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Coronary bifurcation lesions

08 Jul 2025

This updated chapter by T. Lefèvre provides a practical guide on strategies currently implemented in the treatment of coronary bifurcations, and highlights the main challenges and most debated issues to propose recommendations for an optimal approach. 

Authors :

Lefèvre T., Hovasse T.
The PCR Textbook chapter on Bifurcation lesions

My Toolkit in Interventional Cardiology: practical solutions to everyday challenges!

07 Mar 2022

Salvatore Brugaletta interviews Christoph Naber and Christian Frerker, section editors of the My Toolkit section. Learn more about the ressources you may find on My Toolkit section, wich are practical tips and solutions for your daily practice!

My Toolkit in Interventional Cardiology: practical solutions to everyday challenges!

Exclusion of a huge symptomatic coronary-cameral fistulae

18 May 2021 – From EuroPCR 2021

In this session, find out more about CCF, a rare but major congenital anomaly with potential serious complications undergoing in the older patients.

Exclusion of a huge symptomatic coronary-cameral fistulae

Didier Cayet

Seif El-Jack

Auckland, New Zealand

Sumedh Jayanti

Sydney, Australia

Sayeedur Rahman Khan

Dhaka, Bangladesh

How to treat an occluded radial artery graft

18 May 2021 – From EuroPCR 2021

Watch this session and you will understand why it is essential to always consider revascularization of native vessels once patients are stented in either vein or arterial grafts.

How to treat an occluded radial artery graft

Hyuck Jun Yoon

Daegu, Korea, Republic of

Uncrossable lesions

18 May 2021 – From EuroPCR 2021

Thanks to this session, get to know how to treat an uncrossable lesion, and especially in patients with inferior STEMI.

Uncrossable lesions

Surgery or PCI?

18 May 2021 – From EuroPCR 2021

In this session, discover a case when the surgeon ́s ambitions are higher than his courage.

Surgery or PCI?

Emergency cases in the cathlab: there is not just ACS and PCI

18 May 2021 – From EuroPCR 2021

Look at this video presenting a patient with massive bilateral central pulmonary embolism: how would you treat?

Emergency cases in the cathlab: there is not just ACS and PCI

Which way to choose?

18 May 2021 – From EuroPCR 2021

Watch this video to check whether you would have opted for the same vessel and the same strategy when facing this NSTEMI case.

Which way to choose?

Influenza Vaccination after Myocardial Infarction: IAMI

24 Sep 2021

The objective of the IAMI1 trial was to determine whether early influenza vaccination reduces the risk of cardiovascular events in patients admitted with an acute-MI or high-risk stable coronary artery disease in an adequately powered randomized control trial setting.

Christopher Johnston

Reviewer

Christopher Johnston
Kalpa De Silva

Reviewer

Kalpa De Silva
Influenza Vaccination after Myocardial Infarction: IAMI

World Heart Day 2021 - Pandemic and heart diseases: lessons learnt for the future

27 Sep 2021

Giulio Stefanini and Emanuele Barbato take the opportunity of World Heart Day to review the impact of the Covid-19 pandemic on cardiovascular care at a time when the pandemic has highlighted the gaps between different health systems.

Giulio Stefanini

Author

Giulio Stefanini
Prof. Emanuele BARBATO

Author

Emanuele Barbato
World Heart Day 2021 - Pandemic and heart diseases: lessons learnt for the future

Valve-in-valve transcatheter aortic valve implantation versus repeat surgical aortic valve replacement in patients with a failed aortic bioprosthesis

24 Sep 2021

Structural valve deterioration remains the Achilles heel of both SAVR and TAVI. Since indications for TAVI have expanded to low-risk patients in 2019, this clinical scenario poses a significant conundrum for physicians and surgeons, as the number of patients undergoing aortic valve interventions continues to grow...

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Patrick M. Looser

Reviewer

Patrick M. Looser
Valve-in-valve transcatheter aortic valve implantation versus repeat surgical aortic valve replacement in patients with a failed aortic bioprosthesis

Optimizing TAVI Procedures: Is Cusp Overlap Standard of Care?

23 Sep 2021 – From PCR Tokyo Valves 2021

Based on the results of the Optimize PRO and OCEAN-TAVI studies, Yohei Ohno and Yusuke Watanabe explain the key principles of the cusp overlap technique, a novel technique to potentially reduce new onset conduction disturbance. The objectives of the cusp overlap technique being to Determine, Assess, Reduce, and...

Optimizing TAVI Procedures: Is Cusp Overlap Standard of Care?

Planning for the Future: Lifetime Management Considerations for TAVI Patients

23 Sep 2021 – From PCR Tokyo Valves 2021

By establishing a constant parallel between the situation in the United States and that in Japan, based on data collected daily, Jeffrey Popma and Shinichi Shirai provide current insights into the use of the soft expanding supra-annular evolution platform. In particular, they address the question of which patient...

Planning for the Future: Lifetime Management Considerations for TAVI Patients

TAVI procedure optimisation with the cusp overlap technique

27 Sep 2021 – From PCR Tokyo Valves 2021

In this session, the speakers present the advantages of the cusp overlap technique, providing a technical overview, and predicting that it will lead to best-in-class permanent pacemaker implantation rates, and will also have a great impact on paravalvular leak rates and other clinical endpoints. They further support their point by...

TAVI procedure optimisation with the cusp overlap technique

Addressing the challenges of small annuli patients with the Evolut Platform

27 Sep 2021 – From PCR Tokyo Valves 2021

Recognizing that Asian patients, especially women with aortic stenosis, are smaller and have smaller annuli than European ones, for instance, this session discusses the challenges of treating these patients, among them prosthesis patient mismatch, annulus rupture, coronary occlusion, or vascular complication. In addition, the speakers will draw...

Addressing the challenges of small annuli patients with the Evolut Platform
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