James Spratt
Latest contributions
Road to relief - Effective treatment of refractory angina patients with Shockwave Reducer
22 May 2025 – From EuroPCR 2025
Refractory angina affects more than 100 million people globally and is associated with a significantly increased risk of adverse cardiovascular events. Treating this condition effectively remains a major clinical challenge. This session provides detailed insights into the use of the Shockwave Reducer device as an innovative therapeutic...
Euro4C Team
19 Jun 2024
Discover the individuals driving the Euro4C Group, including the main board, national coordinators, research and education groups, and the dedicated editorial team!
Essentials in the management of calcified coronary stenosis
16 May 2024 – From EuroPCR 2024
This session focuses on the essentials of managing calcified coronary stenosis, including diagnostic pitfalls, selection strategies for appropriate plaque modification devices, and the safe and effective adoption of specific tools and techniques. Through interactive case discussions, attendees will learn how to effectively evaluate and treat calcified...
Antegrade CTO - LIVE case
16 May 2024 – From EuroPCR 2024
This session features a LIVE educational case from Netcare Sunninghill Hospital in Johannesburg, South Africa, focusing on the management of chronic total occlusions (CTOs) using an antegrade approach. Participants will learn how to identify CTO anatomy through dual injection, as well as how to perform IVUS-guided...
Relief for the unrelievable: the role of the Reducer for refractory angina
15 May 2024 – From EuroPCR 2024
Explore the incidence and impact of refractory angina, observe a real-life Reducer implantation procedure with step-by-step analysis and discussions, gain insight into the coronary sinus mechanism of action and implantation techniques, grasp the indications for the Reducer, and review available clinical data in this session.
How should we manage calcific coronary disease according to the European Consensus document?
15 May 2024 – From EuroPCR 2024
Follow this exchange between James Spratt and Flavio Ribichini for insights into how the European Consensus document offers practical guidance for approaching calcified lesions, the significance of angiography findings, the critical role of intravascular imaging (IVUS or OCT), and device selection based on lesion type. Training...
Cracking new horizons across all calcium morphologies
07 Dec 2023 – From GulfPCR-GIM 2023
Watch this session to learn all about the intravascular lithotripsy (IVL) mechanism for treating calcified lesions. Discover practical advice and techniques for implementing IVL in challenging calcified lesions and the safe utilization of IVL in left main bifurcations.
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...
How CTO techniques can help you in your everyday practice?
17 May 2023 – From EuroPCR 2023
Consult this session if you want to improve your skills in coronary intervention problem solving, to learn how techniques used in CTO PCI can solve problems in non-CTO PCI, and to discuss how to overcome PCI barriers and complications.
New developments in intravascular lithotripsy after 5 years of clinical practice
17 May 2023 – From EuroPCR 2023
Angela McInerney and James Spratt look back at 5 years of intravascular lithotripsy and how it has evolved from its beginnings to the present day.
Calcium has always been a very complex issue especially in older patients, but the tools to treat it were somewhat limited....
Cracking calcium: intravascular lithotripsy’s unique mode of action in treating calcified lesions – What's the evidence?
14 Dec 2022 – From GulfPCR-GIM 2022
Watch this GulfPCR-GIM 2022 session to understand the unique mechanism of action of IVL, the use of intravascular imaging in calcium identification, the gender gap, disrupted CAD trials, and the evolution of treatment of calcified lesions together with the role of IVL.
Conquer calcium with intravascular lithotripsy (IVL): cases and clinical data
18 May 2022 – From EuroPCR 2022
This EuroPCR 2022 session mainly focuses on the DISRUPT CAD studies: hear discussion on the latest DISRUPT CAD clinical evidence supporting the use of IVL across different calcium morphologies, appraise the most recent one-year OCT-pooled analysis of the DISRUPT CAD III and IV studies, and learn about the differences...
How to deal with calcified CTO
17 May 2022 – From EuroPCR 2022
In this dedicated session from EuroPCR 2022, listen to Gabriele Luigi Gasparini talk about procedural challenges and device selection for calcified CTO, while James Spratt looks at how to deal with long, calcified CTO, and Kambis Mashayekhi discusses problems and solutions in calcified CTO.
Advanced techniques for complex CTO interventions (Part 1) - Session with LIVE demonstration
20 May 2021 – From EuroPCR 2021
Watch this session if you want to develop treatment strategies in a patient with multiple CTOs, to learn how to approach technical difficulties in complex CTO PCI, and to learn about treatment options for typical complications of CTO PCI.
This session was originally presented during EuroPCR 2021.
Advanced techniques for complex CTO interventions (Part 2) - Session with LIVE demonstration
20 May 2021 – From EuroPCR 2021
Watch this session if you want to develop treatment strategies in a patient with multiple CTOs, to learn how to approach technical difficulties in complex CTO PCI, and to learn about treatment options for typical complications of CTO PCI.
This session was originally presented during EuroPCR 2021.
The rising wave: new intravascular lithotripsy publications
18 May 2021 – From EuroPCR 2021
Watch this session presented by Benjamin Honton, James Spratt, Ziad Ali, Carlo Di Mario and Jonathan Hill in order to learn of the latest in Intravascular Lithotripsy (IVL) publications, to understand its mechanism of action, and to identify its clinical utility.
Advanced CTO interventions
22 May 2019 – From EuroPCR 2019
Consult this session to discover various advanced CTO interventions, such as using an SVG conduit for retrograde CTO PCI, coronary perforation in complex CTO treated by a covered stent, triple CTOs in a case with severely depressed left ventricle function, and more!
Employing the appropriate strategy in complex CTO treatment
22 May 2019 – From EuroPCR 2019
Consult this session to improve your skills as a CTO operator: learn more about the available CTO wires and devices and how to use double lumen catheters.
Master the complex - Combat CHIP simply
22 May 2019 – From EuroPCR 2019
Consult this session to learn the latest outcome data concerning high indication risk and short DAPT, how to define the best tailored revascularisation strategies with imaging and physiology guidance, and the most important techniques from the treatment to the follow-up of genuine complex cases.
Complex CTO - Strategies to successfully re-open the "unopenable"
21 May 2019 – From EuroPCR 2019
Consult this session on complex CTO to learn various strategies for treating difficult cases, such as combined anterograde and retrograde techniques, when only the wire get through a calcified CTO, and more!
TopShock 2019: honouring the best intravascular lithotripsy cases from the past year
21 May 2019 – From EuroPCR 2019
Consult this session on lithotripsy to learn about the clinical utility of IVL and the best practices when using this procedure, while discovering the best intravascular lithotripsy cases from the past year: complex PCI of severely calcified left coronary artery, heavy calcified lesions, and more!
