PCI or CABG? FAME III & SYNTAX II - Dr. Rajesh Kharbanda

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Summary

Rajesh Kharbanda discusses the role of physiology from FAME III and Syntax II in shaping PCI and CABG decision making

Key points:

•Understand the current clinical guidelines for revascularisationin multivessel coronary artery disease

•Understand the basis of the FAME III and SYNTAX II studies

•Recognise why CABG maybe superior to PCI in multivessel disease given present limitations of technology

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Target Audience

These educational moments are suitable for a wide audience including:-

  • 5* rated international core course-content
  • Interventional cardiologists 
  • General cardiologists
  • Allied healthcare professionals 
  • Technicans and physiologists 
  • Industry core physiology requirements

This course is supported by an unrestricted educational grant from Volcano-Philips

Learning Objectives

  • Detailed background knowledge of the history of physiological measurements
  • Range of tools available in the clinical cathether laboratory for physiological measurments
  • Choice of flow or pressure in stenosis assessment?
  • Evidence base for physiological assessment 
  • Appropriate use criteria, and application of physiological assessment to routine practice
  • State-of-the art anatomical-physioloigcal co-registration 
  • Clinical trial update (DEFINE-FLAIR, iFR-SwedeHeart, FAME 3)

Other Components in this Moment

Overview
Welcome and Introductions to Advances in Coronary Physiology Course - Dr. Justin Davies
Why do we Need Intra-Coronary Physiology in 2016? - Dr. Andrew Sharp
How New Techniques are Reshaping My Clinical Practice - Prof. Carlo Di Mario
Terminology – iFR, FFR, CFR, HSR What do all the Abbreviations Mean? - Dr. Sayan Sen
iFR: Principles and Case Examples - Dr. Sukhjinder Nijjer
Detecting Ischaemia Using iFR and FFR in Clinical Practice - Dr. Justin Davies
How to Measure FFR and iFR - Prof. Niels Van Royen
iFR Outcome Data: DEFINE FLAIR and iFR Swedeheart - Dr. Bruce Samuels
Challenging cases I - Dr. Guus de Waard
Live Case Transmission from Clinico San Carlos, Madrid, Spain - Prof. Javier Escaned
PCI or CABG? FAME III & SYNTAX II - Dr. Rajesh Kharbanda
What About ACS, STEMI, Bypass Grafts and Heart Failure? - Dr. Sayan Sen
Will the AUC Guidelines Shape Revascularization Decision-Making Worldwide? - Dr. Bruce Samuels
Should We Need Stenting at all? ORBITA Study - Dr. Rasha Al-Lamee
How Should We Interpret Borderline Physiological Lesions? - Dr. Ricardo Petraco
Psychology of Decision Making in the Coronary Catheter Laboratory - Dr. Andrew Sharp
Implementation of Physiology into my Catheter Lab - Prof. Javier Escaned
Live Case Transmission Demonstrating the use of iFR/FFR and iFR Scout from Hammersmith Hospital, London, UK - Dr. Sayan Sen & Dr. Rasha Al-Lamee
Physiology Has Missed the Point. It’s Not About FFR/iFR Severity but About Focal or Diffuse Nature of the Disease? - Dr. Andrew Sharp
A Blue Print for Coronary Physiology in the 21st Century - Dr. Justin Davies
Tips, Tricks, and Pitfalls of FFR and iFR Assessment - Dr. Rasha Al-Lamee
Can PdPa be used as a Substitute for iFR/FFR? - Dr. Christopher Cook
How Does Right Atrial Pressure Impact Physiological Assessment? - Dr. Christopher Cook
Management of Tandem Lesions and Diffuse Disease - Dr. Sukhjinder Nijjer
DEFER, FAME, FAME II – The Key Points? - Prof. Niels Van Royen
DEFER, FAME, FAME II – What They Didn’t Answer - Dr. Ricardo Petraco
Summary and Questions & Answer Session - Dr. Justin Davies and Prof. Javier Escaned
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