Physiology-guided PCI: what is the right choice for the most accurate decision making?

Roundtable Discussion

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This expert-led discussion was filmed on 21st September 2018 with Professor Adrian Banning (as moderator) and Professors Thomas Engstrøm and Giuseppe Tarantini. This footage aims to highlight the limitations of FFR and iFR and how novel technologies and emerging resting indicies may offer solutions in coronary physiology. 

This discussion is to inform and educate interventional cardiologists and cardiac surgeons to:

  • learn more about patient-specific decision making strategies in physiology-guided PCI.
  • discuss the limitations of FFR and iFR measurements and gain insight on how to overcome them.
  • become aware of signal drift on pressure guidewire and novel technologies that limit its impact on accuracy. 
  • assess the role of emerging resting indices such as dPR.
  • listen to the personal insight of Cardiology Key Opinion Leaders on the future of coronary physiology.

Adrian BanningProf Adrian Banning : Professor Banning is the Professor of Interventional Cardiology at Oxford University. He has had a prominent role in a number of pivotal trials in Interventional Cardiology including Taxus, Syntax and Excel. He has a particular expertise in treatment of the left main coronary artery with stents. His research interests include minimising revascularisation injury and optimising myocardial revascularisation in STEMI.

Thomas EngstroemThomas Engstrøm : Thomas Engstrøm is a professor of interventional cardiology at the Department of Cardiology at The Heart Center, Rigshospitalet, University of Copenhagen, Denmark. His main research interests include myocardial protection in ischaemic heart disease with special reference to reperfusion injury, percutaneous assist devices in cardiogenic shock, the significance of pressure-derived strategies in percutaneous coronary interventions and magnetic resonance techniques in acute myocardial infarction.

Giuseppe TarantiniGiuseppe Tarantini : Professor Giuseppe Tarantini serves as Head of the Interventional Cardiology Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Padua (Italy) and in an internationally renowned researcher in the fields of ischaemic heart disease, structural heart disease and cardiomyopathies. He acts as first operator for a wide range of interventional procedures including Coronary interventions (including atherectomies), Peripheral interventions (Carotid and Renal) and Structural Heart interventions (ASDs, PFOs, TAVI and AVP). Professor Tarantini is a faculty member of a number of international conferences including Transcatheter Cardiovascular Therapeutics (TCT), Congresso della Societa Italiana di Cardiologia Invasiva (SICI-GISE), Euro PCR and European Society of Cardiology (ESC). He has published 245 clinical papers and serves as an editorial board member and reviewer for a number of respected journals.

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  • Interventional Cardiologist doing more than 50 physiology-guided PCI per year
  • Believers in iFR and/or FFR
INTRODUCTION: PHYSIOLOGY
Profs Banning, Engstrøm and Tarantini  
Topics: Physiology-guided PCI
 
Watch Interview

01.19 mins

 
SESSION 1: LITERATURE REVIEW
Prof Banning
Topics: FFR, iFR, drift, physiology-guided PCI
 
Watch Interview

01.09 mins

 
SESSION 2: EXPERIENCES & LIMITATIONS OF FFR & iFR
Profs Banning, Engstrøm and Tarantini 
Topics: FFR, iFR, dPR
 
Watch Interview

11.07 mins

 
SESSION 3: TECHNOLOGY FOCUS 
Profs Banning, Engstrøm and Tarantini 
Topics: Improving accuracy, novel technologies 
 
Watch Interview

9.29 mins