Lesion Preparation

From: Humanitas Research Hospital, Milan, Italy

The fourth live case focussed on lesion preparation with a broadcast from Humanitas Research Hospital in Milan with Dr Bernhard Reimers and Dr Gabriele Luigi Gasparini operating with IVUS commentary by Dr Damiano Regazzoli Lancini. A very complex case was chosen with a subtotal occlusion of a very calcified and tortuous LAD and left main disease with many challenges trying to get into the distal LAD. The left main was assessed with IVUS. Eventually the subintimal track was dilated and the patient will be brought back in a few months for PCI.

Additional Live Cases

Live Case 1

The Process behind the procedure

From: The Royal Victoria Hospital, Belfast, UK

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
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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
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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 3

Approach to LMS & Choosing Stent Strategy

From: Clinique Saint Augustin, Bordeaux, France

Learning objectives

  • When to choose 1 stent vs 2 stent strategy
  • How anatomy affects strategy
  • How physiology & imaging affect strategy

Faculty


Dr Olivier Darremont – Operator
Clinique Saint Augustin, Bordeaux, France
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Dr Nicolas Boudou – Operator
Clinique Saint Augustin, Bordeaux, France

Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France
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Dr Alaide Chieffo – Panelist
San Raffaele Hospital, Milan, Italy

Dr Barbara Stähli – Panelist
University Hospital Zurich, Zurich, Switzerland

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

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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
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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
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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
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Dr Mirvat Alasnag – Panelist
King Fahd Armed Forces Hospital in Jeddah, Saudi Arabia
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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
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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
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Dr Fahad Alhajri – Panelist
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait
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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
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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