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When strange things happen, CTO and complications

23 May 2025 – From EuroPCR 2025

This session addresses complications and unexpected challenges encountered in chronic total occlusion (CTO) interventions. Learn from cases involving retrieval of stuck wires, coronary perforations, and strategies to manage complex and unusual procedural difficulties.

When strange things happen, CTO and complications

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

Navigating complexity in high-risk patients with multivessel disease undergoing PCI

23 May 2025 – From EuroPCR 2025

This educational session focuses on navigating the complexities of PCI in high-risk patients with multivessel disease. Learn the roles of imaging and physiology, low-contrast PCI techniques, and optimal strategies for patients with concomitant aortic stenosis, illustrated through detailed case discussions.

Navigating complexity in high-risk patients with multivessel disease undergoing PCI

Essential role of imaging in left main PCI

23 May 2025 – From EuroPCR 2025

Discover the essential role of intravascular imaging, particularly IVUS, in guiding left main PCI. Case studies highlight real-time guidance, management of complex bifurcation lesions, and strategies for stent failure, emphasizing imaging's impact on procedural outcomes.

Essential role of imaging in left main PCI

Innovative approaches to refractory heart failure: devices and therapies to the rescue

23 May 2025 – From EuroPCR 2025

This session highlights innovative device-based therapies for refractory heart failure, emphasizing the integration of neuromodulation, decongestive strategies, and the synergy with pharmacological treatments. Case presentations illustrate the evolving landscape of advanced heart failure management.

Innovative approaches to refractory heart failure: devices and therapies to the rescue

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

TAVI in bicuspid aortic valve disease

22 May 2025 – From EuroPCR 2025

Explore the unique challenges of TAVI in bicuspid aortic valve disease with a focus on long-term outcomes, residual gradients, prosthesis-patient mismatch, and anatomical subtype comparisons. This session draws on international registry data to inform clinical decision-making and optimize procedural strategies in this complex patient population.

TAVI in bicuspid aortic valve disease

Challenging tricuspid TEER cases

22 May 2025 – From EuroPCR 2025

Explore challenging tricuspid transcatheter edge-to-edge repair (TEER) cases highlighting combined LAA occlusion and mitral valve repair, anatomical complexities, and strategies to complete surgical interventions percutaneously. Discuss the balance between procedural perfection and clinical practicality in complex valve anatomies.

Challenging tricuspid TEER cases

Troubleshooting and management communication in LAA closure

22 May 2025 – From EuroPCR 2025

This session provides comprehensive guidance on troubleshooting and communication during left atrial appendage (LAA) closure procedures. Covering device migration management, transeptal puncture in high bleeding risk patients, scoliosis adaptations, and advanced catheter techniques, it emphasizes practical solutions for procedural complications.

Troubleshooting and management communication in LAA closure

Clinical impact of mechanical circulatory support

22 May 2025 – From EuroPCR 2025

Explore the clinical impact of mechanical circulatory support through a series of detailed presentations covering protocols and training effects on outcomes in left-sided micro-axial flow-supported shock patients, practice variations between Sweden and the U.S., six-month outcomes post coronary intervention with VA-ECMO, and the prognostic value of...

Clinical impact of mechanical circulatory support

ACS management: when imaging matters

22 May 2025 – From EuroPCR 2025

This session focuses on the critical role of intracoronary imaging in acute coronary syndrome (ACS) management. Topics include spontaneous coronary artery dissection (SCAD) cases, the utilization of IVUS and cardiac CT in emergent PCI during cardiogenic shock, and the assessment of non-culprit lesions using OCT to...

ACS management: when imaging matters

Antiplatelet strategies for clinical dilemmas

22 May 2025 – From EuroPCR 2025

Dive into the complexities of antiplatelet strategies tailored for challenging clinical scenarios. This session covers antiplatelet therapy in myocardial bridge, bleeding risk reduction via ticagrelor removal before urgent CABG, peri-procedural management for patients on oral anticoagulants undergoing PCI, and the use of cangrelor in out-of-hospital cardiac...

Antiplatelet strategies for clinical dilemmas

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

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

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

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
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