Seeing the Full Picture: Advancing Ultra-Low Contrast PCI

  • Published:  03 November 2025
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    Farrel Hellig, Matthias Götberg, Karim Al-Azizi
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Seeing the Full Picture: Advancing Ultra-Low Contrast PCI

  • Published:  03 November 2025
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Overview

Dr Matthias Götberg (Skane University Hospital, SE), Dr Karim Al-Azizi (Baylor Scott & White Legacy Heart Center, US) and Prof Farrel Hellig (Sunninghill Hospital, ZA) delve into the evolving field of ultra-low contrast PCI. The faculty explore how interventional cardiologists can achieve procedural precision while significantly reducing contrast usage.

 

Through a combination of expert presentations and interactive discussions, this session highlights the clinical rationale for contrast minimisation, the tools and imaging modalities that enable “seeing the full picture” and the practical workflows that make these strategies safe and effective in routine practice. 

This video series is supported by

Learning Objectives

  • Understand the clinical rationale for ultra-low contrast PCI and its impact on patient outcomes
  • Explore the use of intravascular imaging and physiological assessment tools to guide safe and precise PCI with minimal contrast

Target Audience

  • Interventional Cardiologists
  • General Cardiologists
  • Cardiology Fellows
  • Cath Lab Teams

More from this programme

Part 1

Welcome

Prof Hellig opens the webinar and shares the educational goals.

1 session
Welcome Watch now

Part 2

Basic Techniques for ULCPCI

Dr Götberg introduces fundamental strategies for performing ultra-low-contrast percutaneous coronary interventions (ULCPCI), highlighting practical techniques to enhance procedural safety and effectiveness.

Part 3

iFR and IVUS CoReg Case

Prof Hellig shows a case demonstrating the co-registration of iFR and IVUS, illustrating how combining physiological and imaging data can guide precise, optimised coronary interventions.

Part 4

IVUS CoReg Case and DCR

Dr Al-Azizi presents a case demonstrating IVUS co-registration combined with dynamic coronary roadmap (DCR) guidance.

Part 5

Panel Discussion and Q&A

The faculty answer audience questions, share expert insights and participate in an interactive discussion.

Faculty Biographies

Farrel Hellig

Farrel Hellig

Interventional Cardiologist

Prof Farrel Hellig is an Interventional Cardiologist and the Cathlab Director at Sunninghill Hospital, Sandton, ZA.

In the coronary arena, his main interests are: complex multivessel disease, left main intervention, rotational atherectomy and chronic total occlusion.

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Matthias Götberg

Matthias Götberg

Interventional Cardiologist

Dr Matthias Götberg is an Interventional Cardiologist at Skane University Hospital, Lund, SE.

Dr Götberg specialises in coronary physiology.

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Karim Al-Azizi

Karim Al-Azizi

Interventional Cardiologist and Structural Heart Disease Specialist

Dr Karim Al-Azizi is an Interventional Cardiologist and Structural Heart Disease specialist at Baylor Scott & White Health - The Heart Hospital, Texas, USA. He serves as the Medical Director of the Structural Heart Program and the Cardiac Catheterization Laboratories. He serves as the Program Director of the Structural Heart Disease Fellowship.

His clinical and research interests include structural heart disease, transcatheter interventions for valvular heart disease, and electrosurgery. He speaks at national and international conferences on these subjects and serves as a principal investigator on multiple clinical trials in structural heart disease.

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