Lausanne, Switzerland June, 24 – 26 2015 Call for Cases Endovascular Cardiac Complications Deadline for submitting cases is April 19, 2015 The ECC Committee is pleased to announce a call for interesting cases for the “11th International Congress on Complications during Cardiovascular Intervention: Management & Prevention” scheduled for June 24 – 26, 2015 in Lausanne, Switzerland. We invite you to submit a challenging complication clinical case to endovasular and cardiac procedure. Case Submission Criteria and Specifications All cases will be reviewed by the ECC Course Directors who will select the most interesting cases for presentation at the Congress. Applicants whose cases are chosen will be listed as members of the faculty and have their meeting registration fee waived. All other expenses for travel and accommodation for the Congress remain the responsibility of the faculty member. Please limit the number of submitted cases to 3. Case application form (please complete in clear print) Title …………………………………………………………………………………………………………………………… Author/s ………………………………………………………………………………………………………………………… Short case description ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… Presenting author – Personal date First name ………………………………………… Last name ………………………………………………………... E-mail…………………………………………………………………………………………………………………….. Phone …………………………………………….. Fax ………………………………………………………………. Institution………………………………………………………………………………………………………………… Department / Position ……………………………………………………………………………………………………. Street ……………………………………………… Zip code / City / Country ...………………………………………… Please send back this form. Centre Hospitalier Universitaire Vaudois (CHUV) Division of Cardiology Rue du Bugnon 21 1011 Lausanne – Switzerland Send via E-Mail Contact:Patricia Crettaz (PA Eric Eeckhout) Phone: +41 21 314 0010 Fax: +41 21 314 0067 E-Mail: [email protected]