OPTIMA

Optimal Online 2020 - Day 1 - Can PCI really match CABG in LMS PCI?

04 November

7:00 AM America/Chicago

3H 20M

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Addressing the controversy of LM revascularisation PCI head-on by first providing the statistical weapons to interpret the data. We will explore which patients will benefit from percutaneous revascularisation before defining how to achieve technical excellence.

Summary & Learning Points:
Trial design & interpretation
LMS controversy
Imaging in LMS
Ostial disease
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Prof Spratt on Optimal Online 2020

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Dr O'Kane on laser and Calcium from Optimal Online 2020

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Prof Banning on Left Main Stem from Optimal Online 2020

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Dr Julian Strange on Left Main Ostial Disease from Optimal Online 2020

Speakers

James Spratt

Prof James C Spratt has global experience in training physicians in complex and CTO PCI. He is the Director of Optimal CTO and the author of the Retrograde iBook and co-author of the antegrade iBook.

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Colm Hanratty

A consultant cardiologist at Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK. Features in 16 videos on Wondr Medical. Colm Hanratty generally speaks on Fractional Flow Reserve (FFR), Intravascular Ultrasound (IVUS), Chronic Total Occlusion (CTO), Calcium Scoring, and Stable Coronary Artery Disease (CAD).

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Simon Walsh

Dr Simon Walsh has been working as a Consultant Cardiologist at the Belfast Trust for over 10 years. It is one of the largest NHS trusts in the UK. The centre performs ~2750 PCI per year, with 650-700 STEMI and calcium modification in ~10% of our PCI cases. Dr Walsh also works internationally as an educator, teaching advanced techniques for complex PCI and CTO PCI. This involves training visiting Cardiologists in Belfast retrograde CTO techniques, antegrade dissection and re-entry CTO techniques and other advanced PCI procedures. He has visited multiple centres in the UK, Ireland, Europe, Australia, Asia and North America to act as a visiting proctor for complex PCI and CTO PCI cases. Dr Walsh’s research interests include PCI, coronary artery disease, defibrillation, acute coronary syndromes and chronic total occlusions. Research responsibilities have included acting as a recruiting investigator for the >25 multicentre studies over the last 17 years. He acted as a primary investigator for numerous international trials including the Evolve, Noble, Leaders Free and Ischemia multicentre studies. He has been the lead UK investigator for the October trial, Syntax 2, Recharge and Ischaemia-CTO. He is also the Chief Investigator for the Consistent CTO, Celtic Bifurcation and Discrete CTO trials.

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Adrian Banning

A consultant cadiologist at John Radcliffe Hospital, Oxford University, Oxford, UK. Features in 5 videos on Wondr Medical. Adrian Banning generally speaks on Bifurcation, Left Main Stem (LMS), Intravascular Ultrasound (IVUS), Coronary Optical Coherence Tomography (OCT), and Multi Vessel Disease.

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Darrel Francis

Prof Francis is an academic cardiologist with an interest in intervention, mathematics and statistics. He is known for accidentally inventing the “Tweetorial” in which people can learn through answering leading questions on Twitter. He will discuss the opportunities and pitfalls of interpreting clinical trial results.

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Ajay Kirtane

Ajay J. Kirtane, MD, SM, is a Professor of Medicine at Columbia University Medical Center and Director of the Cardiac Catheterization Laboratories at New York Presbyterian Hospital. Dr. Kirtane is a graduate of Princeton University and Columbia University College of Physicians and Surgeons, and completed his residency in Internal Medicine at the University of California – San Francisco. Dr. Kirtane is a practicing Cardiologist with an interest in coronary and peripheral intervention and assumed the directorship of the NYP/Columbia cardiac catheterization laboratories in 2015. In addition to his clinical commitments at CUMC, Dr. Kirtane has a strong interest in clinical education and research, serving as Chief Academic Officer of the Center for Interventional Vascular Therapy. On the national and international level, he is a co-director of the Cardiovascular Research Foundation’s Transcatheter Cardiovascular Therapeutics meeting, has served as a director of several international, national, and regional educational meetings, and has participated on the program committees for the scientific sessions of both the American College of Cardiology and American Heart Association. Dr. Kirtane’s research interests are in clinical trial methodology and outcomes of device-based and pharmacologic interventions in Interventional Cardiology. He has authored/co-authored >150 original manuscripts and >50 reviews and chapters including the “Coronary Stenting” chapters of the two most widely used textbooks in Interventional Cardiology.

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Sundeep Kalra

An interventional cardiology at Royal Free Hospital, London, UK. Features in 1 video on Wondr Medical. Sundeep Kalra generally speaks on Covid19 Webinars and Discussions and Covid-19.

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Julian Strange

An interventional cardiologist at University Hospital of Bristol, Bristol, UK. Features in 7 videos on Wondr Medical. Julian Strange generally speaks on Chronic Total Occlusion (CTO), Primary Percutaneous Coronary Intervention (PPCI), Bifurcation, Left Main Stem (LMS), and Coronary Interventions.

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Agendas

Optimal Online 2020 - Day 1 - Can PCI really match CABG in LMS PCI?

Addressing the controversy of LM revascularisation PCI head-on by first providing the statistical weapons to interpret the data. We will explore...
Read More

A focus on the Left Main Stem

7:00 AM - 7:05 AM America/Chicago

Introductions

With Adrian Banning and James Spratt

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7:05 AM - 7:25 AM America/Chicago

Lies, dammed lies & statistics

With Darrel Francis

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7:35 AM - 7:55 AM America/Chicago

LMS – does CABG offer a mortality advantage issue

With Adrian Banning

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8:00 AM - 8:20 AM America/Chicago

LMS – explaining & setting end-points (a patient’s perspective)

With Ajay Kirtane

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9:30 AM - 9:50 AM America/Chicago

Left main ostial disease – challenges and solutions

With Julian Strange

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10:00 AM - 10:20 AM America/Chicago

Imaging and LMS, the why & how

With James Spratt

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