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Description
Date : July 2016
Honolulu : Friday, July 8th 2016 from 12:30am to 02am (GMT-10)
San Francisco : Friday, July 8th 2016 from 03:30am to 05am (GMT-7)
New York : Friday, July 8th 2016 from 06:30am to 08am (GMT-4)
Buenos Aires : Friday, July 8th 2016 from 07:30am to 09am (GMT-3)
Reykjavik : Friday, July 8th 2016 from 10:30am to 12pm (GMT)
London / Dublin : Friday, July 8th 2016 from 11:30am to 01pm (GMT+1)
Paris / Berlin : Friday, July 8th 2016 from 12:30pm to 02pm (GMT+2)
Istanbul : Friday, July 8th 2016 from 01:30pm to 03pm (GMT+3)
Moscou / Dubaï : Friday, July 8th 2016 from 02:30pm to 04pm (GMT+4)
Bangkok : Friday, July 8th 2016 from 05:30pm to 07pm (GMT+7)
Shanghai : Friday, July 8th 2016 from 06:30pm to 08pm (GMT+8)
Tokyo : Friday, July 8th 2016 from 07:30pm to 09pm (GMT+9)
Sydney : Friday, July 8th 2016 from 09:30pm to 11pm (GMT+11)
Wellington : Friday, July 8th 2016 from 11:30pm to 01am (GMT+13)
Last update : 2017-02-02
Language(s) : English

Program (GMT +2)

...
12:30 Introduction
  Clinical case presentation - strategy

Program (GMT +2)

12:30 Introduction
  Clinical case presentation - strategy
  Live case starting
  Choice of material : Specifications & benefits 
  Clinical results review about evolution of PCI in complex patients
  Live case conclusion
  Q&A session with experts
14:00 Take home messages and conclusion

Clinical case presentation

  • 79 year old female patient
  • No significant past medical history
  • Presented with stable angina
  • Myocardial perfusion imaging revealed a large anterior perfusion defect
  • EF : 60%
  • Coronary angiography : severe LMS trifurcation lesion /additional severe stenoses prox LAD/D1 bifurcation and OM2.

Case strategy

  • Syntax I score : 28
  • Syntax II score :
    - PCI : 37.9 (PCI 4-yr mortality 12.8%)
    - CABG : 34.5 (PCI 4 yr mortality 9.7%)
    Recommendation : CABG or PCI
  • Patient preferred PCI option, Heart team in agreement
  • Planned PCI strategy
    - Pre-intervention IVUS evaluation of LAD lesion and LMS trifurcation
    - PCI of LAD and LCx lesions
    - PCI of LMS trifurcation lesion (provisional or 2-stent technique)
    - IVUS to evaluate/optimise the PCI result

Case diagnostic image

Educational objectives

  • Improve coronary angioplasty knowledge (techniques and approach strategies)
  • Step-by-step treatment of complex left main trifurcation lesion (single vs double stent strategy / stent design and sizing in LMS PCI)
  • Discuss the choice of a material for specific patients (short DAPT, early healing) and specific lesions (calcified, left main, bifurcation...) in your practice
  • The role of intracoronary imaging modalities in guiding and optimising the PCI result
  • Compare techniques and approach strategies of different experts

Audience

This web symposium is dedicated to interventional cardiologists interested and/or specialized in coronary angioplasty.
A prerequisite for attendees is an initial knowledge and practice of angioplasty.

Linked playlists (2)
Comments(2)
Join the Discussion
  • HORE D.

    EXCELLENT CASE , DONE WITH EVIDENCE BASE , AVOIDED LCX OSTIAL STENT

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    • Umar S. Excellent work

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