Approach to LMS & Choosing Stent Strategy
4 Sessions
Welcome and Introductions - Professor James Spratt and Dr Thierry Lefèvre (Duration 3 min 8 sec) |
Now Playing |
Introduction to LM PCI Series - Professor James Spratt (Duration: 5 min 30 sec) |
|
Clinical Data Overview - Dr Thierry Lefèvre (Duration: 6 min 59 sec) |
|
Live Case from The Royal Victoria Hospital, Belfast (Duration: 23 min 28 sec) |
4 Sessions
Welcome and Introduction to Live Case 3 (Duration 1 min 42 sec) |
|
Practical Tips to Choose Bifurcation Stent Strategy - Dr Alaide Chieffo (Duration: 9 min 46 sec) |
|
Complete Revascularization in MVD- Current Evidence - Dr Barbara Stähli (Duration: 5 min 29 sec) |
Now Playing |
Live Case from Clinique Saint Augustin (Duration: 46 min 35 sec) |
From: Clinique Saint Augustin, Bordeaux, France
The third live case was focused on choosing stent strategy for left main bifurcations and features a broadcast from Clinique Saint Augustin in Bordeaux with Dr Oliver Darremont and Dr Nicolas Boudou. The patient had what appeared to be a very tight distal LMS trifurcation. Guidance of High Definition IVUS and the provisional approach resulted in a single stent from LCX to LM. Operators appreciated the extra strength and dedicated design of Synergy Megatron.
Additional Live Cases
Live Case 1
The Process behind the procedure
From: Clinique Saint Augustin, Bordeaux, France
Brought to you live from The Royal Victoria Hospital, Dr Simon Walsh tackles a surgical turn down Left Main due to COVID restrictions on surgery.
Learning objectives
- Left main anatomy and disease distribution
- LM disease prognosis and latest treatment consensus
- Contextual algorithms
Faculty

Dr Simon Walsh – Operator
Royal Victoria Hospital, Belfast, Ireland

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France
Live Case 2
Role of IVUS
From: Mater Private Hospital, Dublin, Ireland
Learning objectives
- Evidence base for IVUS
- Image interpretation
- Quality measures
Faculty

Dr Colm Hanratty – Operator
Mater Private Hospital, Dublin, Ireland

Prof Robert Byrne – Operator
Mater Private Hospital, Dublin, Ireland

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Joost Daemen – Panelist
Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands

Dr Jose de la Torre – Panelist
University Hospital Marques de Valdecilla, Santander, Spain
Live Case 4
Lesion Preparation
From: Humanitas Research Hospital, Milan, Italy
Learning objectives
- How to assess lesion preparation
- Defining the need for calcium modification
- Explaining the threshold for rotablation
Faculty

Dr Bernard Reimers – Operator
Humanitas Research Hospital, Milan, Italy

Dr Gabriele Luigi Gasparini – Operator
Humanitas Research Hospital, Milan, Italy

Dr Damiano Regazzoli Lancini – VUS Commentator
Humanitas Research Hospital, Milan, Italy

Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

Dr Margaret McEntegart – Panelist
NHS Golden Jubillee Hospital, Glasgow, Scotland

Dr Claudia Cosgrove – Panelist
St George’s Hospital, London, UK
Live Case 5
Provisional LM Stenting (Single Stent)
From: Sahlgrenska Hospital, Sweden
Learning objectives
- When to use a provisional strategy
- How to manage the side branch in a Provisional Stenting Approach
- How to convert to a 2 stent strategy
Faculty

Dr Jacob Odenstedt – Operator
Sahlgrenska Hospital, Sweden

Dr Sebastian Völz – Operator
Sahlgrenska Hospital, Sweden

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Alaide Chieffo – Panelist
San Raffaele Hospital, Milan, Italy

Michelle Hannon – Panelist
Boston Scientific – Research and Development Engineer
Live Case 7
DK Crush
From: Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland
Learning objectives
- The evidence base for DK Crush
- How to do a DK Crush
- The role of imaging in optimizing a DK Crush
- Reference to bench test models
Faculty

Prof Maciej Lesiak – Operator
Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland

Dr Sylwia Iwanczyk – Operator
Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland

Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

Dr Nieves Gonzalo – Panelist
Clinico San Carlos University Hospital, Madrid, Spain

Prof Manuel Pan – Panelist
University Hospital Reina Sofia de Cordoba, Spain
Live Case 8
T and TAP Techniques
From: Netcare Sunninghill Hospital, South Africa
Learning objectives
- The evidence base for TAP
- How to do a TAP
- The role of imaging in optimizing a TAP
- Reference to bench test models
Faculty

Prof Farrel Hellig – Operator
Netcare Sunninghill Hospital, South Africa

Dr Mirvat Alasnag – Panelist
King Fahd Armed Forces Hospital in Jeddah, Saudi Arabia

Dr Jacob Odenstedt – Panelist
Sahlgrenska University Hospital Gothenburg, Sweden/div>

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Live Case 9
Physiology & the LM
From: Hospital Clínic de Barcelona, Spain
Learning objectives
- The role of physiology in guiding revascularisation of the Left Main
- Why, when and how to use physiology in LM bifurcation lesion assessment
- A discussion on the roles of Physiology vs Imagin in LM bifurcation lesion management
Faculty

Dr Ander Regueiro – Operator
Hospital Clínic de Barcelona, Spain

Dr Manel Sabaté – Operator
Hospital Clínic de Barcelona, Spain

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Carlos Collet – Panelist
OLV-Aalst, Belgium

Dr Tom Johnson – Panelist
University Hospital Bristol, UK
Live Case 10
The Role of Imaging in the Left Main
From: Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait
Learning objectives
- Through a practical approach, discover how to utilise Intravascular Imaging in your Left Main PCI procedures
- Learn how to overcome the technical challenges and potential barriers to the use of Intravascular Imaging in Left Main PCI
- Through a step-by-step systematic approach, you will learn how to optimise your Left Main PCI procedures, with the use of Intravascular Imaging
Faculty

Dr Abdullah Esmaiel – Operator
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait

Dr Fahad Alhajri – Panelist
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait

Dr Ali Alsulaimi – Operator
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait/div>

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Kalaivani Mahadevan – Panelist
Portsmouth Hospitals University NHS Trust, Portsmouth, UK

Dr Ahmed Waqar – Panelist
King Fahad Armed Forces Hospital Jedda, SA
Live Case 11
Complication Management in Left Main PCI
From: St George’s, London, UK
Learning objectives
- Identify which complications can be expected in a Left Main PCI
- Demonstrate the ability to recognise and manage potential complications during a Left Main PCI
- Understand the significance of modern PCI techniques to avoid complications during a Left Main procedure
Faculty

Dr Julian Strange – Operator
Bristol Heart Institute, Bristol, UK

Dr Simon Wilson – Operator
St George's University Hospitals NHS Foundation Trust, London, UK

Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK

Dr Carlos Collet – Panelist
OLV-Aalst, Belgium

Dr Joost Daemen – Panelist
University Hospital Bristol, UK

Prof Alaide Chieffo – Panelist
Interventional Cardiology Unit, San Raffaele Scientific, Milan, IT

Dr Mirvat Alasnag – Panelist
King Fahd Armed Forces Hospital in Jeddah, SA