BCIS ACI 2020: CTO PCI Has No Prognostic Benefit - Is It a Waste of Time & Money?

Published: 07 February 2020

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    8m 28s
    Part 4 Panel Discussion
    Andrew Ladwiniec, Mark Gunning, Daniel J Blackman, James Spratt, Jonathan Hill, Rosemary Swallow
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Overview

This video debate series filmed at the BCIS ACI meeting 2020, examines whether or not CTO PCI has any prognostic benefits. They examine the pros and cons for use and discuss if the advantages outweigh the cost. 

Thanks to BCIS for providing this footage

This content was provided by the courtesy of BCIS.

More from this programme

Part 1

Introduction and Preliminary Poll

Prof Mark Gunning (University Hospital of North Midlands, Stoke-on-Trent, UK) asks the audience to cast their vote on the proposition that “CTO PCI has no prognostic benefit and it is a waste of time and money”. Dr Andrew Ladwiniec (University Hospitals of Leicester NHS Trust, Leicester, UK) introduces the panel of the debate.
1 session
Introduction and Preliminary Poll Watch now

Part 2

Pro Argument

Dr Dan Blackman (Leeds Teaching Hospitals NHS Trust, Leeds, UK) argues that CTO PCI has no prognostic benefit and it is a waste of time and money.
1 session
Pro Argument Watch now

Part 3

Contra Argument

CTO PCI is often used to treat patients with chronic total occlusion (CTO), or complete blockages of the coronary arteries. Dr James Spratt (London Bridge Hospital, London, UK) argues for the cost-effectiveness and efficacy of percutaneous coronary intervention (PCI) for chronic total occlusion.
1 session
Contra Argument Watch now

Part 4

Panel Discussion

The panel and the chairs are concluding the debate by furthering the arguments of CTO PCI delivered by Dr Dan Blackman (Leeds Teaching Hospitals NHS Trust, Leeds, UK) and Dr James Spratt (London Bridge Hospital, London, UK).
1 session
Panel Discussion Watch now

Faculty Biographies

Andrew Ladwiniec

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Mark Gunning

Mark Gunning

Interventional Consultant Cardiologist

Dr Mark Gunning is an Interventional Consultant Cardiologist at Royal Stoke University Hospital, Stoke-on-Trent, UK with a specific interest in  complex coronary anatomy, coronary calcification and concommitant cardiac and renal disease.

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Daniel J Blackman

Daniel J Blackman

Interventional Cardiologist

Dr Daniel Blackman has a national and international reputation in trans-catheter aortic valve implantation (TAVI), having trained specialists throughout the UK, Europe, USA and Japan in performing TAVI.

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James Spratt

James Spratt

Professor of Interventional Cardiology

Prof James Spratt is a Professor of Interventional cardiology. A high-volume Interventional Cardiologist with an international reputation in complex PCI, with a sub-speciality interest in intravascular imaging and CTO. Widely published within this area and has performed live case demonstrations globally. He is interested in medical education and is the Founder of Optima Education. Prof James Spratt is an editorial board member of Interventional Cardiology: Reviews, Research, Resources (ICR3).

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Rosemary Swallow

Rosemary Swallow

Consultant Interventional Cardiologist

Dr Rosemary Swallow is a consultant interventional cardiologist at Royal Bournemouth Hospital, Bournemouth, UK.

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Jonathan Hill

Jonathan Hill

Dr Jonathan Hill qualified from Edinburgh University Medical School in 1992 following pre-clinical training at Cambridge University. He trained in cardiology at The London Chest and St Bartholomew's Hospitals. 

In 1999 he was awarded the first National Heart, Lung and Blood Institute Bench to Bedside award and trained in basic science and interventional research within the Cardiovascular Branch of the National Institutes of Health in Bethesda. He completed his interventional cardiology training at the London Chest Hospital. 

In 2005 he was appointed as Clinical Senior Lecturer and Consultant Cardiologist at King's College London. 

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