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Simple Education

Decision-making and problem solving in complex PCI: interactive case-based learning

13 April

4:30 AM America/New_York

1H M

Based on a recorded from Hospital Clínico San Carlos, Madrid
Case presenter: Angela McInnerney
Discussants: Nicola Ryan, Javier Escaned, Carlos Cafri


Angela McInerney

Angela McInerney is an Interventional Cardiology Fellow in Hospital Clínico San Carlos. Her specialist interests are in intracoronary imaging, intracoronary physiology, calcium modification techniques and complex PCI. She underwent her medical training at the National University of Ireland, Galway and graduated in 2011. She undertook her internal medicine training between Galway University Hospital, Merlin Park Hospital and also trained for six months in internal medicine in the Mayo Clinic Rochester, Minnesota. She did her general cardiology training in Ireland working in Beaumont Hospital, St Vincents University Hospital and Cork University Hospital. She was awarded the Brian McGovern Travelling Fellowship grant from the Irish Board for Cardiology Training in 2018 which allowed her to start her interventional fellowship in Hospital Clínico San Carlos. She has been keenly involved in various research projects pertaining to intracoronary physiology and intravascular imaging having authored and co-authored a number of research articles as well as review articles and book chapters. Angela regularly partakes in the preparation and delivery of educational courses in Clínico San Carlos and values the educational aspect of her role. She plans to complete her coronary interventional fellowship before completing a structural intervention fellowship also within Hospital Clínico San Carlos for which she has received a European Cardiology Society grant.


Javier Escaned

Prof Javier Escaned is Head of Interventional Cardiology Section at Hospital Clinico San Carlos (Madrid, Spain). He trained as a cardiologist the United Kingdom before moving to the Thoraxcenter / Rotterdam (The Netherlands), where he obtained his PhD degree in 1994. A skilled interventionalist with over 30 years of experience, he regularly serves as live case operator and educationalist in global events like EuroPCR, TCT or the ESC Congress. He is author of over 400 PubMed indexed scientific articles (h-index 67) on topics that include complex PCI in multivessel disease (principal investigator of SYNTAX II study), left main and chronic total occlusions, and secondary revascularization. His track record in coronary physiology includes being investigator on pivotal FFR trials like DEFER (1998), collaborator with Justin Davies in the validation and clinical implementation of iFR (since 2010), and developer of new methods for the assessment of microvascular and non-obstructive coronary disease. Recent / ongoing trials as Co-PI include ADVISE, ADVISE II, DEFINE FLAIR and ABSORB II PHYSIOLOGY, being investigator also in ILUMIEN I and IV, COMBINE and other studies on coronary imaging. He is currently Deputy Editor for Interventional Cardiology of the European Heart Journal, as well as editor of two large textbooks: “Coronary Stenosis. Imaging, Structure and Physiology”, (co-editor Patrick Serruys) and “Physiological Assessment of Coronary Stenoses and the Microcirculation) (co-editor Justin Davies). Current or recent board positions in scientific societies include EuroPCR, EAPCI, EuroCTO and the ESC Working Group of Coronary Pathophysiology and Microcirculation. Some of his additional interests are philosophy, education and music.


Nicola Ryan

Nicola Ryan is a Consultant Interventional Cardiologist in Aberdeen Royal Infirmary and the University of Aberdeen, Scotland. She received her medical degree from the Royal College of Surgeons in Ireland (2008), followed by Internal Medicine (2011) and Cardiology training (2015) through the Royal College of Physicians in Ireland. Thereafter, she completed a prestigious Interventional Cardiology and research fellowship in Hospital Clínico San Carlos, Madrid (2017). Dr Ryan's interests are primarily in the role of intra-coronary physiology and imaging, which she routinely applies in her clinical practice as well as in the clinical interventional research she leads in Aberdeen. She engages as a reviewer for several high impact journals. Dr Ryan is a member of the EuroPCR Scientific Committee and the PCR NextGen group, as well as a member of the European Society of Cardiology fellowship committee.


Carlos Cafri

An interventional cardiology director at Soroka Medical Center, Ben Gurion University, Israel. Features in 2 videos on Wondr Medical. Carlos Cafri generally speaks on Coronary Interventions, Primary Percutaneous Coronary Intervention (PPCI), and Multi Vessel Disease.