Martine Gilard

Martine Gilard

Interventional cardiologist / Cardiologist
Faculty of Medicine and Health Sciences - Brest, France

Latest contributions

PCI for complex left main disease - LIVE Case

23 May 2025 – From EuroPCR 2025

An 82-year-old male patient with a history of STEMI and diagonal PCI (2004) presented with stable angina (CCS 2). CT imaging revealed 2 severe LAD stenoses (at the ostium and mid part), and a severe bifurcation stenosis at the Cx/OM1 confirmed by angiography. A staged PCI...

PCI for complex left main disease - LIVE Case

Which device for which patient: DES, BRS or DCB?

22 May 2025 – From EuroPCR 2025

This session provides comprehensive guidance on selecting the appropriate device—DES, BRS, or DCB—for individual patients and lesions. It examines patient and lesion characteristics, strengths and limitations of each device type, and regional considerations, illustrated by case presentations demonstrating practical device choice and resolution.

Which device for which patient: DES, BRS or DCB?

What did we learn from my TAVI complications?

22 May 2025 – From EuroPCR 2025

Review critical lessons from TAVI complications, focusing on early identification and management of access site issues and acute coronary obstruction. Learn effective preventive actions and procedural strategies to minimize severe TAVI-related complications through detailed case discussions.

What did we learn from my TAVI complications?

Redefining the red flags: early detection of myocardial infarction in women

22 May 2025 – From EuroPCR 2025

Gain a unique patient-centered perspective on early myocardial infarction detection in women. This session features a survivor's story, collaborative step-by-step clinical approaches, and key aspects of cardiac rehabilitation, emphasizing shared decision-making to improve patient outcomes in complex cases.

Redefining the red flags: early detection of myocardial infarction in women

Hotline TAVI 1: extended analysis of the randomised trials

21 May 2025 – From EuroPCR 2025

Gain comprehensive insights from extended analyses of randomized TAVI trials. This session reviews five-year UK TAVI outcomes, cardiac damage evolution in asymptomatic aortic stenosis, one-year results from the LANDMARK trial, and three-year comparisons of balloon-expandable valves, highlighting critical clinical implications.

Hotline TAVI 1: extended analysis of the randomised trials

How to manage coronary artery disease in TAVI candidates?

20 May 2025 – From EuroPCR 2025

Understand the comprehensive management of coronary artery disease (CAD) in patients undergoing transcatheter aortic valve implantation (TAVI). This session reviews evidence-based evaluation, decision-making, and treatment strategies for significant coronary lesions, including severe left main and multivessel disease, illustrated through detailed case studies.

How to manage coronary artery disease in TAVI candidates?

How to manage coronary artery disease in TAVI candidates?

20 May 2025 – From EuroPCR 2025

Martine Gilard, Antonio Mangieri, and Marco Barbanti explore the strategy for handling coronary artery disease in patients undergoing TAVI. Is coronary angiography always required beforehand? Should PCI be performed in all cases—and if so, when? This exchange offers key insights to help guide your decisions on...

How to manage CAD in TAVI candidates?

Best of science and education in cardiovascular interventional medicine in 2024

16 Dec 2024

Dear Colleagues, dear PCR Companions,

As we welcome a new year, it is the perfect time to reflect on what we achieved together over the past year—both as a celebration of our successes and as motivation to continue improving in the year ahead.

2024 was a record year...

EAPCI Awards Ceremony

26 Nov 2024 – From PCR London Valves 2024

Curious about the EAPCI Awards and the 2024 grant winners? Don't miss this video to get an inside look at the 12 exceptional individuals who received EAPCI grants this year!

EAPCI Awards Ceremony

How to implement a successful structural intervention programme

26 Nov 2024 – From PCR London Valves 2024

Embark on a journey to learn how to implement a successful structural intervention program. Discover the essential requirements for building transcatheter valve intervention capabilities, including the necessary equipment, personnel, and training programs. Gain insights on establishing aortic, mitral, and tricuspid intervention programs, as well as creating...

How to implement a successful structural intervention programme

What are the key specific considerations for TAVI in women?

26 Nov 2024 – From PCR London Valves 2024

Curious about the specific considerations for TAVI in women? Martine Gilard and Dan Blackman highlight the challenges women face in the diagnosis and treatment of aortic stenosis (underrepresentation, later presentation, undertreatment...) while exploring key anatomical differences (smaller aortic anatomy, less calcification...), and how these factors impact...

What are the key specific considerations for TAVI in women?

TAVI in women - Recent trials and current understanding

25 Nov 2024 – From PCR London Valves 2024

Looking to learn more about gender-based differences in the presentation and management of aortic stenosis? Dont' miss this video on the specifics of TAVI in women!

You'll discover how aortic stenosis presents uniquely in female patients, review the latest data on TAVI outcomes in women, and gain...

TAVI in women - Recent trials and current understanding

Leading innovation for patients with valvular heart disease

24 Nov 2024 – From PCR London Valves 2024

Discover the newest advancements in transcatheter heart valves and their role in modern lifetime management of valvular heart disease. Review the latest clinical outcomes demonstrating improved patient care and explore how a diverse device portfolio addresses a wide range of valve anatomies.

Leading innovation for patients with valvular heart disease

Asymptomatic severe aortic stenosis: Will these trials change my practice?

16 May 2024 – From EuroPCR 2024

This session, in collaboration with Partners in Learning, explores the emerging evidence on the use of transcatheter aortic valve implantation (TAVI) in patients with asymptomatic severe aortic stenosis. It covers data from registries and randomized controlled trials, the current guideline recommendations, and the potential impact of...

Asymptomatic severe aortic stenosis

Acute and chronic right ventricular failure: focus on the weak link

16 May 2024 – From EuroPCR 2024

This session discusses new diagnostic and therapeutic aspects of shock due to right ventricular infarction, explores why and how the failing right ventricle contributes to worsening heart failure, and examines device-based treatment opportunities for chronic right ventricular and tricuspid valve failure, including repair vs replacement. It...

Acute and chronic right ventricular failure: focus on the weak link

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.

Relief for the unrelievable, the role of the Reducer for refractory angina

Management of patient with complex left main stenosis - LIVE case

14 May 2024 – From EuroPCR 2024

A 52-year-old male, with a history of STEMI treated by PPCI on RCA one month ago, presents with angina CCS 2 and severe, calcified stenosis in the LAD, CX, and distal left main. The treatment involved implanting 2 stents in the LAD after Rota preparation, followed...

Management of patient with complex left main stenosis - LIVE case

Key questions in aortic valve intervention - Anticoagulation after TAVI - when, and for whom?

21 Nov 2023 – From PCR London Valves 2023

Tune in to this session focused on post-TAVI anticoagulation, where the cases of three TAVI patients are explored. Analyze and determine the optimal antithrombotic strategy for each situation: the first patient in sinus rhythm, the second with atrial fibrillation, and the third with atrial fibrillation undergoing...

Key questions in aortic valve intervention - Anticoagulation after TAVI - when, and for whom?

Valve in valve - TAV in TAV - Part 2

21 Nov 2023 – From PCR London Valves 2023

Join us for this session, where complex cases shed light on the evolving landscape of valve-in-valve interventions: delve into the efficacy of THV-in-THV for addressing supra-skirtal leakage accompanied by intravascular hemolysis, learn more about the challenges of TAVI-in-TAVI with the deployment of SAPIEN3 Ultra in a...

Valve in valve - TAV in TAV - Part 2

Navigating the crossroads of care: challenges in shared decision-making for doctors and patients

20 Nov 2023 – From PCR London Valves 2023

Tune in to understand the significance of shared decision-making, explore its importance, identify potential barriers, recognize the pivotal role of patient perspectives and engagement, and discover strategies to facilitate its successful integration on both local and global scales.

Navigating the crossroads of care: challenges in shared decision-making for doctors and patients

The Top Late-Breaking Trials: TRISCEND II, TRILUMINATE at 3 years, EuroSMR score, CLASP IID, OPERA-TAVI...

19 Nov 2023 – From PCR London Valves 2023

Discover the top late-breaking trials which were presented during PCR London Valves 2023:

  • TRISCEND II: A randomised trial of transcatheter tricuspid valve replacement vs medical therapy
  • Percutaneous edge-to-edge repair for tricuspid regurgitation: TRILUMINATE trial three-year outcomes
  • Transcatheter mitral valve-in-valve vs. redo surgical replacement for degenerated bioprostheses
  • Artificial intelligence derived risk...
PCR London Valves 2023 Top Late-Breaking Trials

The unimaginable evolution of interventional cardiology from imagination to imaging

07 Nov 2023

Faith is to believe what you do not see; the reward of this faith is to see what you believe... Read this editorial by Flavio Ribichini, Martine Gilard and Salvatore Brugaletta which introduces this section dedicated to cardiovascular imaging. ...

When should we perform PCI for stable coronary artery disease in aortic stenosis, pre, post, never?

17 May 2023 – From EuroPCR 2023

What is the evidence for the need for PCI in patients with stable coronary artery disease and severe aortic stenosis? Is invasive angiography always mandatory for these patients? What about CT scans? When exactly should PCI be performed?

These are the questions Vijay Kunadian and Martine Gilard...

When should we perform PCI for stable coronary artery disease in aortic stenosis, pre, post, never?

Strategic management of coronary artery disease and TAVI in patients with aortic stenosis

18 May 2023 – From EuroPCR 2023

This session offers the opportunity to explore the intricacies and nuances involved in the management of patients with aortic stenosis and coronary artery disease, providing valuable knowledge and practical insights. Gain a comprehensive understanding of the pre-operative and intra-operative aspects of TAVI through a series of...

Strategic management of coronary artery disease and TAVI in patients with aortic stenosis

REVIVED: will this trial change my practice?

17 May 2023 – From EuroPCR 2023

Within this collection of slides, acquire insights into the efficient management of patients with ischaemic heart disease and the identification of those who may benefit from revascularisation. Delve into a thorough review of the REVIVED trial, encompassing its methods, results, and conclusions.

REVIVED: will this trial change my practice?

Coronary Sinus Reducer: insights into treating refractory angina patients with obstructive and non-obstructive coronary artery disease

16 May 2023 – From EuroPCR 2023

Watch this session to learn how Sinus Reducer may relieve angina by increasing pressure in the coronary sinus, and how it was associated with significant improvement in symptoms and quality of life, as long as the different steps of this simple procedure are dully followed and...

How should I treat a patient with refractory angina using the Reducer Device?

22 Mar 2023

Watch the replay of this webinar on Coronary Interventions. You’ll learn all about '1st stent in left main PCI'

Secondary mitral regurgitation: challenges in management

28 Nov 2022 – From PCR London Valves 2022

Consult this session dedicated to secondary mitral regurgitation to learn more about the patients who benefit most from valve intervention, the transcatheter edge-to-edge repair strategies in secondary MR and how to optimally select patients with secondary MR for valve replacement.

Secondary mitral regurgitation: challenges in management

Challenging scenarios: bioprosthetic valve dysfunction

28 Nov 2022 – From PCR London Valves 2022

Consult this session to learn more about the different causes of bioprosthetic valve dysfunction and the best options (surgical, transcatheter or medical) for the management of patients with this kind of dysfunction, as well as to discover how valve design impacts on durability and what the future holds...

Challenging scenarios: bioprosthetic valve dysfunction

TAVI step by step: from femoral puncture to procedural success

27 Nov 2022 – From PCR London Valves 2022

Look at these presentations to get insights into the basics of CT evaluation for TAVI procedural planning, and discover how to optimise every aspect of the TAVI procedure and ensure the best clinical outcomes even in difficult anatomies. 

TAVI step by step: from femoral puncture to procedural success