Imaging in Coronary Interventions

Coronary angiography has historically served as the gold standard for diagnosis of coronary artery disease and guidance of percutaneous coronary intervention (PCI), but the evolution of PCI would not have been possible without intravascular imaging which provides unique insights about coronary artery pathology.

Over the last 30 years IVUS and, more recently, optical coherence tomography (OCT) have been extensively used to examine the extent and severity of coronary artery disease (CAD), guide PCI in complex lesions, and assess the performance of emerging devices introduced to treat CAD. In this section, you will find a selection of resources showing the use of imaging in real-life scenarios.

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Meaningful innovations in interventional cardiology

18 May 2023 – From EuroPCR 2023

In this session, watch the case of a 56-year-old man with HTN, DM, stable CAD, PFO and previous ischaemic stroke, who presented with severely calcified CTO lesion on proximal LAD and significant mid-RCA lesion, and find out how he was treated LIVE... among others!

Meaningful innovations

Diagnosis and procedural strategies for severely calcified lesions

18 May 2023 – From EuroPCR 2023

Dealing with severely calcified lesions? Explore the insights from two cases showcased in this session, and leverage Flavio Ribichini's algorithm for angiographic calcified lesions, as well as Yoshinobu Onuma's algorithm for calcified lesions with adjunctive imaging modalities, to enhance your management strategies!

Diagnosis and procedural strategies for severely calcified lesions

Stent failure management - Contemporary management options - Part 2

18 May 2023 – From EuroPCR 2023

In this session, explore the evolving causes of restenosis in contemporary practice and understand how to tailor in-stent restenosis treatment based on its underlying mechanism. Discover why imaging is crucial for selecting the appropriate treatment in cases of in-stent restenosis, and learn that drug-coated balloons are...

Stent failure management - Contemporary management options - Part 2

Coronary CT reading

18 May 2023 – From EuroPCR 2023

Watch this session to master reading and interpreting standard coronary CT angiography images, to learn how to determine lesion location, quantify stenosis, and to characterize plaques from CT imaging, while gaining the skills to differentiate between image artifacts and true coronary stenosis or plaques.

Coronary CT reading

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

17 May 2023 – From EuroPCR 2023

As Alejandro Travieso explains, physiology and imaging are complementary to achieve good assessment of left main PCI. Dejan Milasinovic adds that different imaging tools can be used in different patients, so practitioners may choose between OCT and IVUS, depending on their main target of interest.

Find out the specifics...

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

Ultra-low contrast PCI - An indispensable toolset in complex coronary interventions and higher-risk patients

17 May 2023 – From EuroPCR 2023

Discover the indispensable toolset of ultra-low contrast (ULC) percutaneous coronary intervention (PCI) in complex coronary interventions and higher-risk patients in this session. Gain a comprehensive understanding of how ULC PCI can enhance the safety and quality of revascularization in complex procedures and learn practical aspects from...

Ultra-low contrast PCI

Rethinking PCI in left main: OCT-guided optimisation

17 May 2023 – From EuroPCR 2023

Discover the transformative role of optical coherence tomography (OCT) in optimizing left main percutaneous coronary intervention (PCI) in this session. Gain insights into how OCT can guide the step-by-step process of left main PCI to achieve optimal results, and explore the crucial parameters of procedural outcome,...

Rethinking PCI in left

Third generation OCT (HF-OCT): no more limits to the routine clinical use of intravascular imaging

17 May 2023 – From EuroPCR 2023

Imaging is critical to strategy management. If you want to get a sense of the contributions of HF-OCT in clinical routine, listen to the speakers talk about their real-world experience and learn from their case presentations.

Third generation OCT

Complex bifurcation PCI - LIVE case

17 May 2023 – From EuroPCR 2023

Study the case of this 69-year-old male patient with recent PCI on LAD presenting chronic coronary syndrome. Angiography showed calcified stenosis on bifurcation of proximal CX and large obtuse marginal 1, Medina 0-1-1.

The PCI strategy was an OCT-guided TAP technique: 

7F guiding catheter, predilatation with semi-compliant and non-compliant...

Complex bifurcation PCI - LIVE case

Bifurcation with provisional stent strategy - LIVE case

17 May 2023 – From EuroPCR 2023

Learn more about a 65-year-old diabetic male patient with BMI 31, NYHA III shortness of breath, and a mid-calcified lesion on proximal and mid-part of LAD. QFR and µFR were significant for the 2 LAD lesions (0.73 and 0.74). The proximal lesion was a bifurcation Medina 1-0-1...

Bifurcation with provisional stent strategy - LIVE case