Arif Al Nooryani
Latest contributions
STEMI in special circumstances
22 May 2025 – From EuroPCR 2025
Address STEMI management in special circumstances such as spontaneous coronary artery dissection, ectatic vessels, and high thrombotic burden. Learn when surgical referral is appropriate and explore interventional strategies tailored to complex STEMI presentations.
Through decisions in complex left main PCI – Left main trifurcation
22 May 2025 – From EuroPCR 2025
This session offers an in-depth analysis of complex left main trifurcation PCI, covering evaluation through imaging and physiology, lesion preparation strategies, and treatment options including stepwise provisional approaches, upfront two-stent techniques, and drug-coated balloons.
Complex PCI in a TAVI patient - LIVE case
20 May 2025 – From EuroPCR 2025
An 84-year-old patient with a history of ischemic stroke in 2017, hypertension, diabetes, dyslipidemia, and a preserved LV function (63 %) presented with a severe symptomatic aortic stenosis. The coronary angiography revealed a severe and calcified stenosis of the distal left main.
Operators implanted an Edwards Sapien...
Renal denervation in 2024
19 Dec 2024 – From GulfPCR-GIM 2024
Join us to explore advancements in renal denervation (RDN) technology and clinical applications. This session covers radiofrequency and ultrasound approaches, mechanisms, step-by-step procedures, patient selection, and program setup, offering insights into optimizing outcomes for hypertension patients.
Please note that this Case-in-a-Box does not reflect the recording standards...
Undilatable calcified lesion - LIVE case
19 Dec 2024 – From GulfPCR-GIM 2024
A 52-year-old male presenting with angina (CCS II) and normal LV function. Angiography revealed a long, severely calcified lesion in the proximal and mid-LAD, which was undilatable during a previous PCI.
The lesion was prepared using Rotablator (1.5 Burr), cutting balloon, Shockwave, and NC balloon, guided by...
Fostering patient care with calcium management solution
18 Dec 2024 – From GulfPCR-GIM 2024
This sponsored session by Abbott explores the value of intracoronary imaging in managing calcified lesions. Learn how to adopt appropriate procedural strategies, utilize orbital atherectomy for plaque modification, and optimize stent results through the insights gained from a live case presentation and debriefing. Discover how these...
Left main bifurcation instent restenosis - LIVE case
18 Dec 2024 – From GulfPCR-GIM 2024
A 76-year-old male with a history of LM PCI (2-stent strategy), RCA PCI, reduced LV function (25%), diabetes, and CKD presented with worsening angina. Angiography revealed in-stent restenosis at the ostium of the LAD and CX, along with RCA occlusion.
The procedure was performed with axillary Impella...
TAVI and access: alternating is wise
16 Jan 2024 – From GulfPCR-GIM 2023
Given that 10-20% of patients have restricted or even impossible femoral access, it is important, for both procedural and patient safety, that alternative access is sometimes considered. Learn what options are available, whether surgical or transcatheter, depending on the patient, and how to put these choices into...
Complex PCI in high bleeding risk patients, the way forward!
07 Dec 2023 – From GulfPCR-GIM 2023
Consult this session for insights on customizing PCI strategies for high-bleeding-risk patients, and selecting Drug-Eluting Stents in complex PCI. Additionally, examine the outcomes of the Ultimaster DES in high-bleeding-risk trials, particularly in the context of short Dual Antiplatelet Therapy.
Ultra-low contrast techniques in complex and high-risk coronary interventions
07 Dec 2023 – From GulfPCR-GIM 2023
Explore this session to gain insights into reducing operator reliance on contrast in PCI for enhanced safety and quality, particularly in complex scenarios. Discover essential tips, tricks, and specialized tools tailored for ultra-low-contrast PCI. Additionally, immerse yourself in a practical, step-by-step example through a recorded ultra-low-contrast...
Renal denervation 2.0 - Ready for clinical use?
06 Dec 2023 – From GulfPCR-GIM 2023
Stay updated on the latest clinical evidence, guidelines, and technology related to renal denervation. Engage in discussions about the clinical experiences with ultrasound renal denervation (uRDN) and gain practical insights into selecting patients through real-world cases.
Challenging scenarios in STEMI patients
06 Dec 2023 – From GulfPCR-GIM 2023
This session tackles complex scenarios encountered in STEMI interventions, ranging from conditions affecting the left main stem (LMS) to managing extensive thrombus burdens, explore strategies when patients have a history of previous stents, address treatment approaches for those with multivessel disease, and deliberate on strategies when...
Difficult CHIP cases, different approach with different presentation
17 May 2023 – From EuroPCR 2023
Consult this session to explore strategies for managing procedure-related coronary perforation, mastering complex PCI in unplanned scenarios, and optimizing left main bifurcation stenting techniques. Gain valuable insights into the role of imaging in left main PCI, enhancing your diagnostic and interventional skills.
Treatment of in-stent restenosis
16 May 2023 – From EuroPCR 2023
Looking for a recap of this case-based session to refresh your memory? Don't miss these slides and review the diagnostic and management details of each case.
Management of complex non-culprit multivessel disease after STEMI - LIVE case
16 May 2023 – From EuroPCR 2023
Analyze the case of a 69-year-old non-diabetic male patient with mild chronic kidney disease, acute inferior MI and primary PCI on the postero-lateral RCA, whose angiography showed diffuse disease on the proximal CX and second OM (QFR: 0.65), and an intermediate prox LAD lesion (QFR: 0.90).
IVUS...
All you need to know on physiology: a 2023 update
15 Dec 2022 – From GulfPCR-GIM 2022
In this GulfPCR-GIM 2022 session, listen to William Wijns discuss the following physiology topics: long-term data on PCI deferral, update on new "negative" studies, low adoption in daily practice, and computational image-based physiology.
Optimal management of a patient with calcified lesions - Session with LIVE case
15 Dec 2022 – From GulfPCR-GIM 2022
Watch the case of an 87-year-old male patient with DM, HTN, and hyperlipidemia, who suffered ACS six weeks ago, whose culprit lesions were treated in the RCA and LCX, and who was incidentally readmitted for LAD PCI, and find out how he was treated LIVE.
Optimal PCI in patient with long calcified lesion
14 Dec 2022 – From GulfPCR-GIM 2022
In this session, follow a LIVE case from the Chest Diseases Hospital in Kuwait and learn what the best strategy is to treat patients who present with a very long calcified coronary artery lesion, as well as how to select the best device and which different...
Mastering PCI in patients with complex lesions, ACS and HBR
22 Dec 2021 – From GulfPCR-GIM 2021
Watch this video if you wish to learn how to treat patients with complex anatomy, HBR feature, and presenting with ACS, to discuss the latest evidence about DAPT in HBR patients with acute coronary syndrome, and to ask open questions about DAPT for HBR patients.
Pushing boundaries in tricuspid therapy - The TricValve solution
22 Dec 2021 – From GulfPCR-GIM 2021
In this session, learn about the TricValve system in the treatment of severe TR and right heart disease, obtain insight from the experts with case scenarios, and understand how the TricValve Transcatheter Bicavel system can help patients with severe TR.
Complete revascularisation: from defining PCI strategy to PCI optimisation
22 Dec 2021 – From GulfPCR-GIM 2021
In this session on percutaneous coronary intervention, learn about available physiology tools for a full coronary assessment, understand how OCT impacts decision-making to strategise and optimise PCI, and learn through case examples how the use of physiology and OCT impacts daily practice.
Complications: cases of wire entrapment, stent dislodgement, an entangled Impella device and more
16 Dec 2021 – From GulfPCR-GIM 2021
Watch this session to learn how to face various complications, thanks to a selection of cases presented at GulfPCR-GIM 2021: a wire entrapment, a guide-wire fracture, a dissection and a loss of flow, a stent dislodgement, as well as an entangled Impella device.
Complications during PCI, guidewire entrapment and and unexpected Impella complication
16 Dec 2021 – From GulfPCR-GIM 2021
Watch this series of clinical cases- would you have made the same treatment choices to manage these complications?
- Unusual complication during an angiogram
- When wires give you troube
- Routine PCI complications: a CTO technique to the rescue
- Entrapment and fracture of coronary guidewire
- An unexpected Impella...
Contemporary TAVI in 2021 - Session with LIVE case
15 Dec 2021 – From GulfPCR-GIM 2021
Watch the LIVE case of a 76-year-old female patient with DM and HTN, who had MPI 2 years ago and who presented with severe aortic stenosis, and discuss device selection based on coronary anatomy, cerebral protection device use, and peripheral vascular access management.
Approach to calcified lesions and role of plaque modification and intravascular imaging to obtain optimal PCI - Session with LIVE case
15 Dec 2021 – From GulfPCR-GIM 2021
Watch the case of a 55-year-old male patient who is a diabetic on insulin and hypotensive, who initially presented with NSTEMI and 3-vessel disease but declined CABG before being readmitted with unstable angina.
Revisiting T and TAP: key steps and pitfalls
18 May 2021 – From EuroPCR 2021
Watch this session if you want to learn the steps of T and TAP (T and Protrusion), to review the potential pitfalls of T and TAP (T and Protrusion) and to understand the limitations of angiography to accurately assess stent geometry at different steps of the...
How to prevent and manage stent loss?
18 May 2021 – From EuroPCR 2021
Watch this session if you want to learn about the different types of stent loss, to discuss how to predict which situations and coronary anatomies are particularly at risk of certain stent loss and to share practical tips for rapid and effective management of stent loss.
This...
PCI of calcified coronaries - we will rock you! - Part 3
18 May 2021 – From EuroPCR 2021
Watch this session if you want to revisit strategies and devices for treatment of calcified plaque, to discuss the role of available options and to review in-depth procedural techniques for IntraVascular Lithotripsy.
This session was originally presented during EuroPCR 2021.
PCI of calcified coronaries - we will rock you! (Part 2) - Session with LIVE demonstration
18 May 2021 – From EuroPCR 2021
Watch this session if you want to revisit strategies and devices for treatment of calcified plaque, to discuss the role of available options and to review in-depth procedural techniques for Orbital atherectomy.
This session was originally presented during EuroPCR 2021.
PCI of calcified coronaries - we will rock you! (Part 1) - Session with LIVE demonstration
18 May 2021 – From EuroPCR 2021
Watch this session if you want to revisit strategies and devices for treatment of calcified plaque, to discuss the role of available options and to review in-depth procedural techniques for Rotapro.
This session was originally presented during EuroPCR 2021.
