Optimising Outcomes in Complex PCI

Percutaneous coronary revascularisation (PCI) has been established for more than 40 years, but, in dynamic fashion the therapy continues to undergo major evolution and transformation. With refinement of tools and techniques, there has been a corresponding and dramatic increase in the complexity of clinical and anatomical subsets seen in real-world PCI practice. However, whilst technical advances have contributed to improved short and long-term patient outcomes, including intracoronary imaging and physiology, these newer tools are frequently not adopted or fully integrated into contemporay clinical practice. 

This is at least partly because the results of clinical trials in isolation fail to illustrate the practical benefits and advantages of using these newer approaches. Once streamlined in routine Catheterisation Laboratory workflow however, these techniques enhance assessment of coronary artery disease significance, have a decisive and positive impact on our procedural decision making and clinical outcomes and finally allow benchmarking of PCI results. Furthermore, recent advances in this context such as the introduction of iFR for hyperaemia-free physiological assessment and the merging of coronary physiology and imaging brought by angiographic co-registration, are not fully understood by many members of the interventional community.

An online teaching resource, the Simple Education application, will give you access to video content from the talks, in addition to a raft of other online educational and learning resources which continue your learning experience and connect you with the interventional community after the course finishes.

This course will combine focused lectures, open discussion, case demonstrations and facilitate peer-to- peer exchange of knowledge to:


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

Friday 1st November 2019

12.30-13.30
Registration and lunch


13.30-13.40
Welcome and introduction
Nigel Jepson


13.40-14.40
Paradigm shift in Contemporary PCI practice - from Syntax I to Syntax II
Javier Escaned


14.00-14.20Coronary Physiology - Clinical Update
Nigel Jepson


14.20-14.40
The Foundations of Coronary Physiology
Ravinay Bhindi


14.40-15.00
Understanding discrepancies and synergies between iFR and FFR including the discordance of Resting Indices
Aniket Puri


15.00-15.15
Coffee break


15.15-16.15
Live Case: Complex PCI with Intravascular Imaging and Physiology Co-Registration
•Discussion on live case


16.15-16.35
IVUS Image Interpretation simplified and how to perform good IVUS measurements
James Sapontis


16.35-16.55
Integrating best practices in the cath lab - Evidence base for IVUS
Dougal McClean


16.55-17.15
How I use IVUS in real world practice
Andrew Sharp


17.15-17.30Close of Day 1
18:30Walk to restaurant for group dinner



Saturday 2nd November 2019

08.00-9.00Consumables hands-on session :
  • IVUS Catheter ( Digital and Mechanical)

  • Preparation and Setup

    Nick Collins

  • Pressure Wire Preparation and Setup

    Andrew Sharp


09.00-10.00
Live Case: Complex PCI with Intravascular Imaging and Physiology Co-Registration •Discussion on live case


10.00-10.20Should we be treating a number ? Moving from vessel level ischaemia to stenosis level assessment
Andrew Sharp


10.20-10.40Principles of angiographic co-registration with iFR and IVUS
Javier Escaned


10.40-11.00
How to perfrom iFR and FFR - Tips and Tricks
Nigel Jepson


11.00-11.15Coffee break


11.15-11.35Are we leaving patients with incomplete revascularisation ? DEFINE PCI
Ravinay Bhindi


11.35-12.30Hands-on Sessions :
  • Room 1: IVUS (making good

    measurements and stent planning)

  • Room 2: Physiology (data

    interpretation)

  • Room 3: Co-Registration (practice and

    interpretation)



12.30-13.30Lunch 


13.30-13.50SYNTAX II - Lessons learned from 2 year data
Viral Kushwaha


13.50-14.10How to plan revascularisation decision making with co-registration. Interactive case-based session.
Andrew Sharp


14.10-14.30
Low contrast use in complex PCI
Sidney Lo


14.30-14.50
Management of non-obstructive coronary disease
Javier Escaned


14.50-15.10
Tackling LMS disease using IVUS
James Sapontis


15.10-15.30Coffee break


15.30-16.15
Cases that changed my Practice
Andrew Sharp, Javier Escaned, Nigel Jepson


16.15-16.30Close of the meeting


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

Jason Bertovic: Jason.bertovic@philips.com



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