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Boston Scientific

LEFT MAIN ACADEMY

BIFURCATION

Perfect your Practice: Live Session

Systematic approach in the treatment of Left Main bifurcation stenoses

Tuesday 26 November 2024, 5:00pm CET

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Overview

In this interactive session, Moderator Prof James Spratt will be joined by Dr Paolo Canova, Dr Gregor Leibundgut and Dr Kalaivani Mahadevan for an insightful review of a systematic approach in the treatment of Left Main bifurcation stenoses. With case-based examples, the faculty will summarise the key considerations for lesion complexity and provide tips on selecting the most appropriate strategy for success.

Learning objectives

  • To comprehend the key factors to consider with lesion complexity
  • To learn how to select the most appropriate stent strategy
  • To understand the importance of IVUS in the treatment of Left Main bifurcation lesions

Agenda

  • 5’ – Introduction – James Spratt
  • 15’ – Importance of IVUS in defining the stent strategy – Kalaivani Mahadevan
  • 20’ – LM PCI case-based presentation: choosing the right strategy for durable results – Paolo Canova
  • 15’ – Key considerations in the treatment of bifurcation lesions – Gregor Leibundgut
  • 5’ – Lessons learnt & tools available – James Spratt

Faculty

Prof James Spratt (Chair)
St George's University Hospital NHS Trust, London, UK
Dr Kalaivani Mahadevan
Portsmouth Hospitals University NHS Trust, Portsmouth, UK
Dr Paolo Canova
Hospital Papa Giovanni XXIII, Bergamo, IT
Dr Gregor Leibundgut
University Hospital of Basel, Basel, CH

This event starts in:

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Discover the Left Main Academy

Programme overview

A Modern PCI approach to Left Main Bifurcation PCI.

This step-by-step educational journey, created and delivered by top KOLs, connect multiple proficiencies with the aim to achieve better clinical & patient outcomes in the treatment of the Left Main & Bifurcations.

Live or on-demand, learn at your own pace.

What is about

  • On demand education: e-learning modules, clinical cases, expert talks
  • EDUCARE training courses
  • IVUS imaging, lesion preparation and stent strategy optimization for Left Main & Bifurcations

Modules

Module 1

Introduction to the Left Main

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Description: In this introductory module, Dr. Simon Walsh explains how and why Left Main disease manifests as it does. At the end of this module, you will be able to put current evidence into context for each individual patient to optimize treatment.

Learning objective: Understand the Left Main PCI, exploring the associated diseases and clinical data.

Module 2

Role of IVUS in the Left Main

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Description: In this module, we will focus on the the pivotal role Intravascular Imaging (IVUS) plays in successful Left Main PCI. Prof. James Spratt will go over the key areas where IVUS can support your PCI procedure, such as planning, lesion preparation and optimizing the stent area to prevent complications.

Learning objective: Evaluate how IVUS can support Left Main PCI with a systematic IVUS 123 approach.

Module 3

Treatment Strategies of the Left Main

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Description: In this module hosted by Dr.Gregor Leibundgut, you will find out more about the importance of stent strategy when treating the Left Main and/or its Bifurcations: the key factors to consider, how to set up for success, optimal stent design characteristics, and the different techniques. After completing this module, you will be able to select the most appropriate stent strategy for each individual patient.

Learning objective: Choose an optimal stent strategy in treating Left Main Bifurcations.

Module 4

Calcium treatment in the Left Main

COMING SOON

Description: In the final module, Prof. James Spratt will guide you through the basics of lesion preparation in Left Main PCI, its importanceand the impact of calcium on mechanical outcomes. You will learn about the different technologies available and how to select the optimal lesion preparation tool in your Left Main PCI.

Learning objective: Prepare the Left Main vessels with the appropriate tools and technologies available.

Let's find out what Dr. Rigger says about the Left Main Academy

Left Main Bifurcation Live Case Series

In this live case series, Prof James Spratt and Dr Thierry Lefèvre will guide us through a progressive and comprehensive educational journey, with live cases from top centers and operators across the globe. We are also joined by over, 30 leading clinical experts, giving their perspectives on how Modern Left Main PCI is performed.

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Left Main Bifurcation Live Case Series

These sessions bring together the world’s best centers and leading clinical experts, to discuss treatment options to help you start and to master LM PCI.

You will learn to:

  • Break down the complexity of the LM PCI procedure into a Systematic, Algorithmic and Step-by-Step Approach
  • Determine when and how to use the Modern Tools available in your cathlab
  • Assess when to choose a specific Bifurcation Stent Technique, and how to execute using step-by-step instructions
  • Incorporate Tips & Tricks from some of the top clinical experts into your clinical practice

Live Cases

Live Case 1
NEXT EVENT
The Process behind the procedure

From: The Royal Victoria Hospital, Belfast, UK

Brought to you live from The Royal Victoria Hospital, Dr Simon Walsh tackles a surgical turn down Left Main due to COVID restrictions on surgery.

Learning objectives
- Left main anatomy and disease distribution
- LM disease prognosis and latest treatment consensus
- Contextual algorithms

Faculty
Dr Simon Walsh – Operator
Royal Victoria Hospital, Belfast, Ireland
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

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Live Case 2
NEXT EVENT
Role of IVUS

From: Mater Private Hospital, Dublin, Ireland

Learning Objectives
• Evidence base for IVUS
• Image interpretation
• Quality measures

Faculty
Dr Colm Hanratty – Operator
Mater Private Hospital, Dublin, Ireland
Prof Robert Byrne – Operator
Mater Private Hospital, Dublin, Ireland
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Joost Daemen – Panelist
Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands
Dr Jose de la Torre – Panelist
University Hospital Marques de Valdecilla, Santander, Spain

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Live Case 3
NEXT EVENT
Approach to LMS & Choosing Stent Strategy

From: Clinique Saint Augustin, Bordeaux, France

Learning Objectives
• When to choose 1 stent vs 2 stent strategy
• How anatomy affects strategy
• How physiology & imaging affect strategy

Faculty
Dr Olivier Darremont – Operator
Clinique Saint Augustin, Bordeaux, France
Dr Nicolas Boudou – Operator
Clinique Saint Augustin, Bordeaux, France
Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France
Dr Alaide Chieffo – Panelist
San Raffaele Hospital, Milan, Italy
Dr Barbara Stähli – Panelist
University Hospital Zurich, Zurich, Switzerland

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Live Case 4
NEXT EVENT
Lesion Preparation

From: Humanitas Research Hospital, Milan, Italy

Learning Objectives
• How to assess lesion preparation
• Defining the need for calcium modification
• Explaining the threshold for rotablation

Faculty
Dr Bernard Reimers – Operator
Humanitas Research Hospital, Milan, Italy
Dr Gabriele Luigi Gasparini – Operator
Humanitas Research Hospital, Milan, Italy
Dr Damiano Regazzoli Lancini – IVUS Commentator
Humanitas Research Hospital, Milan, Italy
Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

Prof Margaret McEntegart – Panelist
NHS Golden Jubillee Hospital, Glasgow, Scotland
Dr Claudia Cosgrove – Panelist
St George’s Hospital, London, UK

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Live Case 5
NEXT EVENT
Provisional LM Stenting (Single Stent)

From: Sahlgrenska Hospital, Sweden

Learning Objectives

• When to use a provisional strategy
• How to manage the side branch in a Provisional Stenting Approach
• How to convert to a 2 stent strategy

Faculty
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Jacob Odenstedt – Operator
Sahlgrenska Hospital, Sweden
Dr Sebastian Völz – Operator
Sahlgrenska Hospital, Sweden
Dr Alaide Chieffo – Panelist
San Raffaele Hospital, Milan, Italy
Michelle Hannon – Panelist
Boston Scientific – Research and Development Engineer

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Live Case 7
NEXT EVENT
DK Crush

From: Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland

Learning objectives
• The evidence base for DK Crush
• How to do a DK Crush
• The role of imaging in optimizing a DK Crush
• Reference to bench test models

Faculty
Dr Thierry Lefèvre – Chair of the LM Live Case Series
Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

Prof Maciej Lesiak – Operator
Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland
Dr Sylwia Iwanczyk – Operator
Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland
Dr Nieves Gonzalo – Panelist
Clinico San Carlos University Hospital, Madrid, Spain
Prof Manuel Pan – Panelist
University Hospital Reina Sofia de Cordoba, Spain

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Live Case 8
NEXT EVENT
T and TAP Techniques

From: Netcare Sunninghill Hospital, South Africa

Learning objectives
• The evidence base for TAP
• How to do a TAP
• The role of imaging in optimizing a TAP
• Reference to bench test models

Faculty
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Prof Farrel Hellig – Operator
Netcare Sunninghill Hospital, South Africa
Dr Mirvat Alasnag - Panelist
King Fahd Armed Forces Hospital in Jeddah, Saudi Arabia
Dr Jacob Odenstedt - Panelist
Sahlgrenska University Hospital Gothenburg, Sweden

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Live Case 9
NEXT EVENT
Physiology & the LM

From: Hospital Clínic de Barcelona, Spain

Learning objectives
• The role of physiology in guiding revascularisation of the Left Main
• Why, when and how to use physiology in LM bifurcation lesion assessment
• A discussion on the roles of Physiology vs Imagin in LM bifurcation lesion management

Faculty
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Ander Regueiro - Operator
Hospital Clínic de Barcelona, Spain
Dr Manel Sabaté - Operator
Hospital Clínic de Barcelona, Spain
Dr Carlos Collet - Panelist
OLV-Aalst, Belgium
Dr Tom Johnson - Panelist
University Hospital Bristol, UK

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Live Case 10
NEXT EVENT
The Role of Imaging in the Left Main

From: Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait

Learning objectives
• Through a practical approach, discover how to utilise Intravascular Imaging in your Left Main PCI procedures
• Learn how to overcome the technical challenges and potential barriers to the use of Intravascular Imaging in Left Main PCI
• Through a step-by-step systematic approach, you will learn how to optimise your Left Main PCI procedures, with the use of Intravascular Imaging
Faculty
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Abdullah Esmaiel – Operator
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait
Dr Fahad Alhajri – Operator
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait
Dr Ali Alsulaimi – Operator
Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait
Dr Kalaivani Mahadevan – Panelist
Portsmouth Hospitals University NHS Trust, Portsmouth, UK
Dr Ahmed Waqar – Panelist
King Fahad Armed Forces Hospital Jedda, SA

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Live Case 11
NEXT EVENT
Complication Management in Left Main PCI

From: St George’s, London, UK

Learning objectives
• Identify which complications can be expected in a Left Main PCI
• Demonstrate the ability to recognise and manage potential complications during a Left Main PCI
• Understand the significance of modern PCI techniques to avoid complications during a Left Main procedure

Faculty
Dr Julian Strange – Operator
Bristol Heart Institute, Bristol, UK
Dr Simon Wilson – Operator
St George's University Hospitals NHS Foundation Trust, London, UK
Prof James Spratt – Chair of the LM Live Case Series
St George’s University Hospital NHS Trust, London, UK
Dr Carlos Collet – Panelist
OLV-Aalst, Belgium
Dr Joost Daemen – Panelist
Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands
Prof Alaide Chieffo – Panelist
Interventional Cardiology Unit, San Raffaele Scientific, Milan, IT
Dr Mirvat Alasnag – Panelist
King Fahd Armed Forces Hospital in Jeddah, SA

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+

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Left Main Bifurcation Live Case Series: Faculty

These sessions bring together the world’s best centers and leading clinical experts, to discuss treatment options to help you start and to master LM PCI. Meet the experts that share their knowledge during this series below.

Dr Thierry Lefèvre
Dr Thierry Lefèvre

Live Case Series Chair

Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy, France

Prof James Spratt
Prof James Spratt

Live Case Series Chair

St George’s University Hospital NHS Trust, London, UK

Dr Simon Walsh
Dr Simon Walsh

Live Case 1 Operator

Belfast Trust, Ireland

Prof Robert Byrne
Prof Robert Byrne

Live Case 2 Operator

Mater Private Hospital, Dublin, Ireland

Dr Colm Hanratty
Dr Colm Hanratty

Live Case 2 Operator

Mater Private Hospital, Dublin, Ireland

Dr Joost Daemen
Dr Joost Daemen

Live Case 2 and 11 Panelist

Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands

Dr Jose de la Torre Hernandez
Dr Jose de la Torre

Live Case 2 Panelist

University Hospital Marques de Valdecilla, Santander, Spain

Dr Olivier Darremont
Dr Olivier Darremont

Live Case 3 Operator

Clinique Saint Augustin, Bordeaux, France

Dr Nicolas Boudou
Dr Nicolas Boudou

Live Case 3 Operator

Clinique Saint Augustin, Bordeaux, France

Dr Alaide Chieffo
Dr Alaide Chieffo

Live Case 3, 5 and 11 Panelist

San Raffaele Hospital, Milan, Italy

Dr Barbara Stähli
Dr Barbara Stähli

Live Case 3 Panelist

University Hospital Zurich, Zurich, Switzerland

Dr Gabriele Luigi Gasparini
Dr Gabriele Luigi Gasparini

Live Case 4 Operator

Humanitas Research Hospital, Milan, Italy

Dr Damiano Regazzoli Lancini
Dr Damiano Regazzoli Lancini

Live Case 4 IVUS Commentator

Humanitas Research Hospital, Milan, Italy

Dr Bernard Reimers
Dr Bernard Reimers

Live Case 4 Operator

Humanitas Research Hospital, Milan, Italy

Professor Margaret McEntegart
Prof Margaret McEntegart

Live Case 4 Panelist

NHS Golden Jubillee Hospital, Glasgow, Scotland

Dr Claudia Cosgrove
Dr Claudia Cosgrove

Live Case 4 Panelist

St George’s Hospital, London, UK

Dr Jacob Odenstedte
Dr Jacob Odenstedt

Live Case 5 Operator and Live Case 8 Panelist

Sahlgrenska Hospital, Sweden

Dr Sebastian Völz
Dr Sebastian Völz

Live Case 5 Operator

Sahlgrenska Hospital, Sweden

Michelle Hannon
Michelle Hannon

Live Case 5 Panelist

Boston Scientific – Research and Development Engineer

Dr Evald Høj Christiansen
Dr Evald Høj Christiansen

Live Case 6 Panelist

Aarhus University Hospital, Denmark

Dr Tom Johnson
Dr Tom Johnson

Live Case 6 Operator

Bristol Heart Institute, Bristol, UK

Dr Julian Strange
Dr Julian Strange

Live Case 6 and 11 Operator

Bristol Heart Institute, Bristol, UK

Prof Maciej Lesiak
Prof Maciej Lesiak

Live Case 7 Operator

Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland

Dr Sylwia Iwanczyk
Dr Sylwia Iwanczyk

Live Case 7 Operator

Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland

Dr Nieves Gonzalo
Dr Nieves Gonzalo

Live Case 7 Panelist

Clinico San Carlos University Hospital, Madrid, Spain

Prof Manuel Pan
Prof Manuel Pan

Live Case 7 Panelist

University Hospital Reina Sofia de Cordoba, Spain

Prof Farrel Hellig
Prof Farrel Hellig

Live Case 8 Operator

Netcare Sunninghill Hospital, South Africa

Dr Mirvat Alasnag
Dr Mirvat Alasnag

Live Case 8 and 11 Panelist

King Fahd Armed Forces Hospital in Jeddah, Saudi Arabia

Dr Ander Regueiro
Dr Ander Regueiro

Live Case 9 Operator

Hospital Clínic de Barcelona, Spain

Dr Manel Sabaté
Dr Manel Sabaté

Live Case 9 Operator

Hospital Clínic de Barcelona, Spain

Dr Carlos Collet
Dr Carlos Collet

Live Case 9 and 11 Panelist

OLV-Aalst, Belgium

Dr Tom Johnson
Dr Tom Johnson

Live Case 9 Panelist

University Hospital Bristol, UK

Abdullah Esmaiel
Dr Abdullah Esmaiel

Live Case 10 Operator

Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait

Fahad Alhajri
Dr Fahad Alhajri

Live Case 10 Operator

Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait

Dr Kalaivani Mahadevan
Dr Kalaivani Mahadevan

Live Case 10 Panelist

Portsmouth Hospitals University NHS Trust, Portsmouth, UK

Dr Ahmed Waqar
Dr Ahmed Waqar

Live Case 10 Panelist

King Fahad Armed Forces Hospital Jedda, SA

Dr Simon Wilson
Dr Simon Wilson

Live Case 11 Operator

St George's University Hospitals NHS Foundation Trust, London, UK

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Learning Resources

Learning resources associated with the Live Case Series will be posted here throughout the programme.

Please revisit this page for updated information.

Some links will be posted to content hosted on the Boston Scientific Educare platform.

Please click here to access the Educare Platform and log in, or set up an account if you don’t already have one.

Educare


Live Case 2 – The role of IVUS

Please see additional education resources below to complement the topic of Live Case 2 – the Role of IVUS.

IVUS Image Interpretation 3-Step Educational Journey

Each module is a chapterized training course narrated by Dr. Joost Daemen & Mr. Jurgen Ligthart.


Module 1: Fundamentals to Start the Journey of IVUS Image Interpretation

Click here

• Understanding the technology,
• Rationale for IVUS,
• Basics of image interpretation,
• Types of plaque,
• Measurements & supporting literature.

Module 2: Master IVUS Devices and Measurements to Optimize PCI

Click here

• The console & settings,
• Catheter preparation,
• Basic concepts to get the most out of your pullback,
• Pre-procedural measurements,
• Post PCI optimization & a co-registration.

Module 3: IVUS Image Interpretation Interactive Case Analysis Webinar

Click here

A chapterized webinar illustrating analysis of 3 clinical cases with expert panelists: Dr. Joost Daemen, Prof. Stéphane Carlier & Mr. Jurgen Ligthart.

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