18 Dec 2019
PCI optimisation: OCT and physiology in a complex multivessel disease case
Sponsored by Abbott
Chairpersons:
I. Al Rashdan, J. Fajadet
Summary
The patient is a 57-year-old male with high-risk factors and previous history of revascularisation. He presents with ischemic chest pain with NSTE-ACS. The baseline angiography shows multivessel disease and calcified LAD/D1 bifurcation (1,1,0).
The key objectives of this case are:
- Utility of FFR in physiological assessment of a borderline lesion
- Utility of OCT in lesion assessment and stent optimization
- Demonstrate the provisional approach to LAD-D2 bifurcation lesion (Medina 1,1,0)
Learning Objectives
- To understand why technologies such as FFR, relative flow reserve and OCT could optimise procedural outcomes in PCI
- To learn the main indications and scenarios of FFR, relative flow reserve and OCT and how to standardise them
- To learn tips and tricks to perform physiology (relative flow reserve) and OCT
- To update the last evidence on short DAPT and how the DES of choice could impact safety outcomes when followed by a short regime of DAPT