Simple Education: Advances in Intravascular Imaging, September 2017

2 day course, September 11-12th 2017 London, W2 2EA

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The Simple Education team have run many successful courses over the last five years, demystifying the use of coronary physiology in the cath lab for thousands of doctors from around the world.

The team are now delighted to announce another course on the use of Intravascular ultrasound in PCI.

Using a mixture of practical hands-on teaching, interactive learning aids, approachable tutors, internationally renowned lecturers and live interactive cases from cath labs in Europe, this course aims to take a new look at a key technology in the modern cath lab.



Dr Justin Davies

Dr Andrew Sharp is a Consultant Interventional Cardiologist at the Royal Devon and Exeter Hospital and Honorary Senior Lecturer at the University of Exeter in South West England. He trained in Edinburgh, London and Milan, and was awarded a research MD for his work on the hypertensive heart whilst at Imperial College. He is current departmental lead in Exeter for cardiac cath labs, hypertension and cardiac research

 He currently leads research studies in the areas of coronary physiology, pharmacological management of hypertension, renal denervation, intra-coronary imaging, complex PCI, aortic valve disease and pulmonary embolus.

Dr Javier Escaned

Prof Carlo Di Mario is currently Professor of Cardiology,
University of Florence and Director of the Structural
Interventional Cardiology Division of the University Hospital
Careggi, Florence, Italy. Previous posts included 15 years as
Professor of Clinical Cardiology at Imperial College of Sciences,
Medicine & Technology, London and Consultant Cardiologist at
the Royal Brompton Hospital. He also practiced at the San
Raffaele Hospital, Milan, Italy. He trained in Cardiology at the
University of Padova, Italy, but he soon moved for a more in-depth interventional trying at the Thoraxcentre of Rotterdam, the Netherlands, where he also completed a PhD in Intracoronary Ultrasound Imaging and Doppler. He maintains an active clinical involvement performing more than 200 PCI per year in the last 15 years in London with the special interest in the treatment of chronic total occlusions, bifurcations, calcified lesions and diffuse disease. He is a regular TAVI operator and certified implanter for the Medtronic Evolute R and Edwards Sapien 3 transcatheter aortic valves. He participated in more than 130 MitraClip implantations in London and in the last few months back in Italy has also started transcatheter mitral treatments with clips, valves and direct annuloplasty. Professor Di Mario pioneered the use of intracoronary Doppler, pressure measurement, ultrasound and optical coherence tomography. These techniques have become the gold standard for physiological assessment of lesion severity and have revolutionised the technique of stent implantation with the use of high pressure dilatation which led to the universal application of this method in interventional cardiology. He is now applying these intravascular techniques for the guidance of implantation of fully bioabsorbable stents and optimal stent apposition across bifurcations and in complex lesions. He has led or participated in studies and trials to improve the technical success of recanalisation of chronic total occlusion and demonstrate its clinical usefulness. He cooperated with Dr Davies to the validation of iFR to assess lesion severity and discriminate the contribution of individual lesions, and with Dr Lyon in the intracoronary delivery of SERCA-2 genes via adenoviral vectors in the CUPID2 trial. He was Principal Investigator of the CARESS in AMI trial, a large multicentre trial showing that patients who receive fibrinolytic therapy for ST-elevation myocardial infarction benefit from early angioplasty. This trial and a subsequent meta-analysis have led to a change in the European Society of Cardiology and AHA/ACC Guidelines for treatment of STEMI patients. He is the PI and main recruiter of the Disrupt-CAD study with coronary lithotripsy delivered via dedicated balloons, due to be reported at ACC March 2017.

Dr Sayan Sen

Dr Rasha Al-Lamee is an Interventional Cardiologist at Imperial College Healthcare NHS Trust in London, UK. Dr Al-Lamee’s research interests are complex coronary intervention, coronary physiology and invasive intravascular assessment. She is currently leading the ORBITA trial as part of a PhD programme under the supervision of Dr Justin Davies and Professor Darrel Francis. At Imperial College she is actively involved in the development and recruitment for a number of multi-centre clinical trials. Dr Al-Lamee has over 30 peer-reviewed publications and has presented at international Cardiology conferences worldwide throughout her clinical career. She studied at the University of Oxford and University College London. She went onto complete her training as a junior doctor on the Barts and the London Medical rotation before being appointed as a Specialist Registrar on the North West London Cardiology rotation in 2006. Dr Al-Lamee has eleven years of Cardiology experience and completed three years of Interventional Fellowship training at Hammersmith Hospital in London. She also spent one year training as an Interventional Fellow under the supervision of Professor Antonio Colombo in Milan. She completed specialist training in Cardiology in 2013.

Dr Rasha Al-Lamee

Prof Javier Escaned  is Consultant Interventional Cardiologist / Associate Professor and Head of Section, Cardiology Department, Hospital Clinico San Carlos (Madrid, Spain). He trained as a cardiologist the United Kingdom (Queen Elizabeth University Hospital, Birmingham and Walsgrave Hospital, Coventry) before moving to the Thoraxcenter / Rotterdam (The Netherlands), where he obtained his PhD degree in 1994. Author of more than 200 scientific articles, books and book chapters on different aspects of interventional cardiology, imaging and physiology, his latest contribution is the textbook “Coronary Stenosis. Imaging, Structure and Physiology”, co-edited with Patrick W Serruys. He is currently co-director or EuroPCR. Some of his additional interests are philosophy, education and music.

Dr Christopher Cook

Dr Robert Gerber is a Consultant Cardiologist at both Conquest Hospital Hastings and Eastbourne District General Hospital in East Sussex Healthcare NHS Trust (ESHT). He graduated from Guy's, King's and St Thomas' Medical School which is part of King's College London in 2000. He was one of a select few that undertook the MB/PhD programme after being awarded the University of London Carpenter prize for Physiology 1994 and subsequently graduated with both academic and clinical qualifications. He holds dual accreditation in Cardiology and General Internal Medicine on the GMC specialist register and was awarded Fellowship of the Royal College of Physicians in 2014. He is also a member of the British Hypertension Society (BHS), the British Cardiovascular Intervention Society (BCIS) and the European Association of Percutaneous Coronary Intervention (EAPCI). His sub-specialty training in Interventional Cardiology was at Imperial College London (Hammersmith and St Mary's Hospitals) and the San Raffaele Hospital and Columbus Hospital in Milan. He is involved in Research and Teaching and is Module leader for the MSc in Cardiology at Brighton and Sussex University (BSUH). He has published extensively on interventional cardiology and has several published peer reviewed manuscripts on IVUS guided stenting, antiplatelet therapy and the long-term outcomes of PCI in multivessel coronary artery disease and the influence of gender on PCI outcomes. He is also the ESHT Principal Investigator of several randomized clinical trials (Atlantic, Pegasus, TAO, Flair, Orbita and Odyssey Outcomes). He enjoys cycling, skiing and triathlon.

Dr John Davies

Dr Nieves Gonzalo was born in Madrid, Spain in 1976. In 2006 she got the degree of Cardiologist after her training in Clinico San Carlos University Hospital in Madrid. After finishing her specialization she moved to Rotterdam in The Netherlands for a research fellowship in the Thoraxcenter, Erasmus University with the team of Professor Patrick Serruys. There, she worked mainly in intracoronary imaging techniques and bioabsorbable stents. In 2010 she obtained her PhD with the thesis “Optical coherence tomography for the assessment of coronary atherosclerosis and vessel response after stent implantation”. Currently she works in the Interventional Cardiology Department at Clinico San Carlos University Hospital in Madrid.

Professor Carlo Do Mario

Prof Bon-kwon Koo is a professor in the Cardiology Division of Seoul National University College of Medicine, Seoul, Korea. Dr. Koo graduated Yonsei University, Seoul, Korea and was a visiting scholar at Stanford University previously and worked with Professor Peter J Fitzgerald and Professor William Fearon. Dr. Koo is an interventional cardiologist and his main research interest is imaging and physiology of coronary artery disease. Dr. Koo is a principal investigator of many domestic and international studies.  He has published more than 300 papers in major journals such as Lancet, JACC, Circulation and European Heart Journal as a 1st or corresponding author.  He is a course director of TCT-AP and a course co-director of ENCORE meeting and has been invited as faculty speaker for major cardiology meetings such as ACC, TCT, European bifurcation club, and Euro PCR. He has performed series of studies on bifurcation lesions and coronary physiology/imaging which provided important insights in this field. His recent researches on non-invasive hemodynamic assessment using coronary CT angiography and computational fluid dynamics enables the assessment of FFR without invasive procedures and has started a new chapter in the diagnosis of coronary artery disease. This innovation has now been expanded to non-invasive treatment planner and non-invasive assessment for the risk of ACS.

Dr Nicolas Foin

Prof Amir Lerman is a professor of medicine and a consultant in the cardiovascular division at the Mayo graduate school of Medicine. Prof Lerman serves as an associate chair and the director for research for the cardiovascular division and the director of the Mayo cardiovascular research center. Prof Lerman graduated from the Technion school of Medicine in Haifa Israel and completed his training in internal medicine, cardiovascular diseases and invasive cardiology at the Mayo Clinic. Prof Leman interest is, coronary physiology and imaging and innovation in cardiovascular disease as well as regenerative medicine.

Prof Lerman published more than 480 manuscripts, book chapters and reviews; the NIH, AHA, and several foundations support his research.

Dr Allen Jeremias, M.D., M.Sc.

Dr Akiko Maehara is the Director of the Intravascular Imaging Core Laboratory at the CRF Clinical Trials Center. She is also an Assistant Professor of Medicine at Columbia University College of Physicians and Surgeons in New York. She is a leading authority in the field of intravascular imaging and physiology.

Dr. Maehara received her medical degree from Yamaguchi University School of Medicine in Yamaguchi, Japan. She completed her clinical fellowship in the Toranomon Hospital in Tokyo, Japan, and a cardiovascular fellowship at the Cardiovascular Center in Toranomon Hospital, also in Tokyo. Dr. Maehara finished a research fellowship in cardiovascular interventions at Stanford University School of Medicine in Stanford, California, with an additional year of fellowship in the Cardiovascular Research Institute at the Washington Hospital Center in Washington, DC.

Dr Iqbal Malik

Dr Peter O’Kane qualified from Charing Cross and Westminster Medical School in 1995 and commenced specialty training in Cardiology as a research registrar at St Thomas’ Hospital in 1998. He was subsequently awarded an MD by the University of London for his Thesis on The Role of Nitric Oxide in Coronary Heart Disease. He trained in clinical cardiology on the South Thames NTN scheme working at Worthing Hospital, St Peter’s Hospital Chertsey, and St George’s Hospital London before completing a 2-year sub-specialization program in Interventional Cardiology at St Thomas’ supervised by Professor Simon Redwood. He was appointed as a Consultant Interventional Cardiologist at the Royal Bournemouth Hospital in July 2007.

This is currently the UK’s highest volume non-surgical PCI centre and he annually performs more than 450 PCI cases including participation in a 24 hour primary PCI service. The case mix is complex particularly amongst the many elderly patients who have multi-vessel coronary disease, which includes extensively calcified lesions, bifurcations including left main stem disease and chronic total occlusions.

He is committed to teaching and is a National Proctor for Rotational atherectomy and Optical Frequency Domain Imaging (OFDI), European proctor for Laser atherectomy and International proctor for the Axxess dedicated bifurcation stent and Absorb bioresorbable vascular scaffold implantation. He has trained Consultant colleagues from the UK, Europe, Asia and the US in these multiple adjunctive devices in PCI, intra-coronary imaging and for the implantation techniques and rationale for use of Axxess stents and Absorb scaffolds.

He has published over 35 manuscripts in the last decade including original work, international collaboration and case studies. He has authored 10 book chapters with many related to Laser atherectomy. He is regularly invited as faculty to National and International meetings as a presenter and live case operator. He is a local principal Investigator for a number of National and International multi-centre clinical trials and is dedicated to patient recruitment to studies, which ultimately determine best practice guidelines and improve clinical outcome. Within the Directorate of Cardiology he has led numerous quality improvement programs and has achieved local clinical excellence award level 5.

Dr Sukhjinder Nijjer

Juliet Nilsson is the Creative Director of Simple Education, the online cardiology educational platform aggregating content from key courses, global intuitions and leaders in the field of interventional cardiology. She received a Master’s in Art History with Honours from Edinburgh University before joining the Creative Development team at Lightyears, Stockholm in 1998. Juliet continued in creative development in Copenhagen for the trail blazing e-commerce bureau AHEAD, and then as International Creative Director for Caput Community Software Solutions. Following a role as Senior Consultant at Halcyon Gallery in London and Copenhagen, Juliet founded Vind & Våg Publishing House in 2013, a creative development agency. Juliet has published several books under her own imprint and is currently the founder & advisor to the Nordic Art Agency.

Dr Ricardo Petraco

Dr Sayan Sen is a Consultant Interventional Cardiologist and
NIHR Clinical Lecturer at Imperial College London. His research
interests are dedicated to improving patient care. As such, they
include the development and validation of new diagnostic tools,
determining how the design of comparative efficacy studies can
affect clinical use of competing therapies and the development
and application of tools that permit a more patient centered
approach to therapy. He studied Medicine at University College London (UCL), achieving a First Class (Honours) Bachelor of Science degree in Medical Sciences & Neuroscience in 2000 and graduated with distinction (Surgery) in his final MBBS Examinations in 2003. He trained as a junior doctor on the Hammersmith and UCL medical rotations prior to being appointed as a Cardiology Specialist Registrar in the North West London region in April 2006 and a NIHR clinical Lecturer in 2013. One of the themes of his research is to determine the need for potent vasodilators when assessing coronary stenosis severity. Working with Dr Justin Davies, Dr Sen’s PhD introduced and developed a new technique of stenosis evaluation (the instantaneous wave-free ratio, iFR). In addition to being the Principal Investigator of several first in man physiological studies, he was also the Medical Director of the DEFINE FLAIR trial – a global multi-centre randomized study that has recently demonstrated the non-inferiority of iFR to FFR for revascularisation decision-making in over 2500 patients.

Dr Fausto Rigo

Dr Ricardo Petraco  is a NIHR Lecturer in Cardiology at Imperial College London, with a research interest in coronary physiology and interventional cardiology. He is also a Cardiology Specialist Registrar and Interventional Fellow at the Imperial College NHS Trust. After graduating in Brazil, he undertook his cardiology training in leading UK centres, including the Royal Brompton Hospital, St Mary’s Hospital and, currently, Hammersmith Hospital. He has been working with the coronary physiology group at Imperial since 2010 on the development of the novel instantaneous wave-Free Ratio (iFR). Dr Petraco’s work with iFR has led to the proposition of the Hybrid iFR-FFR approach and has established iFR’s close relationship with coronary flow reserve (CFR). Throughout his career, he has secured many research grants - CNPq grant for scientific initiation in Brazil (twice, 2000 and 2001); Imperial College Charity grant (2010); British Heart Foundation CRTF grant (2011) and Academy of Medical Sciences lecturer grant (2016) – and has published extensively in the field of coronary physiology. His interests in computer programming has led to the development of a software for automated analysis of coronary haemodynamics signals which is been used by many leading centres in the world. He has also proposed an algorithm for iFR calculation without the need for an ECG signal. His current research interests are on the development of methodologies to assess stenosis severity in situations of haemodynamic instability and on the understanding of how medical therapies modulate coronary resistance and flow. 

Dr Ricardo Petraco

Dr Bruce Samuels is an interventional cardiologist on staff at Cedars-
Sinai Medical Center (CSMC) in Los Angeles, California. Dr. Samuels
completed his medical studies at Albert Einstein College of Medicine
in New York before returning to Southern California to complete his
residency and chief residency in Internal Medicine at Harbor-UCLA
Medical Center. At CSMC, he trained in both general and
interventional cardiology before joining the medical staff there. In
addition to his clinical practice in coronary intervention, Dr. Samuels
has actively participated in numerous interventional trials including IVUS guided therapy, functional measurement and microvascular disease. He is also working closely with the Women’s Heart Center based at CSMC, working as the lead interventionalist of the active coronary reactivity research there. As co-chair of a 30 day readmissions task force, he has helped to shape policy for CSMC in its efforts to improve quality delivery of care. He has frequently been invited as faculty to many scientific meetings and is a sought after speaker for numerous peer educational platforms. Dr. Samuels is a fellow of the American College of Cardiology and is Board Certified in Internal Medicine, Cardiovasular Diseases, and Interventional Cardiology. He is married with three sons; his outside interests include contemporary art and long distance running.

Dr Fausto Rigo

Prof Gerald Werner is a director of Cardiology & Intensive Care at Darmstadt Hospital in Germany. His previous position was a Deputy Director and Head of Cathlab at Friedrich-Schiller University of Jena. Prof Werner’s research is focused on interventional therapy of coronary artery disease (laser, intravascular ultrasound, CTOs. collateral physiology) and has more than 150 original papers published.

Prof Werner is Member of the German Society of Cardiology, the American Heart Association (Clinical Cardiology), Fellow of the European Society of Cardiology, Fellow of the American College of Cardiology, Fellow of the Society of Cardiovascular Angiography and Interventions. He was also a Co-Founder and President of the EuroCTO Club (2012-14).

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Moment Components

Welcome and introductions - Dr Andrew Sharp
What is IVUS? What evidence is there for clinical benefit? - Dr Bruce Samuels
Case examples that show how IVUS changes outcomes – ST/LMS/ISR/FMJ - Prof Carlo Di Mario
Normal anatomy and vessel landmarks - Dr Robert Gerber
Making measurements - Dr Ricardo Petraco
Common abnormalities: Calcium, Dissection, Thrombus - Dr Andrew Sharp
Live case transmission from Hammersmith Hospital – Syncvision case
Getting the most out of our Advances in Intravascular Imaging Courses: online-resources, and certification - Juliet Nilsson
Learning core IVUS skills – three cases illustrating the most important things a new IVUS user must be able to recognise - Prof Javier Escaned
How to choose and optimize your stent using IVUS – three examples of tailoring IVUS results to the vessel characteristics - Dr Akiko Maehara
Stent failures 1 – Identifying causes of stent thrombosis - Prof Bon Kwon-Koo
How I use IVUS in CTO procedures - Prof Gerald Werner
Cases where IVUS was the difference between success and failure - Prof Amir Lerman
How calcification affects PCI and how IVUS can help us - Dr Peter O'Kane
What is the main IVUS abnormality seen in these cases? Five short cases for review. - Dr Akiko Maehara
The practical aspects of running an IVUS programme – training, equipment and procedure volumes - Dr Nieves Gonzalo
Live case transmission from Clinico San Carlos, Madrid, Spain
Left main PCI – why use IVUS and how do we use the images and measurements provided? - Dr Nieves Gonzalo
When to use physiology and when to use imaging – case examples where one beats the other. - Prof Bon Kwon-Koo
Comparing IVUS and OCT – competitors, or complementary? - Prof Carlo Di Mario
Stent failures 2 – Identifying causes of restenosis - Dr Peter O'Kane
Intravascular imaging during procedures on sick patients – showboating, or potential saviour? - Dr Robert Gerber

Target Audience

Learning Objectives

We know that sometimes IVUS appears difficult to understand and look forward to making things Simple for you.


  • International faculty
  • Hands on experience (break-out sessions:
    • Assembling the kit
    • Making Measurements (iPad/computer)
    • Case practice with instructor support
  • Latest clinical evidence
  • Structured case-based lectures on identification of thrombus, dissection, malapposition and more
  • Live case demonstrations using IVUS co-registration

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