How should you treat/ assess non-culprit disease? - Amarjit Sethi

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Summary

Amarjit Sethi details the assessment and treatment of bystander CAD in ACS


  • The negative prognostic impact of multi vessel disease in STEMI
  • Theoretical pros and cons of both treating and deferring non-culprit vessels in ACS
  • The concept of "vulnerable plaque"
  • Previous guidelines recommendations strongly discouraged treating non-culprit arteries in STEMI (class III recommendation in 2013); now upgraded to Class IIb
  • Summary of RCT evidence available on this topic: PRAMI, CvLPRIT, DANAMI
  • Intracoronary imaging with IVUS and OCT to characterise plaque composition, vessel characteristics and luminal area
  • Future RCTs currently ongoing that will provide more data to guide us in this field

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Target Audience

  • Interventional cardiology trainees
  • Cardiology trainees
  • General practictioners with specialist interest in cardiology
  • Clinical fellows
  • Physiologists
  • Cath lab staff
  • Aspiring cardiology trainees


This course is organised and run by Simple Education and is kindly supported by Medtronic and Volcano.

Learning Objectives

The Simple Education Essential Guide to Coronary Angiography and Right Heart Catheterisation has a refreshing style, and is innovative in format  comprising short lectures all filmed with HD and is centred on real cases and video demonstrations.

  • Feel more confident in the cardiac catheter lab
  • Instantly know what to do when things go wrong during procedures 
  • Familarise yourself with Emergencies 
  • Learn about different catheters, for native arteries and grafts
  • Watch live case practical demonstrations
  • Learn about access routes and vascular closure 

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