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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

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Wednesday, February 2nd 2022 from 12:30pm to 02pm (GMT+2)
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San Francisco : Wednesday, February 2nd 2022 from 02:30am to 04am (GMT-8)
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Moscou / Dubaï : Tuesday, June 21st 2022 from 08pm to 09pm (GMT+4)
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Thursday, June 23rd 2022 from 05pm to 06pm (GMT+2)
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Paris / Berlin : Thursday, June 23rd 2022 from 05pm to 06pm (GMT+2)
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Moscou / Dubaï : Thursday, June 23rd 2022 from 07pm to 08pm (GMT+4)
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Thursday, January 28th 2021 from 06pm to 07:30pm (GMT+2)
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London / Dublin : Thursday, January 28th 2021 from 04pm to 05:30pm (GMT)
Paris / Berlin : Thursday, January 28th 2021 from 05pm to 06:30pm (GMT+1)
Istanbul : Thursday, January 28th 2021 from 06pm to 07:30pm (GMT+2)
Moscou / Dubaï : Thursday, January 28th 2021 from 08pm to 09:30pm (GMT+4)
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Shanghai : Friday, January 29th 2021 from 12am to 01:30am (GMT+8)
Tokyo : Friday, January 29th 2021 from 01am to 02:30am (GMT+9)
Sydney : Friday, January 29th 2021 from 02am to 03:30am (GMT+10)
Wellington : Friday, January 29th 2021 from 04am to 05:30am (GMT+12)

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Tuesday, October 4th 2022 from 05pm to 06:15pm (GMT+2)
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New York : Tuesday, October 4th 2022 from 11am to 12:15pm (GMT-4)
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Reykjavik : Tuesday, October 4th 2022 from 03pm to 04:15pm (GMT)
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Pourquoi le diagnostic des anomalies ou dysfonctions microcirculatoires est important

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Tuesday, October 26th 2021 from 08:30am to 10am (GMT+2)
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New York : Tuesday, October 26th 2021 from 02:30am to 04am (GMT-4)
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Reykjavik : Tuesday, October 26th 2021 from 06:30am to 08am (GMT)
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Paris / Berlin : Tuesday, October 26th 2021 from 08:30am to 10am (GMT+2)
Istanbul : Tuesday, October 26th 2021 from 09:30am to 11am (GMT+3)
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Sydney : Tuesday, October 26th 2021 from 05:30pm to 07pm (GMT+11)
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Thursday, June 25th 2020 from 05pm to 06:30pm (GMT+2)
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Tokyo : Friday, June 26th 2020 from 12am to 01:30am (GMT+9)
Sydney : Friday, June 26th 2020 from 02am to 03:30am (GMT+11)
Wellington : Friday, June 26th 2020 from 04am to 05:30am (GMT+13)

Approaching Complex CTOs via radial access

Day 2

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