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How imaging can help us in recognising the problem and identifying the solution?

20 May 2025 – From EuroPCR 2025

This session delves into the pivotal role of imaging in the cath lab for identifying rare and complex coronary artery conditions. Explore cases ranging from honeycomb coronary artery to acute coronary syndrome guided by intravascular imaging, and learn how reflected light and calcium changes help diagnose...

How imaging can help us in recognising the problem and identifying the solution?

Best companion's cases on imaging for calcified lesions

20 May 2025 – From EuroPCR 2025

Join this session to explore cutting-edge imaging-guided strategies for treating calcified coronary lesions. Featuring OCT guidance, CT density analysis, and innovative zero-contrast PCI approaches including lithotripsy, this session highlights novel and ultra-low contrast interventions tailored for complex calcified cases and kidney failure patients.

Best companion's cases on imaging for calcified lesions

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

Intracoronary imaging-guided MINOCA management

20 May 2025 – From EuroPCR 2025

This session addresses the nuanced role of intracoronary imaging in guiding the management of MINOCA patients. Explore interventions including interventional endarterectomy, cutting-balloon PCI for spontaneous coronary artery dissection, strategies for spastic vulnerable plaques, and unusual acute STEMI presentations.

Intracoronary imaging-guided MINOCA management

Tough cases, smart imaging

20 May 2025 – From EuroPCR 2025

This session showcases challenging cardiovascular cases where smart imaging techniques guide diagnosis and intervention. Highlights include innovative soft balloon angiography in complex patients, anatomical-physiological ischemic mismatch analysis, IVUS-guided evaluation of rare SVG stenosis, and the power of perspective in imaging interpretation.

Tough cases, smart imaging

When coronary angiography is not enough

20 May 2025 – From EuroPCR 2025

Dive into the complexities that arise when coronary angiography alone is insufficient. This session explores comprehensive physiology and imaging assessments in INOCA with ventricular fibrillation, repeat coronary events, acetylcholine testing for epicardial spasm, and invasive physiology to stratify angina therapy.

When coronary angiography is not enough

The best clinical cases in PFO closure and carotid stenting

20 May 2025 – From EuroPCR 2025

Explore compelling clinical cases showcasing the latest interventions in PFO closure and carotid stenting. This session covers bilateral carotid occlusion with syncope, acute cerebral circulatory insufficiency management, complex peripheral artery disease post-radiotherapy, and innovative dual-device approaches for challenging PFOs.

The best clinical cases in PFO closure and carotid stenting

Multimodality imaging and physiology for MINOCA diagnosis

20 May 2025 – From EuroPCR 2025

This session highlights the power of multimodality imaging and physiology in diagnosing MINOCA. Topics include detecting hidden plaque vulnerability, managing unexpected diagnoses beyond MINOCA, decision-making on stenting, AI's added value, and lessons from recurrent cases.

Multimodality imaging and physiology for MINOCA diagnosis

Siemens Healthineers introduces industry-first seamlessly integrated end-to-end solution for CT-guided percutaneous coronary interventions

19 May 2026

Rapid CT-guided emergency TAVI-in-TAVI-in-valve for cardiogenic shock with high coronary obstruction risk

14 Apr 2026

An 85-year-old man presented in cardiogenic shock with torrential aortic regurgitation after prior surgical and TAVI valve-in-valve procedures. With high coronary obstruction risk, urgent CT assessment and in-silico simulations guided a rapid redo TAVI-in-TAVI-in-valve implantation, demonstrating that CT-assisted emergency redo-TAVI is feasible and lifesaving in high-risk...

Rapid CT-guided emergency TAVI-in-TAVI-in-valve for cardiogenic shock with high coronary obstruction risk

OPTIMUM: Outcomes of Percutaneous RevascularizaTIon for Management of SUrgically Ineligible Patients with Multivessel or Left Main Coronary Artery Disease

04 Nov 2021

Mirvat Alasnag reviews the OPTIMUM trial, presented by David E. Kandzari, which reports outcomes in a subset of patients who are increasingly seen in modern day catheterization laboratories. It is noteworthy that 1 in 5 patients with left main or multivessel disease are considered surgically ineligible.

Dr. Mirvat Alasnag

Author

Mirvat Alasnag
OPTIMUM: Early Outcomes From a Prospective Registry of PCI in Patients at Prohibitive Risk for CABG

First-in-human experience with EasyCross: a novel catheter for a safe and correct aortic valve crossing

14 Jun 2024

This EIJ image highlights a new device designed to enhance the safety and efficiency of ViV TAVI procedures, particularly TAV-in-TAV, by reducing attempts to cross the valve and preventing guidewire misnavigation, thereby minimizing complications and procedure time.

First-in-human experience with EasyCross: a novel catheter for a safe and correct aortic valve crossing

UNIVERSAL: routine ultrasonography guidance for femoral vascular access for cardiac procedures - A randomized clinical Trial

19 Sep 2022

Ali Nazmi Calik provides his take on UNIVERSAL randomized clinical trial, which questioned whether routine ultrasonography guidance for CFA access for cardiac procedures reduces bleeding or vascular complications. This trial was presented by Sanjit S. Jolly during TCT 2022.

Author

Ali Nazmi Calik
UNIVERSAL: routine ultrasonography guidance for femoral vascular access for cardiac procedures - A randomized clinical Trial
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