Roundtable Discussion: Physiology-guided PCI: What is the Right Choice for the Most Accurate Decision Making?

Published: 21 September 2018

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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. 

Learning objective

  • 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.

Target Audience

  • Interventional Cardiologist doing more than 50 physiology-guided PCI per year
  • Believers in iFR and/or FFR

More from this programme

Part 1


Topics: Physiology-guided PCI

Part 2


Topics: FFR, iFR, drift, physiology-guided PCI

Part 3


Part 4


Topics: Improving accuracy, novel technologies

Faculty Biographies

Adrian P Banning

Adrian P Banning

Consultant Cardiologist

Prof Adrian Banning is a Consultant Cardiologist, specialising in percutaneous coronary intervention. He works as a Consultant in interventional and general cardiology and is one of the founder members of the Oxford Private Heart and Lung Centre at Nuffield Health Oxford at The Manor Hospital.

He is recognised as one of the UK’s top interventional cardiologists and until recently he was President of the British Cardiac Intervention Society. He performs more than 250 coronary intervention procedures every year and he is an expert in TAVI –implantation of a new aortic valve through a keyhole incision and performs >150 of these TAVI procedures each year.

Prof Banning is pioneering research in his field and lectures nationally and internationally. He has authored several books on coronary intervention and has more than 300 PubMed listed scientific papers to his name.

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Thomas Engstrøm

Thomas Engstrøm

Dr Thomas Engstrøm MD is currently head of interventional cardiology at Rigshospital in Copenhagen. Engstrøm studied at the University of Copenhagen and trained at Gentofte University Hospital, Skejby University Hospital and Rigshospitalet in Denmark. He is the author of more than 120 scientific articles in peer-reviewed journals.

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Giuseppe Tarantini

Giuseppe Tarantini

Prof Giuseppe Tarantini is the Head of the Interventional Cardiology Unit within the Department of Cardiac, Thoracic, and Vascular Sciences at the University of Padua Medical School, Padua, IT. He is a globally recognised researcher specialising in ischemic heart disease, structural heart disease, and cardiomyopathies.

Prof Tarantini serves as the primary operator for a diverse array of interventional procedures, encompassing coronary interventions (including atherectomies), peripheral interventions (such as carotid and renal procedures), and structural heart interventions (involving ASDs, PFOs, TAVI, and AVP).

In addition to his clinical work, Prof Tarantini is a distinguished faculty member at various international conferences, including Transcatheter Cardiovascular Therapeutics (TCT), the Congresso della Societa Italiana di Cardiologia Invasiva (SICI-GISE), Euro PCR, and the European Society of Cardiology (ESC). He boasts a publication record of 245 clinical…

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