How should I treat complex lesion from the intracoronary imaging view?

With the collaboration of Interventional Cardiovascular Society of Malaysia and Japanese Association of Cardiovascular Intervention and Therapeutics

Discussants: T. Kajiya, G. S. K. Lau
Anchorperson: K. Kozuma
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Summary

Intracoronary imaging plays a crucial role in guiding treatment strategies for complex lesions. This session delves into the use of various imaging modalities, such as IVUS and OCT, to optimize PCI outcomes. Explore real-world case examples, including a sudden coronary arrest caused by focal stenosis with spasm, heavy SCAD in a retrovirus patient, and a challenging case of guidewire malposition into the subintima in a severely calcified lesion. Discover how imaging can help you tailor your PCI approach for better results.

Learning Objectives

  • To know how to utilise imaging modalities to plan your PCI strategy
  • To understand how the use of imaging can optimise your PCI results
  • To see the use of imaging in various examples of patient/lesion subsets

Presentations available when logged in:

  • Session objectives
  • Case 1 - A case of sudden coronary arrest caused by focal stenosis with spasm
  • How would I treat case 1
  • Case 2 - Heavy SCAD in a retrovirus patient with OCT
  • Case 3 - Guidewire malposition into the subintima in the severe calcified lesion
  • How would I treat case 3
  • Case 3 treatment
  • Case 4 - IVUS in complex PCI