Left Main Bifurcation Live Case Series

Published: 19 February 2021

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In this live case series Prof James Spratt and Dr Thierry Lefèvre will guide us through a progressive and comprehensive educational journey around the globe. We will join various live case centres, over 11 months to learn from over 30 expert perspectives on how LMPCI is performed in a contemporary setting.

The aim of the series being, to break down the complexity of the whole procedure into a systematic, algorithmic, step by step approach. Simplified for us by top operators and faculty, through live cases and relevant flash lectures to support the learning.

With LM PCI being the most divisive procedure performed in interventional cardiology currently, the need to stay informed and aware of innovation in products and techniques has become all the more important.

For more information on the Left Main Bifurcation series, and to watch events LIVE, please register by clicking HERE

Now more than ever, Boston Scientific is committed to finding new and innovative ways to support you as you look to provide the very best patient care.

More from this programme

Part 1

The Process Behind the Procedure: An Introduction to Left Main PCI

Part 2

The Role of IVUS

In this session Prof James Spratt summarizes Live Case 1 from Belfast and is joined by Dr Joost Daemen and Dr Jose de la Torre to discuss IVUS driven strategy and optimization. Dr Colm Hanratty and Prof Robert Byrne take us through an IVUS led left main case from the Mater Private Hospital in Dublin.

Part 3

Approach to LMS & Choosing Stent Strategy

This Left Main Live case focuses on the decision making, based on the guidance of the European Bifurcation Club’s latest consensus, around choosing a stent strategy for left main bifurcations. Broadcast live from Clinique St Augustin, Bordeaux, watch how Dr Oliver Darremont and Dr Nicolas Boudou treat a patient with a very tight distal LMS trifurcation and how they used imaging to help their decision making to choose an appropriate stent strategy.

Part 4

Lesion Preparation

The fourth live case focussed on lesion preparation with a broadcast from Humanitas Research Hospital in Milan with Dr Bernhard Reimers and Dr Gabriele Luigi Gasparini operating with IVUS commentary by Dr Damiano Regazzoli Lancini. A very complex case was chosen with a subtotal occlusion of a very calcified and tortuous LAD and left main disease with many challenges trying to get into the distal LAD. The left main was assessed with IVUS. Eventually the subintimal track was dilated and the patient will be brought back in a few months for PCI.

Part 5

Provisional LM Stenting (Single Stent)

In Live Case 5 the operators used both physiology and IVUS to guide their decision making. Comet pressure wire in the circumflex showed negative DFR and FFR readings, and IVUS showed no disease at the circumflex ostium so they decided to go with a stepwise provisional strategy. They systematically used IVUS to plan the stent strategy (pullbacks in both LAD and LCX) and very thoroughly demonstrated how to assess “the 3 L’s – lesion, length, and landing zones”. A second stent was deployed and final angiographic result was excellent. A systematic, planned, clear, concise and expertly delivered case.

Part 6

Culotte Technique

Information pending
0 sessions

Part 7

DK Crush

In this session Dr Thierry Lefèvre summarizes a Live Case from Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland and is joined by Dr Nieves Gonzalo and Prof Manuel Pan to discuss The evidence base for DK Crush. Prof Maciej Lesiak and Dr Sylwia Iwanczyk take us through an DK Crush procedure.

Part 8

T and TAP Techniques

In this session Prof James Spratt moderates an interesting discussion Live Case 8 from Netcare Sunninghill Hospital, South Africa and is joined by Dr Mirvat Alasnag and Dr Jacob Odenstedt to discuss T and TAP Techniques. Prof Farrel Hellig take us through a T and TAP Techniques procedure.

Part 10

The Role of Imaging in the Left Main

Prof James Spratt (St George’s University Hospital NHS Trust, London, UK) moderators a live broadcast on an important topic on Left Main PCI and 'The Role of Intravascular Imaging in the Left Main'. 

The broadcast starts with a live case from one of the major centres in Kuwait (Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, KW) where case operators Dr Abdullah Esmaiel, Dr Fahad Alhajri and Dr Ali Alsulaimi present a case with a 49-year-old male patient who has a history of CAD, HTN and HLD, 

This expert panel examine their approaches and that they would use imaging, then the live case centre goes on further to discuss what their approach would be using IVUS to map out the case. 

Following the live case, Dr Kalaivani Mahadevan (Portsmouth Hospitals University NHS Trust) explains 'Overcoming the Barriers to Intracoronary Imaging in Left Main PCI' 

Part 11

Complication Management in Left Main PCI

Part 12

Faculty Biographies

Joost Daemen

Joost Daemen

Interventional cardiologist

Dr Joost Daemen, MD, PhD obtained his degree in medicine at the Erasmus University Medical Center, Rotterdam in 2005 and did 2 years of internal medicine training and 4 years of general cardiology training at the Thoraxcenter, Rotterdam. 

Joost is actively involved in several drug-eluting stent trials and is Principal Investigator of 4 trials focusing on the safety and efficacy of renal sympathetic denervation in hypertension, heart failure, vasospastic angina and heart failure. Joost is a member of the editorial board of EuroIntervention and the Netherlands Heart Journal, member of Young ICIN, and has completed courses in biomedical statistics and device training.

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