Romain Didier

Romain Didier

Interventional cardiologist / Cardiologist
CHRU BREST SITE HOPITAL CAVALE BLANCHE - Brest, France

Latest contributions

PCI for complex bifurcation disease - LIVE Case

23 May 2025 – From EuroPCR 2025

A 60-year-old male patient presented with an inferior STEMI one month ago, which was treated with RCA and LCx PCI. He was referred for LAD/diagonal PCI. The LV function was reduced (EF 45 %). The team performed a DK crush PCI, guided by IVUS.

LIVE Educational Case...

PCI for complex bifurcation disease - LIVE Case

Challenging session in calcified lesions

22 May 2025 – From EuroPCR 2025

Engage with a challenging session focused on complex calcified lesion interventions. Topics include innovative triple burr techniques, OCT insights into resistant lesions, volume reduction strategies, eccentric calcium management, and IVUS-guided left main calcified lesion treatment, highlighting practical approaches to difficult cases.

Challenging session in calcified lesions

Complication occurring during PCI of calcified coronary lesions

17 May 2024 – From EuroPCR 2024

Join this in-depth session on the complications encountered during PCI of calcified coronary lesions, featuring real-world challenges like no flow with coronary dissection, stuck wires, and non-dilatable lesions. From the "Kokeshi phenomenon" to IVL-induced RCA dissection, this session highlights key lessons and red flags, emphasizing the...

Navigating Complications in Calcified Coronary PCI

Acute coronary syndrome caused by coronary aneurysms

16 May 2024 – From EuroPCR 2024

This session will explore various cases of acute coronary syndromes caused by coronary artery aneurysms. Participants will learn about the diagnosis, management, and treatment strategies for these rare and complex cases, including the use of imaging and interventional techniques to address the underlying pathology.

Acute coronary syndrome caused by coronary aneurysms

PCI: complex procedures

14 May 2024 – From EuroPCR 2024

This session explores a series of complex PCI cases, including the management of left main stent restenosis after the chimney technique, aortic root dissection during right coronary artery PCI, treatment of very old saphenous graft disease, complex in-stent restenosis, and the management of persistent coronary fistula....

PCI: complex procedures

Management of perforation during PCI

19 May 2023 – From EuroPCR 2023

Discover a compelling collection of cases that focuses on the management of coronary perforations during PCI. Explore a range of topics, including distal perforation, alternative approaches to graft stent, cardiac tamponade following DES deployment, subacute coronary perforation and pseudo-aneurysm, significant triple vessel disease with a mid...

Management of perforation during PCI

Left ventricular assist device for left main PCI

18 May 2023 – From EuroPCR 2023

Embark on a journey into the world of left ventricular assist devices  and their application in left main PCI in this session: encounter the challenges of managing an unprotected left main coronary artery with high bleeding risk, discover the role of Impella-assisted PCI in left main...

Left ventricular assist device for left main PCI

PCI in acute coronary syndrome: when do we need assist device?

19 May 2022 – From EuroPCR 2022

Take the case of a 70-year-old-patient suffering obesity, DM, HTN, HLD, who presented with an anterior STEMI and shock, or the one of a 74-year-old woman with ACS and a very low ejection fraction, and get to understand when assist devices can be used.

PCI in acute coronary syndrome: when do we need assist device?

The cathlab of the future

17 May 2022 – From EuroPCR 2022

Let's take the practical case of an 84-year-old male patient with hypertension, dyslipidaemia, and severe aortic stenosis: in this EuroPCR 2022 session, find out how to treat such a patient in the cathlab of the future and discuss the benefits of non-invasive technology at tableside, tools...

The cathlab of the future

Latest clinical evidence and practical aspects to start Reducer therapy in your centre

20 May 2021 – From EuroPCR 2021

Watch this session presented by Stefan Verheye, Francesco Giannini, Martine Gilard, Romain Didier, Tommaso Gori and Jonathan Hill in order to assess whether Reducer therapy can help your patients with refractory angina, to understand the tips and tricks of the Reducer implant, and to get a glimpse into...

Latest clinical evidence and practical aspects to start Reducer therapy in your centre

EAPCI-PCR Fellows Course 2021 - Valvular track : Self Expandable Valves and complex anatomies

12 May 2021 – From EuroPCR 2021

This episode will give you tips on Self Expandable Valves and complex anatomies - don't miss it !

Key questions:

  • How to assess a bicuspid or a severely calcified aortic valve on CT scan?
  • How to position a self-expanding valve in different anatomies?
  • What are the specificities of valve-in-valve procedures?

The...

EAPCI-PCR Fellows Course 2021 Replay available - Self Expandable Valves and complex anatomies

EAPCI-PCR Fellows Course 2021 - Valvular track | CT assessment for TAVI: Balloon Expandable Valves

28 Apr 2021 – From EuroPCR 2021

Be sure not to miss out on this episode on valvular interventions if you're looking to learn plenty of useful tips and tricks for balloon-expanding valves!

Key questions:

  • How do I analyse CT for TAVI?
  • How can I use CT in the cathlab to guide my procedure?
  • How does the...
EAPCI-PCR Fellows Course 2021 Replay available - CT assessment for TAVI: Balloon Expandable Valves

EAPCI-PCR Fellows Course 2021 - Valvular track: Vascular femoral access for TAVI

14 Apr 2021 – From EuroPCR 2021

In this episode, learn how to analyse pre-procedural CT and discover the most common pre-closing techniques!

Key questions:

  • How to analyse pre procedural CT to obtain a large bore femoral access for TAVI?
  • Where and how to puncture a femoral artery for TAVI?
  • What are the most common preclosing techniques?

The...

Replay: EAPCI-PCR Fellows Course - Vascular femoral access for TAVI

Deployment of ACURATE neo and PORTICO devices

24 Nov 2020 – From PCR Valves e-Course 2020

Watch this session if you want to understand the key features of the ACURATE Neo and PORTICO devices and to learn the key steps of deployment for ACURATE Neo and PORTICO devices.

This session was originally presented during PCR Valves e-Course 2020.

TAVI complications: Part 1

24 Nov 2020 – From PCR Valves e-Course 2020

Watch this session if you want to appreciate that complications can often be avoided by careful pre-procedural planning and to learn how to quickly identify and resolve the most frequent TAVI complications.

This session was originally presented during PCR Valves e-Course 2020.

TAVI complications: Part 1

TAVI Flashlights: bicuspid aortic valves and failed bioprostheses

24 Nov 2020 – From PCR Valves e-Course 2020

Watch this session if you want to appreciate the challenges of TAVI for bicuspid valves and failed bioprostheses, to understand contemporary approaches to device sizing for bicuspid aortic valves and to learn how to prevent coronary obstruction during valve-in-valve procedures.

This session was originally presented during PCR...

PCRonline @ TCT Connect 2020

25 Sep 2020

View reviews and take-home messages from a selection of major Late-breaking Clinical Trials in Interventional Cardiology released at the 2020 online edition of TCT Connect. Check out the list here!

How to easily reduce radiation exposure in your cathlab? 5 minutes to convince

Watch this interview if you want to understand how to maintain the receptor close to the patient, to use a 3.75 frame rate during the procedure and to evaluate easily the skin dose received by your patient.

Speakers: Martine Gilard, Romain Didier

This interview supported by GE Healthcare was...

How to easily reduce radiation exposure in your GE Healthcare IGS 5 cathlab? 5 minutes to convince

Ticagrelor or prasugrel in patients with acute coronary syndromes - ISAR-REACT 5

06 Apr 2020

The objective of the Intracoronary Stenting and Antithrombotic Regimen: Rapid Early Action for Coronary Treatment (ISAR-REACT) 5 trial is to test the hypothesis that the ticagrelor strategy is superior to prasugrel strategy in patients with ACS in a composite clinical outcomes.

Mehdi Hadid

Reviewer

Mehdi Hadid

Reviewer

Romain Didier

Prosthesis-patient mismatch following transcatheter aortic valve replacement with supra-annular and intra-annular prostheses

03 Dec 2019

The results of this study suggest that the use of self-expandable valves could help reduce the incidence of post-procedural PPM after TAVI, especially in the population with large body size...

Reviewer

Romain Didier
Souheib Feliachi

Reviewer

Souheib Feliachi

Cognitive decline before and after incident coronary events

05 Sep 2019

Reviewer

Romain Didier
Mehdi Hadid

Reviewer

Mehdi Hadid

Spontaneous coronary artery dissections: what is the best way to go?

24 May 2019 – From EuroPCR 2019

Consult this session on spontaneous coronary artery dissections to learn through several clinical cases how to diagnose the different types, which option is the best way to go, and discover new potential therapeutic approaches. 

Spontaneous coronary artery dissections: what is the best way to go?

Cerebrovascular event after TAVI - predictors and prevention

21 May 2019 – From EuroPCR 2019

Consult this session to discover various studies and meta-analysis related to cerebrovascular event after TAVI, and learn more about how to predict and prevent it.

Cerebrovascular event after TAVI - predictors and prevention

My first TAVI procedures - Management of femoral access

21 May 2019 – From EuroPCR 2019

Consult this session on TAVI procedures to learn more about the roles of CT imaging and fluoroscopy in selecting a safe access and guiding the puncture, when and how you should use percutaneous closure devices, and how to predict and manage vascular complications.

My first TAVI procedures - Management of femoral access

Complications - What to do when a nightmare comes true

20 May 2019 – From EuroPCR 2019

Consult this session to get practical tips on how life-threatening complications can be managed once they occur, such as proximal and distal coronary perforation, intracoronary lost device, and more!

Complications - What to do when a nightmare comes true