O-PCI

Optimizing PCI (O-PCI) is a series of educational meetings dedicated to helping cardiologists optimize decision-making in interventional cardiac procedures using state-of-the-art intravascular imaging and physiology technologies. Our renowned international faculty is committed to help cardiologists master interpretation of invasive diagnostic devices and treat with precision, thus securing optimal outcomes for patients.

Upcoming Events

LIVE - LM Protruding Calcified Nodule - Now What?


  • Start time: 12:00 pm EDT
  • Duration: 1H
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OPCI Journal Club: A Conversation with Dr. Brilakis: Outcomes of Retrograde Approach for Chronic Total Occlusion by Guidewire Location


  • Start time: 12:00 pm EDT
  • Duration: 1H
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OPCI Journal Club: A Conversation with Dr. Secemsky: Longitudinal Assessment of Safety of Femoropopliteal Endovascular Treatment with Paclitaxel-Coated Devices Among Medicare Beneficiaries


  • Start time: 12:00 pm EDT
  • Duration: 1H
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OPCI LIVE - Step-by-Step reverse CART: RCA CTO


  • Start time: 12:00 pm EST
  • Duration: 1H
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OPCI Journal Club: A Conversation with Dr. Konigstein: Coronary Sinus Reducer for the Treatment of Refractory Angina- the REDUCER-1 Study


  • Start time: 12:00 pm EST
  • Duration: 1H
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OPCI Journal Club: A Conversation with Dr. Brilakis: Coronary Optical Coherence Tomography and Cardiac Magnetic Resonance Imaging to Determine Underlying Causes of Myocardial Infarction with Nonobstructive Coronary Arteries in Women


  • Start time: 12:00 pm EST
  • Duration: 1H
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OPCI Journal Club: A Conversation with Dr. Nicholls: Huygens Study


  • Start time: 12:00 pm EST
  • Duration: 1H
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OPCI Live - Comprehensive Assessment of Microvascular Function: A Step-by-Step Guide

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OPCI NY 2021 - Special Focus Session: Optimizing Pharmacotherapy
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Beyond Statin therapy, novel lipid - lowering agents

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SGLT2 Inhibitors- A drug for Heart Failure, Diabetes or Renal disease? One Drug that does it all

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Balancing ischemic and bleeding risk- Contemporary use of anti-platelet and anti-thrombotic therapy following PCI

OPCI NY 2021 - Session I: Beneath the surface - Mastering Microvascular Dysfunction
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Introduction to Precision PCI

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Microvascular Dysfunction Alphabet Soup

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Microvascular dysfunction in contemporary practice – What’s with all the hype?

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Live Cases from St. Francis Hospital- The Heart Center

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Call it what you want, it’s all just GDMT

OPCI NY 2021 - Session II: Foundations of Imaging and Physiology
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Plaque morphology assessment with IVUS and OCT – What’s what?

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Recognizing imaging artifact – when NOT to act

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Coronary physiology in contemporary practice - Biggest bang for your buck

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Post-PCI Imaging – When is additional PCI necessary?

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It’s all about the flow – Why physiology guided PCI should be the standard

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It’s all about the plaque – Why imaging rules it all

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Stump the Panel – Unusual Left Main Cases - Rapid Fire

OPCI NY 2021 - Session III: OPCI: Live from India
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iOPTICO – Impact of Imaging on daily practice

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Live Cases from Lisie Hospital, Kochi

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OCT guided deferral of stent implantation in STEMI with calcified nodule

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To kiss or not to kiss – Lessons from OCT Imaging

OPCI NY 2021 - Session IV: Step-by-step guide to intravascular imaging
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Case – IVUS guided PCI

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Case – OCT guided PCI

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Vulnerable Plaque: Treat or not to treat

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Size matters - Stent sizing

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Malapposition matters

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Expansion matters more

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Dissections and tissue protrusion - When to Treat

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Session IV - Live Cases from St. Francis Hospital - The Heart Center

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Seesion IV - Live Cases from St. Francis Hospital

OPCI NY 2021 - Session V: Mastering Advanced Coronary Physiology – Up for Debate
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Absolute coronary flow – better than FFR

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Pressure-based physiology is the gold standard

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Lessons from the ISCHEMIA trial – Spot stent for symptoms

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Lessons from the ISCHEMIA trial – Cover the plaque for better outcomes

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Post-PCI Optimization – Physiology is best

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Post-PCI Optimization – Intravascular imaging is best

OPCI NY 2021 - Session VI: Intravascular Imaging and Physiology for CHIP PCI
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Intravascular Imaging for alternative access large bore

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Use of intravascular imaging in CTO PCI

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State of the art Left Main PCI

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Which calcified lesions require plaque modification

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Optimal Bifurcation PCI – A provisional 2-stent strategy is the strategy of choice

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Optimal Bifurcation PCI – A planned 2-stent strategy - don’t hesitate!

OPCI NY 2021 - Session VII: Vascular Imaging and Physiology – What’s next?
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Diffuse and multi-focal disease – Best modalities for PCI planning

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Optimizing PCI with Lesion-Specific Treatment

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Angio-based physiology assessment – Will it make wire-based physiology obsolete?

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Update on CT-FFR clinical trials – Changing the practice of Cardiology?

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MINOCA – Does intravascular imaging alter management?

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OCT imaging of vein grafts will be the future of cardiac surgery

Optimizing PCI - Journal Club
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OPCI Journal Club: A Conversation with Dr. Stone: Initial Invasive or Conservative Strategy for Stable Coronary Disease

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OPCI Journal Club: A Conversation with Dr. Waksman: Impact of Intracoronary OCT in Routine Clinical Practice: A Contemporary Cohort Study

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OPCI Journal Club: A Conversation with Dr. Moliterno: Intravascular Lithotripsy for Treatment of Calcified Coronary Lesions

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OPCI Journal Club: A Conversation with Dr. Waksman: Rotational Atherectomy for the Management with Undilatable ISR with Single or Multiple Stent Layers

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OPCI Journal Club: A Conversation with Dr. Moliterno: Operator Volumes & In-Hospital Outcomes of Rotational Atherectomy

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OPCI Journal Club: A Conversation with Dr. Stone: ISCHEMIA Trial and The Impact of Completeness of Revascularization

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OPCI Journal Club: A Conversation with Dr. Rao: Relative Impact of Clinical Risk Versus Procedural Risk on Clinical Outcomes After Percutaneous Coronary Intervention

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OPCI Journal Club: A Conversation with Dr. Rao: Impact of Poststenting Fractional Flow Reserve on Long-Term Clinical Outcomes. The FFR-SEARCH Study

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OPCI Journal Club: A Conversation with Dr. Capodanno: Automatic Characterisation of Human Atherosclerotic Plaque Composition from Intravascular Optical Coherence Tomography Using Artificial Intelligence

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OPCI Journal Club: A Conversation with Dr. Capodanno: Angiographic Predictors of Outcome in Myocardial Infarction Patients Presenting with Cardiogenic Shock: a CULPRIT-SHOCK Angiographic Substudy

Optimizing PCI - LIVE Series - On Demand
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OPCI LIVE: LM Protruding Calcified Nodule - Now What?

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OPCI Live - Comprehensive Assessment of Microvascular Function: A Step-by-Step Guide

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OPCI LIVE - Imaging Guided Treatment of Complex Bifurcation ISR

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OPCI LIVE - LM bifurcation PCI with mechanical support for oLAD-oLCX with severe ISR secondary to underexpansion

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OPCI LIVE - Complex bifurcation CTO

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OPCI LIVE - Learn how to do zero contrast PCI in complex bifurcation disease

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OPCI Live: OCT-Guided Impella-Assisted Rotational Atherectomy PCI

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OPCI LIVE: Saline OCT Imaging for Heavy Calcification

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Optimizing PCI In Complex Procedures

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OPCI 2020 - Full Course Video

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Session I - Image Interpretation
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Optimizing PCI 2020 - Session I: Image Interpretation

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Comprehensive Assessment of Calcium

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Recognition of Lipid and TCFA

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Vulnerable Plaque: Insights from PROSPECT

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Malapposition: Does it Matter?

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How to Identify Dissections and When to Treat

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Stent Underexpansion

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Tissue Protrusion

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Step-by-step OCT guided PCI

Session II - Cracking the Calcium Conundrum
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Optimizing PCI 2020 - Session II: Cracking the Calcium Conundrum

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Dichotomy between data and utilization of intravascular imaging

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Is it necessary to achieve calcium fracture?

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Best case of orbital atherectomy

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The Disrupt CAD III OCT Sub-Study

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Best case of intravascular lithotripsy

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Treating calcium is not so easy, beware of complications

Session III - Simplifying Advanced Coronary Physiology
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Optimizing PCI 2020 - Session III: Simplifying Advanced Coronary Physiology

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Basics of coronary physiology: When and where to use (invasive) coronary physiology

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Show me the data: Evidence that physiologic lesion assessment improves patient outcomes (or provides clinical value)

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iFR is the gold standard reference standard

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Best ways to measure FFR– Pitfalls and case examples

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Coronary physiology in acute coronary syndromes to test or not to test?

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Using Physiology Co-registration to plan revascularization decision-making in tandem lesions and diffuse disease – Case reviews

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Angio-based physiology assessment

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Using physiology to plan my coronary intervention

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iFR is great, but in reality, all resting pressure indices are the same

Session IV - Use of Imaging & Physiology in Complex PCI
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Optimizing PCI - Session IV: Use of Imaging & Physiology in Complex PCI

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The future of CTA in light of ISCHEMIA - the new standard?

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Guidance and optimization of coronary interventions – Updates from the expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

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Intravascular imaging for CTO PCI – How imaging saved the day

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Stent failures – Identifying causes of stent thrombosis and restenosis and how to fix it

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Intravascular imaging strategies to minimize contrast

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Intravascular imaging for left main and complex bifurcation PCI

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Dual-modality Imaging Catheters

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The best BOOM case I have ever done

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In-stent restenosis: How significant of an issue is it?

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IVUS for Complex PCI: The IMPROVE Trial

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Maximize stent size for best results: EEL-based sizing is superior

Session V - The Future of Imaging & Physiology
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Optimizing PCI 2020 - Session V: The Future of Imaging & Physiology

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How O-PCI changed my practice

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ISCHEMIA trial is Pro PCI

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Post-PCI Physiology - Hiding in plain site

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Intravascular fluorescent molecular imaging for personalized medicine

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What is wall shear stress and does it matter?

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Expanding the role of imaging to PAD

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The role of imaging in high bleeding risk patients

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Putting it all together, when will the guidelines catch up with current interventional practice?

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Medical Therapy Should be The First Line Therapy in Stable CAD Based on ISCHEMIA Trial