ML CTO 2021 - ADDITIONAL INFORMATION - July 1st & 2nd - Nice

Family name*

First name*

Email*

Are you ?

What do you perform in your daily practice ?

How many percutaneous coronary interventions are performed per year in your center?

Do you have a CTO PCI program in your cath lab ?

How many CTO PCI have been performed during 2020 in your center?

How many CTO PCI did you personally perform during 2020 ?

How many CTO PCI do you consider performing this year?

How have you heard about the ML CTO Course?

Have you participated in previous editions of the ML CTO?

In which editions?

Personnal Data Policy

Personal Data*

By sending this form, I agree my personal data being processed regarding my logistics arrangements, and the links with service providers that results of it.

Phone

Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.