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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

Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Honolulu : Wednesday, July 5th 2023 from 06am to 07am (GMT-10)
San Francisco : Wednesday, July 5th 2023 from 09am to 10am (GMT-7)
New York : Wednesday, July 5th 2023 from 12pm to 01pm (GMT-4)
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Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT)
London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+1)
Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+3)
Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+4)
Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+7)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+8)
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Left Main and Bifurcation treatment:

impact of clinical trials in daily practice

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Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
Honolulu : Monday, June 10th 2024 from 05am to 06am (GMT-10)
San Francisco : Monday, June 10th 2024 from 08am to 09am (GMT-7)
New York : Monday, June 10th 2024 from 11am to 12pm (GMT-4)
Buenos Aires : Monday, June 10th 2024 from 12pm to 01pm (GMT-3)
Reykjavik : Monday, June 10th 2024 from 03pm to 04pm (GMT)
London / Dublin : Monday, June 10th 2024 from 04pm to 05pm (GMT+1)
Paris / Berlin : Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
Istanbul : Monday, June 10th 2024 from 06pm to 07pm (GMT+3)
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Shanghai : Monday, June 10th 2024 from 11pm to 12am (GMT+8)
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Sydney : Tuesday, June 11th 2024 from 02am to 03am (GMT+11)
Wellington : Tuesday, June 11th 2024 from 04am to 05am (GMT+13)

L’OCT dans la resténose et thrombose de stent – il est temps d’allumer la lumière !

L'imagerie : un outil indispensable dans la gestion de l’échec du stent

Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
Honolulu : Monday, July 4th 2022 from 05am to 06am (GMT-10)
San Francisco : Monday, July 4th 2022 from 08am to 09am (GMT-7)
New York : Monday, July 4th 2022 from 11am to 12pm (GMT-4)
Buenos Aires : Monday, July 4th 2022 from 12pm to 01pm (GMT-3)
Reykjavik : Monday, July 4th 2022 from 03pm to 04pm (GMT)
London / Dublin : Monday, July 4th 2022 from 04pm to 05pm (GMT+1)
Paris / Berlin : Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
Istanbul : Monday, July 4th 2022 from 06pm to 07pm (GMT+3)
Moscou / Dubaï : Monday, July 4th 2022 from 07pm to 08pm (GMT+4)
Bangkok : Monday, July 4th 2022 from 10pm to 11pm (GMT+7)
Shanghai : Monday, July 4th 2022 from 11pm to 12am (GMT+8)
Tokyo : Tuesday, July 5th 2022 from 12am to 01am (GMT+9)
Sydney : Tuesday, July 5th 2022 from 02am to 03am (GMT+11)
Wellington : Tuesday, July 5th 2022 from 04am to 05am (GMT+13)

Comment optimiser le traitement des longues lésions calcifiées grâce à l’OCT ?

Live-in-a-box case, Angioplastie Coronaire guidée par l’OCT

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Tuesday, February 23rd 2021 from 06pm to 06:45pm (GMT+2)
Honolulu : Tuesday, February 23rd 2021 from 06am to 06:45am (GMT-10)
San Francisco : Tuesday, February 23rd 2021 from 08am to 08:45am (GMT-8)
New York : Tuesday, February 23rd 2021 from 11am to 11:45am (GMT-5)
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London / Dublin : Tuesday, February 23rd 2021 from 04pm to 04:45pm (GMT)
Paris / Berlin : Tuesday, February 23rd 2021 from 05pm to 05:45pm (GMT+1)
Istanbul : Tuesday, February 23rd 2021 from 06pm to 06:45pm (GMT+2)
Moscou / Dubaï : Tuesday, February 23rd 2021 from 08pm to 08:45pm (GMT+4)
Bangkok : Tuesday, February 23rd 2021 from 11pm to 11:45pm (GMT+7)
Shanghai : Wednesday, February 24th 2021 from 12am to 12:45am (GMT+8)
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Good Puncture Leads to a Good Closure - II

Optimizing Your Access Through Image Guidance

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Friday, February 12th 2021 from 12pm to 01:30pm (GMT+2)
Honolulu : Friday, February 12th 2021 from 12am to 01:30am (GMT-10)
San Francisco : Friday, February 12th 2021 from 02am to 03:30am (GMT-8)
New York : Friday, February 12th 2021 from 05am to 06:30am (GMT-5)
Buenos Aires : Friday, February 12th 2021 from 07am to 08:30am (GMT-3)
London / Dublin : Friday, February 12th 2021 from 10am to 11:30am (GMT)
Paris / Berlin : Friday, February 12th 2021 from 11am to 12:30pm (GMT+1)
Istanbul : Friday, February 12th 2021 from 12pm to 01:30pm (GMT+2)
Moscou / Dubaï : Friday, February 12th 2021 from 02pm to 03:30pm (GMT+4)
Bangkok : Friday, February 12th 2021 from 05pm to 06:30pm (GMT+7)
Shanghai : Friday, February 12th 2021 from 06pm to 07:30pm (GMT+8)
Tokyo : Friday, February 12th 2021 from 07pm to 08:30pm (GMT+9)
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How to Treat Complex Bifurcation Lesions

In Live Case and from the Bench

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Thursday, February 25th 2021 from 05:30pm to 06:45pm (GMT+2)
Honolulu : Thursday, February 25th 2021 from 05:30am to 06:45am (GMT-10)
San Francisco : Thursday, February 25th 2021 from 07:30am to 08:45am (GMT-8)
New York : Thursday, February 25th 2021 from 10:30am to 11:45am (GMT-5)
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London / Dublin : Thursday, February 25th 2021 from 03:30pm to 04:45pm (GMT)
Paris / Berlin : Thursday, February 25th 2021 from 04:30pm to 05:45pm (GMT+1)
Istanbul : Thursday, February 25th 2021 from 05:30pm to 06:45pm (GMT+2)
Moscou / Dubaï : Thursday, February 25th 2021 from 07:30pm to 08:45pm (GMT+4)
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Complex PCI via radial distal approach and a glimpse into the future

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Upcoming, Wednesday 26th April

A lesson of IVUS

Alex & Friends - Ep.4

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Tuesday, November 30th 2021 from 07pm to 08pm (GMT+2)
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London / Dublin : Tuesday, November 30th 2021 from 05pm to 06pm (GMT)
Paris / Berlin : Tuesday, November 30th 2021 from 06pm to 07pm (GMT+1)
Istanbul : Tuesday, November 30th 2021 from 07pm to 08pm (GMT+2)
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Bangkok : Wednesday, December 1st 2021 from 12am to 01am (GMT+7)
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Sydney : Wednesday, December 1st 2021 from 03am to 04am (GMT+10)
Wellington : Wednesday, December 1st 2021 from 05am to 06am (GMT+12)

The Role of Mechanical Circulatory Support in High-Risk PCI & in CTO PCI

Impella Case Club

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