Intracoronary Guidance in Complex PCI in Madrid, eCourse, 26 - 27th October 2020

Course
26th-27th October 2020, 2-day course live streamed from Madrid

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Overview

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Intracoronary Guidance in Complex PCI is the premier international eCourse bringing together experts from different continents to share knowledge and expertise on how to address clinical or anatomical challenges in PCI.

The course is largely based on live learning from live and recorder cases from Hospital Clinico San Carlos, Madrid, Spain to showcase the planning of PCI procedures and, subsequently, the use of diagnostic and therapeutic tools during the intervention.

We hope you find the course informative and stimulating, leaving you prepared to implement the latest contemporary intracoronary guidance techniques in your catheter laboratory. 

 

Featuring

PROVISIONAL COURSE AGENDA (programme and speakers are subject to change)

Monday 26th October 2020 (CET - Madrid time)

09.00-09.10

Welcome and introductions
Javier Escaned, Justin Davies


09.10-09.30
Spotlight Discussion: Management of multivessel disease in patients with acute coronary syndromes
Panelists: Justin Davies, Javier Escaned, Breda Hennessey, Enrique Gutierrez, Natalia Pinilla


09.30-11.00
Decision-making and problem solving in complex PCI: interactive case-based learning #1
Based on a recorded case from Hospital Clinico San Carlos, Madrid  
Case presenter: Nieves Gonzalo
Discussants: Breda Hennesey, Enrique Gutierrez, Javier Escaned, Ashok Seth
Questions / comments from attendees: Justin Davies



Evolving approaches to intracoronary guidance in complex PCI
11.00-11.15
Contemporary use of physiology for PCI planning and guidance
Christopher Cook


11.15-11.30
Contemporary use of imaging for PCI planning and guidance
Takayuki Warisawa


11.30-12.00
Open discussion and questions from attendees / Physiology and imaging
Panelists: Javier Escaned, Justin Davies


12.00-13.00
Decision-making and problem solving in complex PCI: interactive case-based learning #2
Based on a recorded case from Hospital Clinico San Carlos, Madrid 
Case presenter: Pablo Salinas
Discussants: Nieves Gonzalo, Javier Escaned, Justin Davies, Farrel Hellig 
Questions / comments from attendees: Justin Davies


13.00 - 13.15Intracoronary imaging in CTO revascularisation
Javier Escaned


13.15-15.00
Break


15.00-16.45
Diagnosis and management of patients with INOCA
Chairmen: Amir Lerman, Javier Escaned and Justin Davies

Introduction – Amir Lerman
Does coronary microcirculatory dysfunction matter? - Vijay Kunadian 
What causes ischaemia in non-obstructive coronary artery disease? - Javier Escaned 
Non-invasive approaches to assessment of INOCA – Suzette Elias-Smale
How to set acetylcholine testing in the cath lab? - Hernan Mejía-Rentería 
Stratified approach to treatment in INOCA – Enrique Gutierrez 
Interactive discussion
Wrap-up



Other non-atherosclerotic causes of myocardial ischaemia
16.45-17.00
Diagnosis and management of spontaneous coronary artery dissection
Fernando Macaya 


17.00-17.15Myocardial bridging in patients with ischaemia: imaging and physiological interrogation
Enrico Cerrato 


17.15-17.25
Discussion


17.25-17.30Summary of day 1


17:30Close of play



Tuesday 27th October 2020

08.30-08.35
Introduction
Javier Escaned, Justin Davies


08.35-10.00Optimising percutaneous interventions to treat angina 
Chairmen: Javier Escaned/Justin Davies/Gianluca Campo

Introduction – Gianluca Campo
Why PCI is currently a suboptimal treatment for angina? - Javier Escaned
Residual obstructive disease: Justin Davies
Microvascular dysfunction: Tim van de Hoef 
Management of non-revascularizable obstructive disease using coronary sinus narrowing: Tommaso Gori 
Interactive discussion
Wrap-up



Complex PCI subsets I
Chairmen: Justin Davies/Nigel Jepson
10.00-10.15Coronary bifurcations: an update on diagnosis, PCI planning and guidance.
Dejan Milasinovic 


10.15-10.30Ultra-low contrast PCI
Billal Patel


10.30-10.40Dynamic Coronary Roadmapping in complex PCI
Breda Hennessey 


10.40-11.00
Open discussion and questions from attendees


11.00-12.00Live case transmission from Hospital Clinico San Carlos, Madrid  
Operators: Javier Escaned, Nieves Gonzalo
Panelists: Justin Davies, Alfonso Jurado, Angela McInerney



Complex PCI subsets II
12.00-12.15Use of laser atherectomy in complex PCI subsets
Alfonso Jurado 


12.15-12.30Left main PCI: key aspects of PCI planning and guidance
Maciej Lesiak


12.30-12.45Use of imaging to plan and guide PCI in calcific stenoses
Angela McInerney


12.45-13.00Discussion


13.00-15.00Break


15.00-16.15Decision-making and problem solving in complex PCI: interactive case-based learning
Based on a recorded from Hospital Clínico San Carlos, Madrid 
Case presenter: Javier Escaned 
Discussants: Justin Davies, Nieves Gonzalo, Angela McInerney, Alfonso Jurado




16.15-16.30Summary of Day 1 and 2
Course Directors - Javier Escaned, Justin Davies


16.30Close of play


If you have any questions about the eCourse please contact our course manager:

Lenka Navratilova: aps@heart123.co.uk 


FACULTY:

Dr Justin Davies

Prof Javier Escaned is Head of Interventional Cardiology Section at Hospital Clinico San Carlos (Madrid, Spain). He trained as a cardiologist the United Kingdom before moving to the Thoraxcenter / Rotterdam (The Netherlands), where he obtained his PhD degree in 1994. A skilled interventionalist with over 30 years of experience, he regularly serves as live case operator and educationalist in global events like EuroPCR, TCT or the ESC Congress. He is author of over 400 PubMed indexed scientific articles (h-index 67) on topics that include complex PCI in multivessel disease (principal investigator of SYNTAX II study), left main and chronic total occlusions, and secondary revascularization. His track record in coronary physiology includes being investigator on pivotal FFR trials like DEFER (1998), collaborator with Justin Davies in the validation and clinical implementation of iFR (since 2010), and developer of new methods for the assessment of microvascular and non-obstructive coronary disease. Recent / ongoing trials as Co-PI include ADVISE, ADVISE II, DEFINE FLAIR and ABSORB II PHYSIOLOGY, being investigator also in ILUMIEN I and IV, COMBINE and other studies on coronary imaging. He is currently Deputy Editor for Interventional Cardiology of the European Heart Journal, as well as editor of two large textbooks: “Coronary Stenosis.
Imaging, Structure and Physiology”, (co-editor Patrick Serruys) and “Physiological Assessment of Coronary Stenoses and the Microcirculation) (co-editor Justin Davies). Current or recent board positions in scientific societies include EuroPCR, EAPCI, EuroCTO and the ESC Working Group of Coronary Pathophysiology and Microcirculation. Some of his additional interests are philosophy, education and music.




Dr Javier EscanedDr Justin Davies is a consultant 
interventional cardiologist at Hammersmith Hospital, Imperial College NHS Trust, London. After training at Imperial
College, he won a prestigious BHF research fellowship to study arterial haemodynamics. Since then he has continued to
work on the development of mathematical algorithms to aid 
understanding of large artery physiology and to develop new
tools to assess arterial disease. The holder of several patents,
he has published widely in the field of hypertension, coronary and large artery physiology and is the winner of many national and international awards. He has several international collaborations, and is the developer of iFR and the co-principal investigator of the ADVISE studies, the DEFINE-FLAIR, ORBITA and DEFINE-PCI studies. Justin also has an interest in renal denervation, and has lead the first-in-man studies to evaluate the safety of this technique to patients with chronic systolic heart failure (REACH studies). 




Dr Sayan Sen

Prof Gianluca Campo is Associate Professor of the School of Cardiology of the University of Ferrara, and he is Head of Interventional Cardiology Section at the University Hospital of Ferrara (Ferrara, Italy). Prof Gianluca Campo is a skilled interventionalist with over 15 years of experience. He is author of over 200 PubMed indexed scientific articles (h-index 39) on topics that include complex PCI, ST-segment elevation myocardial infarction, reperfusion injury, intracoronary physiology. He participated as PI in many randomized clinical trials including PRODIGY, STRATEGY, MULTISTRATEGY, XIENCE 28, EXCEL, FAME II, FAVOR II and III trials. Gianluca Campo is the chairman of the ongoing FIRE trial.




Dr Rasha Al-Lamee

Dr Enrico Cerrato is Consultant Interventional Cardiologist at San Luigi Gonzaga University Hospital and Rivoli Hospital, in Turin, Italy. He completed his training as cardiologist in the Molinette University Hospital (Turin, Italy) and, subsequently, a fellowship in interventional Cardiology at Hospital Clinico San Carlos, Madrid. He is actually completing his PhD program at Universidad Complutense, Madrid. Dr Cerrato has an important track record in the use of meta-analysis as a research tool, an statistical approach he trained under the supervision of Prof. Biondi-Zoccai. Dr Cerrato is one of the founder of CardioGroup (www.cardiogroup.org), a research network that has generated multiple studies on left main PCI, intracoronary physiology, imaging techniques and spontaneous coronary dissection, among many other topics. Dr Cerrato was involved in studies encompassing the use of physiology in complex PCI setting as in left main disease, multiple vessel disease and in the setting of acute coronary syndrome and he is currently co-principal investigator in the PREDICT study which investigates the protective effect of ticagrelor against periprocedural microvascular damage in patients with diabetes.




Dr Christopher Cook

Dr Christopher Cook is a Medical Research Council Clinical Fellow at Imperial College London, undertaking a PhD in coronary physiology under the supervision of Dr Justin Davies. 

He studied Medicine at University College London (UCL) and graduated with Distinction (Clinical Medicine and Clinical Sciences) in his final MBBS Examinations in 2009. He achieved a First Class (Honours) Bachelor of Science degree in Physiology undertaking a period of research at The Hatter Cardiovascular Institute. He was awarded ‘The Dean’s List’ for outstanding performance in the Faculty of Life Sciences. In total he was awarded 17 prizes including the prestigious Gold Medal Medicine (proxime accessit). In 2014, he was awarded the Imperial Valve and Cardiovascular Course Young Investigator Prize. In 2015 he was awarded the inaugural EuroPCR’s Got Talent Award. In 2017 he was elected onto the EuroPCR Clinical Programme Committee.




Dr Nicolas Foin

Dr Suzette Elias-Smale, MD, PhD is a cardiologist and clinical epidemiologist. She is specialized in cardiovascular imaging and cardiovascular diseases in women. In 2015 she set up an outpatient clinic for patients with INOCA (ischemia and no obstructive coronary arteries). Her aim is to improve diagnosis and treatment of angina due to coronary vasomotor dysfunction by doing clinical studies on new diagnostic tools and treatment strategies. She thereby uses her skills as imaging cardiologist and clinical epidemiologist. In 2016 she received the status of junior Principal Clinician, rewarding her innovative healthcare strategies. As president of the gender working group of the Dutch Society of Cardiology (NVVC), Suzette is active in the implementation of knowledge on gender differences in cardiovascular disease in the Netherlands. She is also a member of the global COVADIS (Coronary Vasomotor Disorders) working group.

 



Dr Sukhjinder Nijjer

Dr Nieves Gonzalo is Consultant Interventional Cardiologist at the Interventional Cardiology Department at Clinico San Carlos University Hospital in Madrid. She obtained her Specialist Certification in Cardiology after training at Clinico San Carlos University Hospital in Madrid. Subsequently, she underwent a research fellowship at Thoraxcenter, Erasmus University Rotterdam (The Netherlands) under the supervision of Professor Patrick Serruys, focused mainly in intracoronary imaging 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”. Her track record includes over 170 articles indexed in PubMed, as well as book chapters in Interventional Cardiology textbooks. Recent research projects as principal investigator includes a study about the assessment of neoatherosclerosis and its clinical impact in patients with restenosis (RIBS IV and V OCT substudy) and research regarding vessel injury and healing evaluation with different stent platforms evaluated with OCT (VISTA study). Dr Gonzalo is a dedicated educationalist with involvement in many areas of complex PCI, serving currently as Programme Committee Member of EuroPCR.




Dr Ricardo Petraco

Dr Enrique Gutiérrez is an Interventional Cardiologist at Hospital Gregorio Marañón, Madrid. After specializing in Cardiology in Zaragoza, he became an interventional cardiologist, and since 2008 he is a Consultant at Gregorio Marañón. He visited Mayo Clinic under the direction of Prof. Amir Lerman, and subsequently started focusing on coronary physiology, with a special interest in microvascular and endothelial function. He has published papers con coronary physiology assessment and the physiology of the non-culprit artery, and is the lead investigator in the Spanish multicenter registry of acetylcholine test ENDOCOR. He is a member of the ESC working group on Coronary Pathophysiology and Microcirculation, and co-chair of the working group for intracoronary diagnosis of the Spanish Association of Interventional Cardiology.




Dr Sukhjinder NijjerProf Tommaso Gori is Professor for translational vascular medicine at the University Medical Center of Mainz, Germany where he also leads the Cardiac Catheterization Laboratory and the Clinical Study Center. He obtained his title of Dottore in Medicina e Chirurgia (MD equivalent) from the University of Siena, Italy, and his PhD from the University of Toronto, Canada. He has worked in Siena, Italy, Toronto, Canada and Mainz, Germany. Dr Gori was winner of 19 international awards, among which the American Heart Association – S.A. Levine Young Investigator Award and the Young Investigator Award of the American College of Cardiology, both in the year 2001. Dr Gori has authored 300 peer-reviewed papers in the fields of endothelial (dys)function, mechanisms of action and effects of organic nitrates, physiology of the coronary circulation, oxidative stress, ischemic preconditioning, microcirculation and hemorheology and interventional cardiology (h-index 38). Dr Gori´s areas of clinical expertise include structural, peripheral and coronary interventions and imaging modalities.




Dr Ricardo Petraco Prof Farrel Hellig is the Cathlab Director at Sunninghill Hospital (Johannesburg, South Africa) and Hon Professor of Cardiology at the University of Cape Town. He is involved in both the coronary and structural cardiac fields as well as peripheral interventions. Sunninghill Hospital is a referral centre for complex medical problems. In the coronary arena, his main interests are: complex multivessel disease, left main intervention, rotational atherectomy and chronic total occlusion. He has been active in the field of coronary physiology and imaging. He has many educational roles, including: director of Africa PCR, numerous presentations and live case transmissions to multiple international congresses and is a proctor for many different procedures. He has numerous publications, editorials and book chapters, and is on the editorial board of Eurointervention journal. In his spare time he plays saxophone, collects wine, cooks, and builds and flys model aircraft.


Dr Sukhjinder Nijjer Dr Breda Hennessey is an interventional cardiology fellow at Hospital Clínico San Carlos.
She Graduated from the Third Faculty of Medicine in Charles University in Prague. Following this ,she returned to Ireland in 2011. She completed her Internal Medicine training in 2014 and General Cardiology training in 2019 through the Royal College of Physicians in Ireland. She was awarded the Brian McGovern Scholarship by the Irish Cardiac Society in 2019 and commenced her clinical and research fellowship at Hospital Clínico San Carlos last November. She Is currently working as an assistant PI in the ongoing DCR4 contrast study, a multicentred prospective randomised study, investigating the impact of new technologies in reducing contrast burden in complex PCI . She is also involved with the complex PCI subset, including the CTO programme at Hospital Clínico San Carlos.


Dr Sukhjinder NijjerProf Nigel Jepson is Director of the Cardiac Catheterization Laboratories at the Eastern Heart Clinic and Director of the Clinical Trials Unit at the Prince of Wales Public Hospital in Sydney, Australia. He holds the position of Conjoint Professor at the University of New South Wales. Associate Professor Jepson trained in Tasmania and completed clinical and cardiac interventional training at Harefield Hospital in London and the Eastern Heart Clinic in Sydney. He is a high volume interventionalist, practicing over the last 20 years with a specific interest in bifurcation and
left main-stem disease, new stent technology and intra- coronary imaging. He has performed more than 10,000 coronary procedures and heads a transcatheter aortic
valve replacement program. Associate Professor Jepson
is a regular invited speaker, faculty member and live-case operator for interventional forums and meetings in USA, Europe, Asia and Australasia (including EuroPCR, TCTAP, C3, AICT, ANZET, Nanjing CBS, Malaysia Live, SCAI and the European Bifurcation Club). He is an author or co-author of more than 80 published papers and principal investigator on 30 major international, multicentre trials.


Dr Sukhjinder NijjerDr Alfonso Jurado-Román is currently Interventional cardiologist at La Paz University Hospital (Madrid). He was graduated in Medicine from the Complutense University of Madrid (Extraordinary Award and Scholarship for academic excellence from the Community of Madrid) and did his training in Cardiology and Interventional Cardiology at University Hospital 12 de Octubre (Madrid). He achieved his PhD degree in Myocardial Infarction at 2015 from the Complutense University of Madrid. He has developed great interest in cardiomyopathies, with training at the Heart Hospital in London and working as research collaborator at University Hospital 12 de Octubre. He has been professor of Cardiology during seven years and professor of statistics during 2 years. He has been the Cardiology Trainee Program Tutor while his period at the University General Hospital of Ciudad Real.
He is author of 85 Scientific publications in international journals and 185 book chapters. Currently his main interest in interventional cardiology are Complex PCI, including chronic total occlusions and calcified lesions, and intracoronary imaging and Physiology. He is currently coordinating these areas at University Hospital La Paz and is the principal investigator of several studies in this field as Roller Coaster Trial (Rotational Atherectomy, Lithotripsy or laser in calcified lesions) and LUDICO study (Coronary laser at undilatable and uncrossable lesions). He is member of EuroCTO club an also of Euro4C. In addition, he is member of the European Association of Percutaneous coronary interventions (EAPCI), member of the ESC working group on Myocardial and pericardial diseases and member of the ESC working group on Acute cardiac care. He has also coursed a Master in Clinical Management, Medical and Assistance Management and a Master in Current Approach to Structural Heart Disease.



Dr Sukhjinder NijjerDr Vijay Kunadian is an academic consultant interventional cardiologist based at Newcastle University and Freeman Hospital, Newcastle upon Tyne, UK. She completed all her training in the North East of England, UK. She undertook advanced academic fellowship with TIMI study group, Harvard Medical School/Brigham and Women’s Hospital, Boston MA. She is UK Chief Investigator in many clinical trials including the BHF SENIOR RITA trial, TWILIGHT trial, Xience Short DAPT trial, PACIFIC AMI trial, ICON1 study, APPLE COPD trial with major grant awards including from the British Heart Foundation with >125 publications. She has held the following roles within ESC/EAPCI: Co-Chair/board member of the Scientific Documents and Initiatives Committee of the EAPCI; Member of ESC Regulatory Affairs Committee; Member of the EAPCI Women’s Committee and Young Committee; Steering Committee member of the Research and Development Committee of the British Cardiovascular Intervention Society (BCIS). She is Associate Editor in many journals including Heart BMJ, Circulation Interventions, European Heart Journal Digital Health, Advances in Interventional Cardiology, Journal of Interventional Cardiology, Eurointervention Social Media Editorial Board, and PCROnline Editorial Board. She was instrumental with the successful introduction of the various UK National Institute for Health Research (NIHR) Clinical Academic Training Fellowship Programmes in the North East of England and recruitment of highly talented academic cardiology trainees in her role as academic lead. She was finalist in the prestigious international The Thomas J Linnemeier Spirit of Interventional Cardiology Young Investigator Award. She was awarded Winner of the UK Times and the Sunday Times We Are The City Rising Star Award (Top 5 Women in Healthcare Category) for 2018. In 2019, she was rated by UK NICOR to have "Better than expected survival (at 2 standard deviation level), 30 days following PCI" for her patients with PCI case volume twice the national average for an academic interventional cardiologist. She has been chosen by the British Heart Foundation as their panel member for the Bias and Biology Campaign addressing the disparity of care among female patients with heart disease. She has campaigned on the national media including the BBC (local national and international), ITV and newspapers to improve the care of patients with heart disease. She is one of 14 commissioners worldwide chosen to be on the Lancet Commission to reduce the global burden of heart disease in women. Her many personal interests outside of work include hiking, gardening, cooking, singing, photography.


Dr Sukhjinder NijjerProf 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 600 manuscripts, book chapters and reviews; the NIH, AHA, and several foundations support his research.


Dr Sukhjinder NijjerProf Maciej Lesiak is Head of the 1st Department of Cardiology in Poznan Medical University and a cardiology consultant in Greater Poland province. He obtained medical diploma at the Medical Academy in Poznan (currently the Medical University) and at this university he gained further academic degrees and promotions. He received his doctorate in 1995 defending the work entitled Structure of the sinus node in healthy persons and patients with supraventricular rhythm disorders. His specialization is internal diseases and cardiology.In 2001, he was a member of the team of Poznan cardiologists who prepared the first program for the invasive treatment of acute myocardial infarction in Greater Poland province.  In 2007, he became Associate Professor based on the assessment of scientific achievements and dissertation titled “Primary coronary angioplasty in the treatment of acute phase of myocardial infarction. Early and long-term observation of 988 consecutive patients treated as part of the Greater Poland Province Program”. Prof Lesiak became a Professor of medical sciences in 2016.
Prof Lesiak has been a member of the Board of the Working Group for Invasive Cardiology of The Polish Cardiac Society since 2001, and its president in years 2009 - 2011; Member of European Society of Cardiology since 2002, and a EuroPCR Program Committee Member since 2009. He is also an associate editor of the Polish Heart Journal.
Prof Lesiak has published over 140 original publications in magazines such as European Heart Journal, JACC, JACC Cardiovascular Interventions, American Heart Journal, etc.



Dr Sukhjinder NijjerDr Angela McInerney is an Interventional Cardiology Fellow in Hospital Clínico San Carlos. Her specialist interests are in intracoronary imaging, intracoronary physiology, calcium modification techniques and complex PCI.  She underwent her medical training at the National University of Ireland, Galway and graduated in 2011. She undertook her internal medicine training between Galway University Hospital, Merlin Park Hospital and also trained for six months in internal medicine in the Mayo Clinic Rochester, Minnesota. She did her general cardiology training in Ireland working in Beaumont Hospital, St Vincents University Hospital and Cork University Hospital. She was awarded the Brian McGovern Travelling Fellowship grant from the Irish Board for Cardiology Training in 2018 which allowed her to start her interventional fellowship in Hospital Clínico San Carlos. She has been keenly involved in various research projects pertaining to intracoronary physiology and intravascular imaging having authored and co-authored a number of research articles as well as review articles and book chapters.  Angela regularly partakes in the preparation and delivery of educational courses in Clínico San Carlos and values the educational aspect of her role. She plans to complete her coronary interventional fellowship before completing a structural intervention fellowship also within Hospital Clínico San Carlos for which she has received a European Cardiology Society grant.


Dr Sukhjinder NijjerDr Fernando Macaya Ten is a Consutant in Interventional Cardiology working at Hospital Clínico San Carlos, Madrid, Spain. He underwent specialty training in Cardiology in Palma de Mallorca in Hospital Universitari Son Espases, main centre from the Balearic Islands of the Mediterranean sea. From 2016 to 2019 he completed a research clinical fellowship in interventional cardiology at both Hospital Clínico, Madrid, and King´s College Hospital, London. He has done research based on coronary physiology and spontaneous coronary dissection. He is author of over 30 papers and reviewer of high-impact cardiology journals.


Dr Sukhjinder NijjerDr Hernán Mejía-Rentería is Interventional Cardiologist at Hospital Clinico San Carlos (Madrid, Spain). He graduated from the Medical School of Universidad del Valle (Colombia) and underwent specialty training in Cardiology from 2010 to 2015 at Hospital Clinico San Carlos, Madrid, Spain. Subsequently, he completed his subspecialty training as Interventional Fellow in 2017 at the same institution.  Main areas of research include functional imaging and physiological assessment of coronary circulation. He has published numerous articles on coronary physiology, intracoronary imaging, and served as Deputy Editor in the recent textbook “Physiological Assessment of Coronary Stenoses and the Microcirculation) published by Springer.   His main research interests are focused on coronary artery disease, physiology and imaging. Dr Mejía-Rentería played a key role in the design and implementation of the ongoing Coronary-Cerebral Connection (C3) study and will make the defense of his PhD thesis at the Universidad Complutense de Madrid in 2019.


Dr Sukhjinder NijjerDr Dejan Milasinovic is an interventional cardiologist at the Department of Cardiology, Clinical Center of Serbia. He is also an Assistant Professor at Faculty of Medicine, University of Belgrade. His main research interests focus in the fields of the invasive treatment of acute coronary syndromes and complex coronary interventions, with an emphasis on bifurcation PCI and intracoronary guidance. In 2016, Dr. Milasinovic received the EuroPCR 2016 Best Abstract award, for a work on the timing of invasive coronary intervention in patients with non-ST-segment elevation myocardial infarction. He is a member of European Association of Percutaneous Cardiovascular Interventions (EAPCI) and has served as program committee member of the annual EuroPCR conference. Dr. Milasinovic also serves on the editorial boards of EuroIntervention (editorial consultant) and PCRonline, and is the Cahir of the Young EAPCI/PCR Journal Club at www.pcronline.com.


Dr Sukhjinder NijjerDr Billal Patel is a consultant cardiologist with specialist interest in percutaneous coronary intervention. He qualified at Liverpool University 1998 and most of his basic and higher medical training was in the north west. His specialist training in coronary intervention was at Liverpool Heart and Chest Hospital. Dr Patel has a PhD in coronary microvascular function. He has worked as a consultant in the Morecambe bay area and has been appointed as a full time consultant in Lancashire Cardiac Centre. Dr Patel has an interest in intra coronary imaging and intra-coronary physiology and complex PCI.


Dr Sukhjinder NijjerDr Natalia Pinilla-Echeverri is originally from Colombia and received her MD from Universidad de Caldas in Manizales, Caldas, Colombia. She moved to Spain to complete training in Internal Medicine and Cardiology and then moved to Canada to complete an Interventional Cardiology, non-invasive Cardiac Computed Tomography Angiography imaging and advanced Intracoronary Imaging fellowship at McMaster University, Hamilton, Canada. She also obtained a master’s degree in Health Research Methodology and participates in Acute Coronary Syndrome research at the Population Health Research Institute. She is an Assistant Professor at the Department of Medicine Division of Cardiology at McMaster University and currently an Interventional Cardiology Staff at Hamilton Health Sciences and Niagara Health. She is passionate about intracoronary imaging, and always enthusiastic to be involved in educational session to spread this knowledge internationally.


Dr Sukhjinder NijjerDr Pablo Salinas is Interventional Cardiologist at Hospital Clínico San Carlos in Madrid, Spain. He studied Medicine at Universidad Complutense in Madrid, Spain and was trained in Cardiology and Interventional Cardiology at Hospital La Paz in Madrid, Spain. In 2015 he obtained his PhD degree (cum laude) at the Universidad Autonoma in Madrid. He has developed his professional career in the field of interventional cardiology for over 10 years, and is a skilled operator in complex coronary intervention, chronic occlusions, and stroke prevention therapies such as foramen ovale closure and appendage closure, with regular participation in educational events and live cases. During his research career he has 80+ PubMed indexed publications and is currently the PI of three multicenter studies SUGAR Trial (NCT03321032), REVASEC Registry (NCT03349385), and TROMPA Registry. Also he has been researcher in several investigator initiated, competitive funding research (PI16 / 00840, PIE16 / 00043, PI15 / 00742).


Dr Sukhjinder NijjerDr Ashok Seth is Chairman of Fortis Escorts Heart Institute, New Delhi and Adjunct Professor of Cardiology at JN Medical College (Aligarh Muslim University) and National Board of Examinations. Dr Seth has led the field of Interventional Cardiology for last 30-years and has contributed extensively to the development, scientific progress and education in this field and pioneered numerous angioplasty techniques for India and Asia Pacific. Dr Seth has been awarded by the National Honour of Padma Shri in 2003, Padma Bhushan in 2015 and ‘B.C.Roy National Award’ for the most ‘Eminent Medical Person’ by the President of India in January 2017. He has also been awarded the National Honour of Republic of Spain “Crus Officer with Insignia Order of Isabella the Catholic”, Master Interventionalist (MSCAI) by the Society for Cardiovascular Angiography & Interventions (USA) in addition to 85 other national and international awards.
Dr Seth has been honoured by Doctorates from six prestigious national universities – BHU, AMU, Jamia Millia Islamia, Amity, Shiv Nadar and Teerthankar Mahavir University. He has been conferred ‘Adjunct Professorship of Cardiology’ of J N Medical College, Aligarh Muslim University and the National Board of Examinations.
He is Founder/Course Director of five major National & International Teaching Courses - India Live, India Valves, CHIP-CTO India, AICT-AsiaPCR and Imaging & Physiology Council of India. He is also Associate Director of TCT Scientific Sessions (USA) and Program Committee Member of EuroPCR.
Dr Seth has been invited to lecture at more than 400 national & international meetings and to teach complex angioplasty techniques through Live Demonstration at more than 100 national & international meetings around the world.
He has more than 350-publications to his credit in peer reviewed Indian and International medical journals and has chapters in 30-books on Cardiology and has been the Editor of 3-books.
He is an acclaimed teacher and has trained more than 500-cardiologists of India and abroad in advanced techniques of angioplasty.


Dr Sukhjinder NijjerDr Tim van de Hoef is an interventional cardiology fellow at the Amsterdam UMC - VU Medical Center (Amsterdam, The Netherlands). He has been involved in intracoronary physiology research since 2010, and his research has covered the wide spectrum of intracoronary physiology assessed by means of invasive coronary pressure and flow measurements, ranging from functional stenosis severity appraisal to assessment of microvascular function in both stable coronary artery disease and acute coronary syndromes. He obtained a PhD (Cum Laude) in invasive coronary physiology in 2015. He has (co-)authored over 90 papers on the topic of coronary physiology, and his recent research has focused on the use of basal conditions for the assessment of epicardial stenosis severity, and the combined assessment of epicardial and microvascular disease to optimize diagnosis and risk-stratification in ischemic heart disease.


Dr Sukhjinder NijjerDr Takayuki Warisawa is a Consultant Interventional Cardiologist at St. Marianna University School of Medicine Yokohama City Seibu Hospital in Japan. After graduating with honours from the prestigious University of Tokyo, he concentrated on clinical work, especially in the field of cardiology, emergency medicine, and intensive care. He trained as an interventional cardiologist for five years at New Tokyo Hospital, which is renowned for high-level interventional cardiology and clinical research. There, he developed skill and insight for complex PCI procedure. He had also taken the role of the Director of Emergency Medicine. While working as an expert clinician, he performed many clinical studies focused on the invasive and non-invasive coronary physiology including iFR/FFR, IMR/CFR, Scintigraphy and Perfusion CMR. Many of the studies have been published in international journals and a selection have been awarded at the Japanese scientific congress. Dr Warisawa is very focused and enthusiastic about invasive coronary physiology and is currently collaborating with Dr Justin Davies on several clinical studies, as well as working as a main operator at his cathlab.


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Moment Components

Spotlight Discussion: Management of multivessel disease in patients with acute coronary syndromes - Prof Javier Escaned, Dr Justin Davies, Dr Breda Hennessey, Dr Natalia Pinilla-Echeverri, Dr Enrique Gutierrez
Decision-making and problem solving in complex PCI: interactive case-based learning #1 - Prof Javier Escaned, Dr Justin Davies, Dr Nieves Gonzalo, Dr Ashok Seth
Evolving approaches to intracoronary guidance in complex PCI - Dr Christopher Cook, Dr Takayuki Warisawa, Prof Javier Escaned, Dr Justin Davies
Decision-making and problem solving in complex PCI: interactive case-based learning #2 - Dr Pablo salinas, Prof Javier Escaned, Dr Justin Davies, Prof Farrell Hellig
Intracoronary imaging in CTO revascularisation - Prof Javier Escaned
Diagnosis and management of patients with INOCA: a crash-course - Prof Amir Lerman, Prof Javier Escaned, Dr Vijay Kunadian, Dr Hernan Mejia-Renteria, Dr Suzette Elias-Smale, Dr Enrique Gutierez, Dr Justin Davies
Myocardial bridging in patients with ischaemia: imaging and physiological interrogation - Dr Enrico Cerrato
Diagnosis and management of spontaneous coronary artery dissection - Dr Fernando Macaya
Discussion: Other non-atherosclerotic causes of myocardial ischaemia - Dr Nieves Gonzalo, Dr Enrico Cerrato, Dr Justin Davies, Prof Javier Escaned
Optimising percutaneous interventions to treat angina - Prof Gianluca Campo, Prof Tommaso Gori, Dr Tim van de Hoef, Prof Javier Escaned, Dr Justin Davies
Complex PCI subsets I - Dr Dejan Milasinovic, Dr Billal Patel, Dr Breda Hennessey
Live case transmission from Hospital Clinico San Carlos, Madrid - Prof Javier Escaned, Dr Nieves Gonzalo
Use of laser atherectomy in complex PCI subsets - Dr Alfonso Jurado
Use of imaging to plan and guide PCI in calcific stenoses - Dr Angela McInerney
Decision-making and problem solving in complex PCI: interactive case-based learning #3 - Prof Javier Escaned, Dr Nieves Gonzalo, Dr Alfonso Jurado, Dr Angela McInerney

Target Audience

This essential guide is an educational activity intended for an international audience, specifically interventional cardiologists and cardiologists. However, other healthcare professionals involved in the care of coronary artery disease (CAD) patients will also find this topical. 

Learning Objectives

Intracoronary Guidance in Complex PCI provides all you need to know to understand how to implement intracoronary guidance using physiology and imaging into complex PCI cases.

  • Understanding the background of coronary physiology and IVUS imaging
  • Understanding how intracoronary guidance can aid complex PCI decision-making
  • Learn about the guidelines for appropriate use and reimbursement
  • Learn how to use co-registration in daily practice to simplify treatment and improve patient care
  • Case discussion sessions
  • Live case demonstration

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