Pieter Van Wyk

Interventional cardiologist / Cardiologist
Netcare Sunninghill Hospital - Sandton, South Africa

Latest contributions

Challenges and complications in coronary interventions

23 May 2025 – From EuroPCR 2025

Discuss real-world challenges and complications in coronary interventions including heavily calcified LAD PCI, cardiac crisis management, and rare intramural hematoma cases. The session emphasizes the importance of IVUS guidance and operator expertise in complex scenarios.

Challenges and complications in coronary interventions

Stable CAD and multivessel disease

20 May 2025 – From EuroPCR 2025

This session delves into the management of stable coronary artery disease (CAD) with multivessel involvement. Learn how clinical and procedural factors influence revascularisation strategies, debate the merits of complete revascularisation, and explore decision-making processes between anatomical and functional approaches through illustrative cases and expert analysis.

Stable CAD and multivessel disease

CTO in special clinical scenarios

20 May 2025 – From EuroPCR 2025

This session focuses on the unique challenges of performing CTO interventions in special clinical scenarios, including critical donor artery stenosis, anomalous coronary origins post-TAVI, and complex multivessel disease with limited vascular access. Gain insights into tailored strategies such as retrograde approaches and management after arterial switch...

CTO in special clinical scenarios

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...

Antegrade CTO - LIVE case

LAA closure - LIVE case

16 May 2024 – From EuroPCR 2024

A 78-year-old woman with hypertension, diabetes, obesity, and a history of pacemaker implantation in 2023, presented with retinal hemorrhage while on NACO for AF. Despite a CHA2DS2-VASC score of 5, anticoagulation was withdrawn. The operators implanted a Watchman device in the LAA via a venous right femoral...

LAA closure - LIVE case

Calcified left main bifurcation PCI: how to evaluate and how best to treat - LIVE case

04 Mar 2023 – From AfricaPCR 2023

A 62-year-old male with hormonal treatment (metastatic prostate carcinoma) presents an exertion angina due to an MVD: severe calcified stenoses of distal left main (medina 1-1-1), mid LAD and prox CX.
Watch how the operators prepare LAD and CX lesions with Rotablator (Burrs: 1.25 + 1.75) then...

Calcified left main bifurcation PCI

Matching patient to TAVI prosthesis - Is there a better way?

04 Mar 2023 – From AfricaPCR 2023

In this AfricaPCR 2023 session, analyse several complex TAVI cases and explore why and how THV design elements should help optimise TAVI clinical outcomes.

Matching patient to TAVI prosthesis - Is there a better way?

Valvular clinical cases

04 Mar 2023 – From AfricaPCR 2023

Watch this session of AfricaPCR 2023 to discover, among others, a case of MViV, an upper limb TAVI combined with PVD intervention, transfemoral TAVI and TMVR in severe native valve disease, or even a bailout TAVI.

Valvular clinical cases

Coronary clinical cases - session 3

04 Mar 2023 – From AfricaPCR 2023

Among the 6 presentations offered in this AfricaPCR 2023 session, find out more about a multivessel PCI and tight aortic stenosis, the case of a 6-year-old boy with HTN and dilated cardiomyopathy, a hybrid SVG calcium modification, and rare complications in a TAVI case.

Coronary clinical cases - session 3

TAVI for bicuspid aortic valve - LIVE case

03 Mar 2023 – From AfricaPCR 2023

Watch how this 80-year-old man with severe, symptomatic, heavily calcified bicuspid aortic stenosis, who initially presented with NSTEMI, was treated, and learn about a simplified step-by-step TAVI procedure.

Balloon valvuloplasty was performed, followed by LAD PCI with a rotablator and stent, prior to the TAVI procedure, which...

TAVI for bicuspid aortic valve

Coronary clinical cases - session 1

03 Mar 2023 – From AfricaPCR 2023

This AfricaPCR 2023 session will enable you to study several cases, including that of a 66-year-old male patient with atrial fibrillation, hypothyroidism, previous PCI of RCA, LM to LAD and OM, who was admitted for NSTEMI. Watch the video to find out more!

Coronary clinical cases - session 1

The importance of IVUS in optimising PCI of the left main coronary artery

03 Mar 2023 – From AfricaPCR 2023

Watch the case of an 89-year-old active male patient with type II diabetes and pulmonary hypertension, awaiting hip replacement, who presented with recently worsening effort dyspnoea, and review his treatment management thanks to the recorded video while following the debate around such intervention.

The importance of IVUS in optimising PCI of the left main coronary artery

Challenging femoral access and alternative access

03 Mar 2023 – From AfricaPCR 2023

In this session, learn about femoral artery dissection after TAVI, femoral perforation, alternative access for TAVI, and follow discussions about the safest way to perform transfemoral access, among others!

Challenging femoral access and alternative access

Left atrial appendage closure (LAAc) for stroke prevention - Session with LIVE demonstration

20 May 2021 – From EuroPCR 2021

Watch this session if you want to understand how to select the most suitable patients for LAA closure, to develop an approach to appropriate device selection and procedural planning, to share step-by-step implementation of procedural plans and to explore optimal post procedure follow-up and care.

This session...

Left atrial appendage closure (LAAc) for stroke prevention

Patent Foramen Ovale (PFO) closure for stroke prevention - Session with LIVE demonstration

20 May 2021 – From EuroPCR 2021

Watch this session if you want to discuss which patient to select for PFO closure, to understand how to plan PFO closure and select a device, and to discuss post procedure medication and follow-up.

This session was originally presented during EuroPCR 2021.

TAVI in challenging scenarios: Part 2

22 Nov 2020 – From PCR Valves e-Course 2020

Discover various challenging scenarios of TAVI, such as the implantation of 32mm balloon-expandable THV for severe AS, a simultaneous TAVI and PCI of the LAD using RA in a high-risk patient, and more!

TAVI in challenging scenarios: Part 2