Simplifying Complex PCI: Live Case Using State-Of-The-Art Physiology Assessment With iFR® and iFR Scout™

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Overview

The broadcast of this live case is supported by Volcano Corporation.

Faculty:

Justin E Davies

Agenda

Part 1

Introduction to The Ethos of Live From the Hammersmith

Part 2

Outline For the Live Case Broadcast

Part 3

Importance of FAME 3, Syntax 2 in Disease Assessment in Changing Patient Demographics

Part 4

Introduction of Patient Case

Part 5

iFR Set Up at the Hammersmith

Part 6

Essentials for Good Measurement

Part 7

ABC of Measurement (normalisation, nitrates, and measurement)

Part 8

Measurements and Treatment

Part 9

Use of Sync-Vision and iFR Scout in lesion assessment

Part 10

Review of Case - how physiology changed practice in context of MVD

Key Learning Objectives

Understand how to select patients suitable for PCI using the latest physiological techniques
Attain first hand knowledge in iFR and iFR Scout
Use Sync-Vision to demonstrate co-registration between IVUS and Angiography
Understand how clinical trial evidence is evolving to increase appropriate PCI use in patients with complex and multi-vessel disease

Target Audience

Interventional Cardiologists and Interventional Fellows performing PCI
Nurses and catheter laboratory technicians
Medical and physiology students

Faculty Biographies

Justin E Davies

Dr Justin Davies is a Senior Research Fellow and Consultant Cardiologist at Imperial College London. He also completed his undergraduate training and continued on to complete his PhD at Imperial after being awarded a British Heart Foundation research fellowship.

Now a leading clinical academic in the field of interventional cardiology, Dr Davies has pioneered several new techniques, including coronary wave intensity and instantaneous wave-free ratio (iFR). He is also published extensively in the field of hypertension and coronary and large artery physiology.

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Videography: Simplifying complex PCI: Live Case Using State-Of-The-Art Physiology Assessment With iFR® and iFR Scout™

Key References

1. Sen S, Escaned J, Malik I, et al., Development and Validation of a New Adenosine-Independent Index of Stenosis Severity From Coronary Wave–Intensity Analysis: Results of the ADVISE (ADenosine Vasodilator Independent Stenosis Evaluation) Study, J Am Coll Cardiol. 2012;59(15):1392-1402

2. ADenosine Vasodilator Independent Stenosis Evaluation II Study

3. Nijjer S, Sen S, Petraco R, et al., Pre-angioplasty instantaneous wave-free ratio pullback provides virtual intervention and predicts hemodynamic outcome for serial lesions and diffuse coronary artery disease, JACC Cardiovasc Interv. 2014; 7 (12): 186-96

4. Farooq V, van Klaveren D, Steyerberg EW, et al., Anatomical and clinical characteristics to guide decision making between coronary artery bypass surgery and percutaneous coronary intervention for individual patients: development and validation of SYNTAX score II. Lancet 2013;23,381:639-50