Kindly complete your registration by providing the details below.

Affiliation

Membership benefits

I would like to be updated by email about ICA-related news and activities such as new projects and the triannual International CTEPH Conference (ICA will not send more than 10 messages per year):*
Do you agree with your name and institution to be listed under “Members” on the website of the ICA?*

Site Information

Does your Hospital / Institution have an ongoing program for the treatment of CTEPH patients?*
If yes, are patients operated (undergoing PEA) at your site?

Personal & Professional Information

What is the sum of 4 and 7?