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Introduction

L'équipe de l'HEGP vous donne rendez-vous pour débattre de la stratégie de revascularisation autour de case-in box !

En 1977, A. Grüntzig lance la 1ère révolution du traitement interventionnel de la maladie coronarienne avec l'angioplastie par ballon (plain old balloon angioplasty). Cette POBA présente cependant plusieurs limites : le recoil, la resténose et surtout un risque d'occlusion aiguë par dissection. Et c’est initialement pour traiter cette complication liée à la dissection que va débuter la 2ème révolution de l’angioplastie : l’avènement du stenting, pour traiter en première intention tout type de lésion, chez tout type de patient. Cependant le stenting aura induit une complication propre, la thrombose de stent, augmentant d’autant le risque ischémique du patient.

Le ballon actif, utilisé depuis 2014 pour le traitement de la resténose intrastent, va progressivement s’ouvrir au traitement des lésions de novo, notamment dans les vaisseaux de petit calibre, validé par l’étude BASKET-SMALL 2.Les concepts de « leave nothing behind », de « stentless strategy », font alors leur apparition.
Cette stratégie de revascularisation sans stenting (No Stent Strategy, NSS) peut être privilégiée afin de faciliter la prise en charge pharmacologique de certains patients, ou de simplifier la revascularisation de certaines lésions dites complexes.

Au programme de cette session digitale

  • Introduction
  • Case-in-box 1 : Quand les stents vous compliquent la vie, Un choix discutable
  • Case-in-box 2 : Être actif, mais au ballon !
  • Case-in-box 3 : Après le ballon, savoir rebondir
  • Case-in-box 4 : Avant le tout ballon, passons par l’hybride
  • Back to the future : études en cours
  • Questions et réponses
  • Take home message

Objectifs d'apprentissage

Lors de cette session et à travers des discussions autours de case-in-box l’équipe de l’HEGP aura comme objectif de répondre aux différentes questions :

  • Quelles sont les dernières données sur l’utilisation du ballon actif dans les lésions de novo?
  • Quelles lésions ou quels patients pouvons-nous traiter avec le ballon actif ?
  • Comment bien préparer la lésion dans l’objectif d’utiliser le ballon actif & bien évaluer les résultats angiographiques ?
  • Quels types de dissection faut-il stenter ?

 

Shooting date : 2022-10-06
Last update : 2022-10-07

Suggestions

Tuesday, April 23rd 2024 from 05pm to 06:15pm (GMT+2)
Honolulu : Tuesday, April 23rd 2024 from 05am to 06:15am (GMT-10)
San Francisco : Tuesday, April 23rd 2024 from 08am to 09:15am (GMT-7)
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Istanbul : Tuesday, April 23rd 2024 from 06pm to 07:15pm (GMT+3)
Moscou / Dubaï : Tuesday, April 23rd 2024 from 07pm to 08:15pm (GMT+4)
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Sydney : Wednesday, April 24th 2024 from 02am to 03:15am (GMT+11)
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Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
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San Francisco : Wednesday, October 4th 2023 from 09am to 09:45am (GMT-7)
New York : Wednesday, October 4th 2023 from 12pm to 12:45pm (GMT-4)
Buenos Aires : Wednesday, October 4th 2023 from 01pm to 01:45pm (GMT-3)
Reykjavik : Wednesday, October 4th 2023 from 04pm to 04:45pm (GMT)
London / Dublin : Wednesday, October 4th 2023 from 05pm to 05:45pm (GMT+1)
Paris / Berlin : Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
Istanbul : Wednesday, October 4th 2023 from 07pm to 07:45pm (GMT+3)
Moscou / Dubaï : Wednesday, October 4th 2023 from 08pm to 08:45pm (GMT+4)
Bangkok : Wednesday, October 4th 2023 from 11pm to 11:45pm (GMT+7)
Shanghai : Thursday, October 5th 2023 from 12am to 12:45am (GMT+8)
Tokyo : Thursday, October 5th 2023 from 01am to 01:45am (GMT+9)
Sydney : Thursday, October 5th 2023 from 03am to 03:45am (GMT+11)
Wellington : Thursday, October 5th 2023 from 05am to 05:45am (GMT+13)

Guides de 1ère intention :

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Tuesday, June 21st 2022 from 06pm to 07pm (GMT+2)
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Reykjavik : Tuesday, June 21st 2022 from 04pm to 05pm (GMT)
London / Dublin : Tuesday, June 21st 2022 from 05pm to 06pm (GMT+1)
Paris / Berlin : Tuesday, June 21st 2022 from 06pm to 07pm (GMT+2)
Istanbul : Tuesday, June 21st 2022 from 07pm to 08pm (GMT+3)
Moscou / Dubaï : Tuesday, June 21st 2022 from 08pm to 09pm (GMT+4)
Bangkok : Tuesday, June 21st 2022 from 11pm to 12am (GMT+7)
Shanghai : Wednesday, June 22nd 2022 from 12am to 01am (GMT+8)
Tokyo : Wednesday, June 22nd 2022 from 01am to 02am (GMT+9)
Sydney : Wednesday, June 22nd 2022 from 03am to 04am (GMT+11)
Wellington : Wednesday, June 22nd 2022 from 05am to 06am (GMT+13)

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Tuesday, July 12th 2022 from 06pm to 07:30pm (GMT+2)
Honolulu : Tuesday, July 12th 2022 from 06am to 07:30am (GMT-10)
San Francisco : Tuesday, July 12th 2022 from 09am to 10:30am (GMT-7)
New York : Tuesday, July 12th 2022 from 12pm to 01:30pm (GMT-4)
Buenos Aires : Tuesday, July 12th 2022 from 01pm to 02:30pm (GMT-3)
Reykjavik : Tuesday, July 12th 2022 from 04pm to 05:30pm (GMT)
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Paris / Berlin : Tuesday, July 12th 2022 from 06pm to 07:30pm (GMT+2)
Istanbul : Tuesday, July 12th 2022 from 07pm to 08:30pm (GMT+3)
Moscou / Dubaï : Tuesday, July 12th 2022 from 08pm to 09:30pm (GMT+4)
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Shanghai : Wednesday, July 13th 2022 from 12am to 01:30am (GMT+8)
Tokyo : Wednesday, July 13th 2022 from 01am to 02:30am (GMT+9)
Sydney : Wednesday, July 13th 2022 from 03am to 04:30am (GMT+11)
Wellington : Wednesday, July 13th 2022 from 05am to 06:30am (GMT+13)

Mechanical circulatory support with CP Axillary access and surgical 5.5

Impella Case Club

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Monday, September 26th 2022 from 05pm to 07pm (GMT+2)
Honolulu : Monday, September 26th 2022 from 05am to 07am (GMT-10)
San Francisco : Monday, September 26th 2022 from 08am to 10am (GMT-7)
New York : Monday, September 26th 2022 from 11am to 01pm (GMT-4)
Buenos Aires : Monday, September 26th 2022 from 12pm to 02pm (GMT-3)
Reykjavik : Monday, September 26th 2022 from 03pm to 05pm (GMT)
London / Dublin : Monday, September 26th 2022 from 04pm to 06pm (GMT+1)
Paris / Berlin : Monday, September 26th 2022 from 05pm to 07pm (GMT+2)
Istanbul : Monday, September 26th 2022 from 06pm to 08pm (GMT+3)
Moscou / Dubaï : Monday, September 26th 2022 from 07pm to 09pm (GMT+4)
Bangkok : Monday, September 26th 2022 from 10pm to 12am (GMT+7)
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30 Years of Transradial Access:

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Thursday, April 29th 2021 from 12pm to 01:20pm (GMT+2)
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New York : Thursday, April 29th 2021 from 06am to 07:20am (GMT-4)
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Reykjavik : Thursday, April 29th 2021 from 10am to 11:20am (GMT)
London / Dublin : Thursday, April 29th 2021 from 11am to 12:20pm (GMT+1)
Paris / Berlin : Thursday, April 29th 2021 from 12pm to 01:20pm (GMT+2)
Istanbul : Thursday, April 29th 2021 from 01pm to 02:20pm (GMT+3)
Moscou / Dubaï : Thursday, April 29th 2021 from 02pm to 03:20pm (GMT+4)
Bangkok : Thursday, April 29th 2021 from 05pm to 06:20pm (GMT+7)
Shanghai : Thursday, April 29th 2021 from 06pm to 07:20pm (GMT+8)
Tokyo : Thursday, April 29th 2021 from 07pm to 08:20pm (GMT+9)
Sydney : Thursday, April 29th 2021 from 09pm to 10:20pm (GMT+11)
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Treating STEMI with confidence: A case-based expert discussion

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Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+2)
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Istanbul : Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+2)
Moscou / Dubaï : Wednesday, November 23rd 2022 from 07pm to 08pm (GMT+4)
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Shanghai : Wednesday, November 23rd 2022 from 11pm to 12am (GMT+8)
Tokyo : Thursday, November 24th 2022 from 12am to 01am (GMT+9)
Sydney : Thursday, November 24th 2022 from 01am to 02am (GMT+10)
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UNCAGE coronaries - Episode 3 : UNCAGE chronic total occlusions

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Thursday, September 16th 2021 from 05pm to 06pm (GMT+2)
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London / Dublin : Thursday, September 16th 2021 from 04pm to 05pm (GMT+1)
Paris / Berlin : Thursday, September 16th 2021 from 05pm to 06pm (GMT+2)
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