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- Is what you see really what you get?
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LTT
The LTT sessions, including slides, Live in-a-box® videos and key references offer a unique opportunity for you to ask questions and participate in the discussion by posting your comments on line.
[52] All Key Topics
LTT “How to treat a patient with…” an introduction by Jean Marco
1. The aims of LTT
To provide you with a method of reasoning that helps you to reflect on current knowledge and experience - and to develop answers to the fundamental question that impacts daily practice:
What is the best management and technical strategy for each patient presenting with a specific cardiac disease - considering their clinical situation, and in the light of local experience and best available evidence?”
To help answer this question, PCR-LTT is based on a consistent and logical step-by-step reasoning approach that is linked to one individual patient
2. The content
Is expanded from a basic framework to meet the needs of more experienced practitioners, and structured to take account of local practice, constraints and regulations.
• Understanding WHY: A clear reasoning process is used to explore and understand why something is being done or recommended.
• Understanding HOW: This covers all the elements of the decision-making process from initial patient presentation, through therapy selection and device placement to patient follow-up.
• Understanding WHO: All the key areas are examined to consider who should be involved at each stage of the patient process to deliver the best possible outcomes.
3. The philosophy of LTT:
To help participants build the most appropriate decision-making process for each individual patient by:
• Undertaking an integrated and global appraisal of each patient’s information
• Undertaking a critical appraisal of the available knowledge in the light of both local and personal experience
4. To reflect together on:
The patient’s information - what we have and what we need.
The available knowledge - what is scientifically accepted, what is based on personal experience and what is interpretive.
In order to develop a clear consensus on the answers to specific questions.
5. Key principle
To achieve this we have adopted the following key principle:
• An Interactive session: the experience of all of you will be used as a fundamental source of educational input and each will be encouraged to take an active part in the educational process. You will all be encouraged to challenge what is being proposed, and to press the facilitators for clarity and understanding.
• Flexibility of the outline: to take account of the joint and individual needs of participants
• A patient centred: Live in-a-box® or live demo
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STREAM: early fibrinolysis or primary PCI in STEMI
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Acute stent thrombosis
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An unusual approach to treatment of a challenging bifurcation lesion
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Frequently consulted lectures
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1 -
Intracoronary adrenaline for resistant Noreflow during PCI in acute coronary syndrome
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An unusual approach to treatment of a challenging bifurcation lesion
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Massive dissection of right coronary artery during CAG and small RV branch perforation by guide wire during bail out stentig
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4 -
Conservative strategy for right coronary artery perforation
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5 -
Complication of transradial access
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6 -
Technical aspects/issues in clinical practice - How to do FFR
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7 -
Challenging aberrant right coronary artery origin PCI
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Anomalous origin of the left main coronary artery from the right coronary artery evaluated by multidetector computed tomography
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Iatrogenic coronary dissection due to 6.5-fr sheathless guiding catheter occurring during the final injection of contrast medium.
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Illustrative case
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