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Management of bifurcations with complex anatomy - part 2

23 May 2025 – From EuroPCR 2025

Explore advanced techniques for managing bifurcations with complex anatomy. This session covers novel guidewire penetration methods, cutting balloon fenestration for dissections, rotatripsy for calcified nodules, and precision wiring in challenging left anterior descending artery curves.

Management of bifurcations with complex anatomy - part 2

How coronary physiology may help in guiding treatment of NSTEMI

23 May 2025 – From EuroPCR 2025

This session explores the utility of coronary physiology in guiding NSTEMI treatment. Topics include ischemia with non-obstructive arteries, QFR quality assessment, FFR-CT impact, revascularization deferral, and sex differences in FFR-guided strategies for acute myocardial infarction with multivessel disease.

How coronary physiology may help in guiding treatment of NSTEMI

Permanent pacing after TAVI

23 May 2025 – From EuroPCR 2025

Explore predictors and mechanisms leading to permanent pacemaker implantation after TAVI. This session reviews electrophysiological intervals, atrial pacing markers, anatomical risk factors, and outcomes associated with new generation transcatheter heart valves.

Permanent pacing after TAVI

Best companion's case on intravascular lithotripsy

23 May 2025 – From EuroPCR 2025

Join this session focusing on intravascular lithotripsy in challenging cases, emphasizing device and drug synergy, IVUS guidance, and strategies to avoid exacerbating complications. Clinical cases demonstrate management of tough calcified lesions with novel approaches.

Best companion's case on intravascular lithotripsy

High-risk PCI in TAVI procedures

23 May 2025 – From EuroPCR 2025

This session highlights high-risk PCI in the context of TAVI procedures, including hybrid approaches for aortic stenosis with coronary disease, valve-in-valve scenarios, and unique anatomical challenges such as total situs inversus, emphasizing comprehensive patient management.

High-risk PCI in TAVI procedures

Out of the box: tackling complex peripheral intervention

23 May 2025 – From EuroPCR 2025

Explore unconventional approaches to complex peripheral interventions through case studies involving pulmonary arteriovenous malformations, splenic aneurysms, vascular complications post maxillofacial surgery, and cyanosis in structurally normal hearts, emphasizing diagnostic and therapeutic ingenuity.

Out of the box: tackling complex peripheral intervention

Paravalvular leak closure in TMVR

23 May 2025 – From EuroPCR 2025

This session addresses paravalvular leak closure in transcatheter mitral valve replacement, exploring multiple plug techniques, complex leak management, and combined antegrade and retrograde approaches, providing nuanced insights into challenging mitral prosthesis complications.

Paravalvular leak closure in TMVR

Life threatening complications in CTO PCI

23 May 2025 – From EuroPCR 2025

Focus on life-threatening complications during CTO PCI with topics including rotational atherectomy challenges, interventricular septal puncture, surgical retrieval of fractured guidewires, and image-guided strategies for managing multivessel CTO complications, enhancing procedural safety.

Life threatening complications in CTO PCI

Coronary complications: sharing the unusual ones

23 May 2025 – From EuroPCR 2025

This session shares unusual coronary complications including microcatheter tip entrapment, balloon shaft fracture, coronary balloon rupture salvage, and retained equipment retrieval, highlighting innovative solutions and procedural vigilance.

Coronary complications: sharing the unusual ones

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

Novel tools and techniques to manage complex PCI scenarios

22 May 2025 – From EuroPCR 2025

This session introduces novel tools and techniques to manage complex PCI scenarios. Key topics include intravascular lithotripsy advancements for in-stent restenosis, innovative balloon-assisted fenestration of covered stents, long-term outcomes of drug-eluting balloons post directional coronary atherectomy, and safety and efficacy data on a novel high-pressure cutting...

Novel tools and techniques to manage complex PCI scenarios

TAVI coronary access

22 May 2025 – From EuroPCR 2025

Gain expertise in managing coronary access challenges in TAVI patients. This session discusses when and how to treat coronary lesions in TAVI candidates, strategies to facilitate coronary approach post-TAVI, and long-term outcomes with practical tips through illustrative cases including primary PCI after CoreValve implantation and valve-in-valve...

TAVI coronary access

Coronary protection during native and valve-in-valve TAVI

22 May 2025 – From EuroPCR 2025

Understand the critical role of coronary protection during native and valve-in-valve transcatheter aortic valve implantation (TAVI). This session covers procedural planning essentials, the impact of upfront coronary protection, challenges in coronary obstruction diagnosis, and the use of guide catheter extension to facilitate protection during TAVI procedures.

Coronary protection during native and valve-in-valve TAVI

When angina cannot be cured with stents: what are the remaining options

22 May 2025 – From EuroPCR 2025

Explore therapeutic options for patients with angina refractory to stenting. This session reviews the efficacy and clinical outcomes of coronary sinus (CS) reducer implantation for microvascular dysfunction, factors influencing procedural success, next-generation CS reducer innovations, and the role of aspirin in angina without obstructive coronary disease.

When angina cannot be cured with stents: what are the remaining options

Management of bifurcations with complex anatomy - Part 1

22 May 2025 – From EuroPCR 2025

This session addresses the management of bifurcations with complex anatomy through a series of challenging case studies. It features a traumatic coronary artery dissection, anomalous right coronary artery PCI, CTO interventions complicated by proximal dissection, double CTO PCI for complete revascularization, and a challenging calcified left...

Management of bifurcations with complex anatomy - Part 1

Beyond the intervention: outcomes of CTO PCI

22 May 2025 – From EuroPCR 2025

Discover long-term outcomes and practical insights into chronic total occlusion (CTO) PCI. This session presents real-world registry data, cost-effectiveness analyses, effects of successful revascularisation in reduced ejection fraction and heart failure patients, and specific outcomes in octogenarian populations.

Beyond the intervention: outcomes of CTO PCI

How to address the problem of calcified left main lesions

22 May 2025 – From EuroPCR 2025

Gain expert perspectives on addressing calcified left main coronary lesions in high-risk and complex clinical scenarios. This session features challenging cases including ACS patients with reduced LVEF, severe calcified stenosis of left main bifurcation, complex PCI in post-CABG octogenarians with rotablation under Impella support, and other...

How to address the problem of calcified left main lesions

TAVI - Outcomes predictors

22 May 2025 – From EuroPCR 2025

Examine novel predictors of outcomes following TAVI. This session compares a new nutritional risk index against traditional scores for early post-TAVI mortality prediction and evaluates uric acid as a marker for aortic valve calcification and mortality risk in TAVI patients.

TAVI - Outcomes predictors

Management of challenging TAVI device delivery

22 May 2025 – From EuroPCR 2025

Explore innovative solutions for managing challenging TAVI device delivery. This session presents cases involving kinked and stuck Navitor valves, the use of snare devices for retrieval, balloon-expandable TAVI in severe bicuspid aortic stenosis, and alternative access routes such as transaortic access after failed transfemoral valve-in-valve procedures.

Management of challenging TAVI device delivery

Retrograde removal of the broken sheath

22 May 2025 – From EuroPCR 2025

This session addresses complex complications during vascular access with a focus on retrograde removal of broken sheaths. Learn to recognize critical signs, manage rare but severe complications including broken guidewires in the radial artery, and explore innovative off-label solutions for challenging scenarios.

Retrograde removal of the broken sheath
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