Perfect Your Practice: Systematic approach in the treatment of Left Main bifurcation stenoses

5 Sessions

Introduction – James Spratt (Duration: 2 min 28 sec)

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Importance of IVUS in defining the stent strategy – Kalaivani Mahadevan (Duration: 20 min 15 sec)

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LM PCI case-based presentation: choosing the right strategy for durable results – Paolo Canova (Duration: 18 min 22 sec)

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Key considerations in the treatment of bifurcation lesions – Gregor Leibundgut (Duration: 18 min 10 sec)

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Summary – James Spratt (Duration: 2 min 43 sec)

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In this session, Moderator Prof James Spratt is joined by Dr Paolo Canova, Dr Gregor Leibundgut and Dr Kalaivani Mahadevan for an insightful review of a systematic approach in the treatment of Left Main bifurcation stenoses. With case-based examples, the faculty summarise the key considerations for lesion complexity and provide tips on selecting the most appropriate strategy for success.

Additional Live Sessions

Live Session 1

IVUS in LM: from practice to data

Learning objectives

  • The importance of IVUS in the treatment strategy during a LM procedure
  • Understand the recent evidence on Intravascular Imaging
  • How to optimise, through a stepwise systematic approach, a Left Main procedure with the use of Intravascular Imaging

Faculty


Prof James Spratt
St George’s University Hospital NHS Trust, London, UK

José de la Torre Hernández
University Hospital Marques de Valdecilla, IDIVAL, Santander, Spain

Gabriele Luigi Gasparini
Humanitas Research Hospital, Milan, IT

Stephane Carlier
Université de Mons, Mons, BE
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Live Session 3

Left Main: Prep It or Regret It!
How to Optimise Calcified Left Main Lesion Preparation

Overview:

This Perfect Your Practice session from the Left Main Academy will focus on lesion preparation in calcified left main bifurcations. Faculty will guide participants through the challenges of calcium detection, imaging, and treatment strategies, highlighting how optimal vessel preparation supports stent expansion and improves clinical outcomes. Using case-based presentations and practical insights, the session will showcase the role of intravascular imaging and interventional tools in managing complex left main PCI.

Agenda:

Introduction – Prof James Spratt

How to Deal With Calcified LM: A Case-based Presentation using SEE PREP TREAT (case introduction) – Prof Johan Bennett

Calcium Treatment: Clinical and Mechanical Goals for LM PCI – Prof Jan-Malte Sinning

Imaging to Detect and Treat Calcium in The Left Main – Dr Valeria Paradies

How to Deal With Calcified LM: A Case-based Presentation using SEE PREP TREAT (procedure discussion) – Prof Johan Bennett

Lessons Learnt and Tools Available – Prof James Spratt

 

Learning Objectives:

  • Recognise the clinical significance of calcium detection and modification in Left Main PCI

  • Learn how optimal vessel preparation improves stent expansion and patient-level goals

  • Explore imaging and interventional tools to detect, define, and approach calcium

 

Faculty

 


Prof James Spratt
St George’s University Hospital NHS Trust, London, UK

Johan Bennett
UZ Leuven, Leuven, BE

Jan-Malte Sinning
St Vincent Hospital, Cologne, DE

Valeria Paradies
Maasstad Hospital, Rotterdam, NL
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