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Navigating complexity: TAVI in challenging anatomies

22 May 2025 – From EuroPCR 2025

Navigate the complexities of TAVI in challenging anatomies. This session reviews anatomical variations such as horizontal aorta, iliofemoral tortuosity, low coronary ostia, bicuspid valves, and annular eccentricity, alongside preprocedural imaging and risk stratification. It further evaluates device selection and procedural adaptations essential for successful TAVI in...

Navigating complexity: TAVI in challenging anatomies

Difficult decision-making in left main revascularisation

22 May 2025 – From EuroPCR 2025

Address difficult clinical decisions in left main coronary artery revascularization through this session featuring complex cases. Topics include prioritization in combined left main, aortic valve disease, and low ejection fraction, management of myocardial infarction with severe mitral regurgitation and cardiogenic shock, and unique cases such as...

Difficult decision-making in left main revascularisation

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

Mitral TEER in challenging scenarios - Part 1

22 May 2025 – From EuroPCR 2025

Confront challenging clinical scenarios in mitral transcatheter edge-to-edge repair (TEER) with this session highlighting unique case experiences. Topics include innovative approaches to transcatheter mitral valve repair, urgent management of critical complications such as severe mitral regurgitation causing respiratory distress, and complex interventions in resource-limited settings such...

Mitral TEER in challenging scenarios - Part 1

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

How to manage acute complications during bifurcation PCI

22 May 2025 – From EuroPCR 2025

Navigate acute complications during bifurcation PCI with expert case discussions demonstrating retrieval of fractured guide wires, managing procedural detours in DK crush stenting, distal wire perforations with fistula formation, and challenges such as stent displacement post-deployment. This session provides practical insights into complication management to optimize...

How to manage acute complications during bifurcation PCI

TAVI for aortic regurgitation off label

22 May 2025 – From EuroPCR 2025

Explore off-label applications of TAVI for aortic regurgitation in complex clinical scenarios. Topics include TAV-in-SAV with Trilogy valve for severe regurgitation, challenges of transcatheter prosthesis in pure aortic regurgitation, management of surgical valve perforations, and treatment strategies in post-surgical anatomies including degenerative homografts and aortic dissection.

TAVI for aortic regurgitation off label

Coronary complications: stent loss

22 May 2025 – From EuroPCR 2025

Examine coronary stent loss complications and retrieval techniques in this session. Review innovative approaches such as retrieval of dislodged stents from unusual locations like the renal artery, and discussions on navigating stent-related struggles, including the mechanical journey and consequences of stent loss during PCI.

Coronary complications: stent loss

Acute complications during distal left main PCI - Part 3

22 May 2025 – From EuroPCR 2025

This session highlights acute complications during distal left main PCI. It presents cautionary cases of incorrect left main stenting, catastrophic left main V stenting outcomes, unprotected left main thrombosis, and survival strategies when new technologies fail unexpectedly.

Acute complications during distal left main PCI - Part 3

Stent failure: don't guess, just see!

22 May 2025 – From EuroPCR 2025

Investigate causes and imaging-based solutions for stent failure in this session. Topics include management of refractory stent underexpansion using lithotripsy or stent ablation, OCT perspectives on iatrogenic aortic dissection during PCI for in-stent restenosis, and analyses of bioresorbable scaffold failure. Gain insights into complex stenting techniques...

Stent failure: don't guess, just see!

Peripheral interventions: the hidden key for complications

22 May 2025 – From EuroPCR 2025

Uncover the critical role of peripheral interventions in managing complications. This session shares case stories of lost stents, unusual TAVI access complications, percutaneous removal of misplaced devices, revascularisation of iatrogenic pseudoaneurysms, and challenges when multiple closure devices are insufficient.

Peripheral interventions: the hidden key for complications

Challenging left main PCI in NSTEMI patients

22 May 2025 – From EuroPCR 2025

Address the complexities of left main PCI in NSTEMI patients with challenging clinical presentations. This session discusses management of complex left main bifurcation disease, early graft failure guided by imaging and physiology, revascularization strategies for coronary left main occlusion, PCI complications requiring CTO techniques, and acute...

Challenging left main PCI in NSTEMI patients

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

Through decisions in complex left main PCI - Left main restenosis

23 May 2025 – From EuroPCR 2025

Gain comprehensive understanding of left main restenosis mechanisms, diagnostic evaluation, and treatment options. This session includes case presentations with angiographic and intracoronary imaging assessments, explores the role of imaging in management decisions, and reviews therapeutic strategies including repeat stenting, drug-eluting balloons, and coronary artery bypass grafting.

Through decisions in complex left main PCI - Left main restenosis

CTO after CABG: complex but feasible

23 May 2025 – From EuroPCR 2025

Overcome the complexities of chronic total occlusion (CTO) PCI after coronary artery bypass grafting (CABG) with this session highlighting real-world challenging cases. Topics include retrograde recanalization via bypass grafts, management of regretted stents, post-CABG intervention challenges, and advanced techniques such as plaque/flap lift-and-shift to optimize procedural...

CTO after CABG: complex but feasible

Overcoming complex anatomy in NSTEMI

23 May 2025 – From EuroPCR 2025

Explore advanced interventional strategies addressing complex anatomy in NSTEMI patients. This session presents challenging cases including unusual STEMI presentations with cardiogenic shock in Takayasu arteritis, subtotal aorto-ostial lesions in young patients, and management of giant coronary artery aneurysms, emphasizing tailored approaches to optimize outcomes.

Overcoming complex anatomy in NSTEMI

Treatment of special anatomical scenarios in STEMI patients

23 May 2025 – From EuroPCR 2025

This session examines special anatomical scenarios in STEMI patients, focusing on the impact of bifurcation angles, calcium burden, and active side branch protection techniques. Learn from multicentre registry data and comparative analyses of bifurcation stenting strategies tailored to STEMI care.

Treatment of special anatomical scenarios in STEMI patients

TAVI and the left ventricular myocardium

23 May 2025 – From EuroPCR 2025

Understand the intricate relationship between TAVI and left ventricular myocardium through discussions on cardiac damage stages, functional remodeling, and pharmacological interventions post-TAVR. This session also reviews prophylactic ECMO support in high-risk patients, offering a comprehensive perspective on optimizing TAVI outcomes.

TAVI and the left ventricular myocardium

When stent failure meets calcified lesions

23 May 2025 – From EuroPCR 2025

Address the challenges of stent failure in the context of calcified coronary lesions. This session features complex PCI cases involving intrastent rotational atherectomy, management of underexpanded stents, in-stent restenosis, and innovative off-label use of shock wave lithotripsy to tackle tough calcifications.

When stent failure meets calcified lesions

How to manage iatrogenic dissection of the left main trunk

23 May 2025 – From EuroPCR 2025

Gain critical insights into managing iatrogenic dissection of the left main trunk. This session covers challenging cases including stent migration and bailout two-stent strategies for longitudinal stent deformation, enhancing preparedness for these rare but serious complications.

How to manage iatrogenic dissection of the left main trunk
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