Intracoronary Guidance in Complex PCI - eCourse

Welcome to the Intracoronary Guidance in Complex PCI Course.

Last year, the first two editions of the Intracoronary Guidance in Complex PCI were held in Madrid, bringing together experts from different continents to share, over two days, practical knowledge and expertise on how to address clinical or anatomical challenges in PCI. We keep a vivid memory of the very active discussions that took place over lectures and live cases, during the session breaks and at dinner; we enjoyed the time, being unaware of how fortunate were in engaging in face to face discussions. Of course, at that time we could not imagine that, one year later, large and small presential scientific events would be virtually non-existing due to the emergence of a large pandemic. 

Yet, like all of you over the last months, we have reinvented ourselves and looked for a new meeting format that would allow pursuing the same educational objectives of prior edition of this meeting. We are committed to explore how many important diagnostic and therapeutic tools available since recently can be best applied in the practice of complex PCI. Furthermore, in the spirit of the SYNTAX II trial, we are interested in exploring how to integrate these tools with best clinical practices into a holistic approach to coronary revascularisation. 

As it will be discussed in the course, in the aftermath of the ISCHEMIA trial it is quite likely that, as a result of case selection, the risk profile of patients undergoing coronary revascularisation will increase. For that reason, this edition of our meeting will pay particular attention to the management of patients with complex anatomical and clinical characteristics

You will see that we are privileged to have a distinguished faculty in this two-day program; all of whom are engaged in cutting-edge research in the field of intravascular imaging and coronary physiology in addition to being expert PCI operators.

The program takes advantage of the opportunities generated by online communication. To facilitate engagement and active participation of all participants,  the program includes as much time for discussion after talks as the time given for the talks themselves. We are prepared to field your questions; if you prefer to wait until the end of the talk, please do so, otherwise, just submit your questions through the dedicated chat. Chances are if you have a question about something so will several other people in the audience.

The course will be largely based on live learning from live and recorder cases, linked to the meeting room with cutting edge technology which will facilitate discussion and interaction with all attendees. We will be delighted to bring live and recorded cases demonstrations from St Francis Hospital, Roslyn / New York and 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.

The simpleeducation.co website provides a huge resource of key course material, your attendance certificate, live case demonstrations, information on the latest studies and clinical trials. All of this will be housed within your own customised educational passport.

Finally, on behalf of the entire faculty team, we would like to thank you for taking the time to attend the course. We hope you find the course informative and stimulating, leaving you prepared to implement the latest contemporary intracoronary guidance techniques in your catheter laboratory. We wish you a very pleasant and fruitful virtual attendance to our course in Madrid.


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

Monday 5th October 2020

09.00-09.05

Welcome and introductions
Javier Escaned, Justin Davies


09.05-09.30
Complex PCI in the aftermath of the ISCHEMIA trial
Round table discussion

Justin Davies, Javier Escaned, Angela McInerney, José María de la Torre 


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: Javier Escaned
Discussants: Justin Davies, Angela McInerney, José María de la Torre



Evolving approaches to intracoronary guidance in complex PCI
11.00-11.15
Contemporary use of physiology for PCI planning and guidance
Presentation wall  
Carlo Di Mario


11.15-11.30
Contemporary use of imaging for PCI planning and guidance
Presentation wall 
José María de la Torre


11.30-12.00
Open discussion and questions from attendees / Physiology and imaging
Justin Davies, Javier Escaned, Nieves Gonzalo, José María de la Torre 


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: Angela McInerney
Discussants: Javier Escaned, Justin Davies, José María de la Torre


13.00-15.00
Break



Complex anatomical subsets (I)
15.00-15.15
Intracoronary diagnostics in multivessel disease PCI
Presentation wall
Ajay Kirtane 


15.15-15.30
Imaging techniques in CTO revascularisation
Presentation wall  
Farouc Jaffer


15.30-17.00Live case from St Francis Hospital / Long Island (USA)
Operators: Richard Shlofmitz, Allen Jeremias
Panelists: Javier Escaned, Nieves Gonzalo


17.00-17.15
Contemporary aspects of PCI in heavily calcified vessels
Presentation wall  
Javier Escaned


17.15-17.20Course Directors - Javier Escaned, Justin Davies


17:20Close of play



Tuesday 6th October 2020

08.30-08.35
Introduction
Javier Escaned, Justin Davies


08.35-10.00Diagnosis and management of patients with INOCA: a crash-course
Chairmen: Nigel Jepson, Justin Davies

Introduction  - Nigel Jepson
Does coronary microcirculatory dysfunction matter? - Niels van Royen
What causes ischaemia in non-obstructive coronary artery disease?  - Javier Escaned 
Stratified approach to treatment in INOCA - Divaka Perera
Assessing INOCA in the catheterisation laboratory: practical aspects - Hernán Mejía-Rentería
Interactive discussion
Wrap-up


10.00-11.30Decision-making and problem solving in complex PCI: interactive case-based learning #3
Based on a recorded case from Hospital Clinico San Carlos, Madrid 
Case presenter: Nieves Gonzalo 
Discussants: Salvatore Brugaletta, Armando Pérez de Prado, Javier Escaned



Complex anatomical subsets (II)
11.30-11.45Coronary bifurcations: an update on diagnosis, PCI planning and guidance
Presentation wall  
Goran Stankovic


11.45-12.00Left main stenosis: an update on indications, PCI planning and guidance
Presentation wall  
Salvatore Brugaletta


12.00-13.30
Live case transmission from Hospital Clínico San Carlos, Madrid
Operators: Javier Escaned / Nieves Gonzalo
Discussants: Salvatore Brugaletta, Armando Pérez de Prado, Javier Escaned


13.30-15.00Break


15.00-15.15Ultra-low contrast PCI: indication, skills and dedicated technologies
Presentation wall  
Breda Hennessey 


15.15-15.30Secondary revascularisation after failed PCI or CABG
Presentation wall  
Nieves Gonzalo 


15.30-15.45Assessment of functional results of coronary revascularisation
Presentation wall  
Allen Jeremias 


15.45-16.15
Open discussion and questions from attendees


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 





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