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:
Enhance an understanding of the latest clinical data in guiding optimal contemporary interventional cardiology practice, with a focus on the Syntax II Strategy.
Demonstrate the value of the inclusion of IVUS in routine clinical practice to improve both the acute procedural, and long term clinical outcomes.
Highlight the benefit of resting index, iFR, and the combined use of angiographic co-registration to optimize PCI strategy and clinical outcomes in the assessment of tandem lesions.
PROVISIONAL COURSE AGENDA (programme and speakers are subject to change)
| 12.30-13.30 | Registration and lunch |
| 13.30-13.40 | Welcome and introduction Nigel Jepson |
| 13.40-14.00 | Paradigm shift in Contemporary PCI practice - from Syntax I to Syntax II Javier Escaned |
| 14.00-14.20 | Coronary 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 |
| 17.15-17.30 | Close of Day 1 |
| 18:30 | Walk to restaurant for group dinner |
| 08.00-9.00 | Consumables hands-on session :
Preparation and Setup Nick Collins |
| 09.00-10.00 | Live Case: Complex PCI with Intravascular Imaging and Physiology Co-Registration •Discussion on live case |
| 10.00-10.20 | Should we be treating a number ? Moving from vessel level ischaemia to stenosis level assessment Andrew Sharp |
| 10.20-10.40 | Principles 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 |
| 11.00-11.15 | Coffee break |
| 11.15-11.35 | Are we leaving patients with incomplete revascularisation ? DEFINE PCI Ravinay Bhindi |
| 11.35-12.30 | Hands-on Sessions :
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| 12.30-13.30 | Lunch |
| 13.30-13.50 | SYNTAX II - Lessons learned from 2 year data Virag Kushwaha |
| 13.50-14.10 | How 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 |
| 15.10-15.30 | Coffee break |
| 15.30-16.15 | Cases that changed my Practice Andrew Sharp, Javier Escaned, Nigel Jepson |
| 16.15-16.30 | Close of the meeting |
If you have any questions about the course please contact our course manager:
Jason Bertovic: Jason.bertovic@philips.com