9 /5
192 surveys
860.524.4550
  • Pulmonary Medicine
  • Hartford
  • Wethersfield
  • Glastonbury
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Srinivasan, Aparna, MD Srinivasan, Aparna, MD 203.845.2160
  • Cardiovascular Medicine
  • Norwalk
Panetta, Andrew David, PA-C Panetta, Andrew David, PA-C 860.696.5520
  • Cardiac Surgery
  • Hartford
Pawar, Sumeet Sanjeev, MD Pawar, Sumeet Sanjeev, MD
4.9 /5
295 surveys
860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Old Lyme
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Dada, Marcin R., MD Dada, Marcin R., MD
4.8 /5
34 surveys
860.224.5694
  • Cardiovascular Medicine
  • New Britain
  • Plainville
  • Prospect
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Nasir, Usama Bin, MD Nasir, Usama Bin, MD
4.8 /5
126 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
  • Enfield
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Alter, Eric Louis, MD, FACC, RPVI Alter, Eric Louis, MD, FACC, RPVI 203.254.2452
  • Cardiovascular Medicine
  • Fairfield
  • Stratford
  • Milford
  • Fairfield
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Prisco, Jessica L., APRN Prisco, Jessica L., APRN
4.7 /5
125 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Diamond, Kristen Murrone, PA-C Diamond, Kristen Murrone, PA-C 860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Patel, Boskey, DO, FACC Patel, Boskey, DO, FACC 860.524.3070
  • Interventional Cardiology
  • Hartford
Vlismas, Peter Paul, MD Vlismas, Peter Paul, MD 860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Bridgeport
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Jaffer, Osman Arif, MD, RPVI Jaffer, Osman Arif, MD, RPVI
4.7 /5
37 surveys
203.732.7455
  • Interventional Cardiology
  • Derby
Cole, Jennifer L., APRN, FNP-C Cole, Jennifer L., APRN, FNP-C 860.972.1212
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
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Peckham, Elizabeth Nicole, APRN Peckham, Elizabeth Nicole, APRN
4.9 /5
54 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
  • Plainfield
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Martin-Beaulieu, John, APRN Martin-Beaulieu, John, APRN 860.972.1506
  • Cardiac Electrophysiology
  • West Hartford
Jaiswal, Abhishek, MD Jaiswal, Abhishek, MD
5.0 /5
75 surveys
860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Hamden
  • Fairfield
  • Bridgeport
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Shippee, Jessica L., APRN Shippee, Jessica L., APRN 860.972.1695
  • Cardiovascular Medicine
  • Hartford
Beach, Yan, APRN Beach, Yan, APRN 860.276.5107
  • Advanced Heart Failure and Transplant
  • Southington
Gifford, Edward D., MD, FSVS, FACS, RPVI Gifford, Edward D., MD, FSVS, FACS, RPVI
4.9 /5
84 surveys
860.522.4158
  • Vascular Surgery
  • Hartford
  • Mystic
  • Norwich
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Kunkes, Jordan H., MD Kunkes, Jordan H., MD
4.9 /5
321 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Bailey, Allison L., PA-C Bailey, Allison L., PA-C
4.9 /5
135 surveys
860.522.4158
  • Vascular Surgery
  • Glastonbury
  • Farmington
  • Mystic
  • Norwich
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Neveu, Jaclyn Rose, PA-C Neveu, Jaclyn Rose, PA-C
4.9 /5
145 surveys
860.889.9180
  • Cardiac Electrophysiology
  • Norwich
  • Wallingford
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Powner, Jordan, DO Powner, Jordan, DO
4.7 /5
105 surveys
860.524.4550
  • Pulmonary Disease
  • Enfield
  • Hartford
  • Willimantic
  • Glastonbury
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Leach, Olivia, PA-C Leach, Olivia, PA-C
4.8 /5
57 surveys
860.696.5520
  • Cardiothoracic Surgery
  • Hartford
Ali, Ayyaz, MD, PhD Ali, Ayyaz, MD, PhD
4.8 /5
61 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Russell, Jessica, APRN Russell, Jessica, APRN 203.576.5708
  • Cardiac Surgery
  • Bridgeport
Angeli, Angelina, APRN Angeli, Angelina, APRN 203.678.1050
  • Cardiac Electrophysiology
  • Wallingford
  • Bloomfield
Show Less
Lobraico-Fernandez, Jessika, PA-C Lobraico-Fernandez, Jessika, PA-C 203.683.5100
  • Cardiovascular Medicine
  • Bridgeport
O'Neill, Amanda, APRN O'Neill, Amanda, APRN 203.576.6177
  • Cardiovascular Medicine
  • Bridgeport
Dawiczyk, Stephania, APRN, FNP Dawiczyk, Stephania, APRN, FNP
4.8 /5
172 surveys
860.886.0023
  • Vascular Surgery
  • Norwich
  • Mystic
  • Hartford
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Ringuette, Keith, PA-C Ringuette, Keith, PA-C
4.7 /5
37 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Welch, Karisa, PA-C Welch, Karisa, PA-C 860.489.1132
  • Cardiovascular Medicine
  • Torrington
Kelleher, Sean, APRN Kelleher, Sean, APRN 860.972.5499
  • Cardiovascular Medicine
  • Hartford
Miller, Alexa, APRN, DNP Miller, Alexa, APRN, DNP 203.445.7093
  • Cardiovascular Medicine
  • Trumbull
Aitcheson, Elizabeth, MD, MPH, RPVI Aitcheson, Elizabeth, MD, MPH, RPVI
4.9 /5
112 surveys
860.522.4158
  • Vascular Surgery
  • Hartford
  • Mystic
  • Norwich
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Murusky, Kristen, APRN Murusky, Kristen, APRN 203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
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Sanders, Graig, PA-C Sanders, Graig, PA-C
4.8 /5
263 surveys
203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Hamden
  • Branford
  • New Haven
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Reso, Jessica, PA-C Reso, Jessica, PA-C 860.696.5520
  • Cardiac Surgery
  • Hartford
Wachtarz, Amber, APRN, DNP Wachtarz, Amber, APRN, DNP
4.8 /5
45 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Bell, Jennifer, MD Bell, Jennifer, MD
5.0 /5
33 surveys
860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Bridgeport
Show Less
Asseo, Corrie, PA-C Asseo, Corrie, PA-C 203.576.5708
  • Cardiac Surgery
  • Bridgeport
Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC
4.9 /5
234 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Sangasy, Vanmaly, APRN Sangasy, Vanmaly, APRN
4.9 /5
194 surveys
860.963.7519
  • Cardiovascular Medicine
  • Putnam