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

Registration and lunch

Welcome and introduction
Nigel Jepson

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

14.00-14.20Coronary Physiology - Clinical Update
Nigel Jepson

The Foundations of Coronary Physiology
Ravinay Bhindi

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

Coffee break

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

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

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

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

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

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


  • Room 3: Co-Registration (practice and



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

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

Low contrast use in complex PCI
Sidney Lo

Management of non-obstructive coronary disease
Javier Escaned

Tackling LMS disease using IVUS
James Sapontis

15.10-15.30Coffee break

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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