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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.
PROVISIONAL COURSE AGENDA (programme and speakers are subject to change)
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 - 13.15 | Intracoronary 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 |
17.00-17.15 | Myocardial bridging in patients with ischaemia: imaging and physiological interrogation Enrico Cerrato |
17.15-17.25 | Discussion |
17.25-17.30 | Summary of day 1 |
17:30 | Close of play |
08.30-08.35 | Introduction Javier Escaned, Justin Davies |
08.35-10.00 | Optimising 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 | |
10.00-10.15 | Coronary bifurcations: an update on diagnosis, PCI planning and guidance. Dejan Milasinovic |
10.15-10.30 | Ultra-low contrast PCI Billal Patel |
10.30-10.40 | Dynamic Coronary Roadmapping in complex PCI Breda Hennessey |
10.40-11.00 | Open discussion and questions from attendees |
11.00-12.00 | Live case transmission from Hospital Clinico San Carlos, Madrid Operators: Javier Escaned, Nieves Gonzalo Panelists: Justin Davies, Alfonso Jurado, Angela McInerney |
Complex PCI subsets II | |
12.00-12.15 | Use of laser atherectomy in complex PCI subsets Alfonso Jurado |
12.15-12.30 | Left main PCI: key aspects of PCI planning and guidance Maciej Lesiak |
12.30-12.45 | Use of imaging to plan and guide PCI in calcific stenoses Angela McInerney |
12.45-13.00 | Discussion |
13.00-15.00 | Break |
15.00-16.15 | Decision-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 |
16.15-16.30 | Summary of Day 1 and 2 Course Directors - Javier Escaned, Justin Davies |
16.30 | Close of play |
If you have any questions about the eCourse please contact our course manager:
Lenka Navratilova: aps@heart123.co.uk
FACULTY:
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.
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 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 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 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 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 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. |
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![]() 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. |
![]() 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. |
![]() 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. |
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![]() 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. |
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![]() 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. |
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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.
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.