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LEFT MAIN ACADEMY

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Live Sessions Available

Live Session

Perfect your Practice: Live Session - Systematic approach in the treatment of Left Main bifurcation stenoses

In this session, Moderator Prof James Spratt is 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 summarise the key considerations for lesion complexity and provide tips on selecting the most appropriate strategy for success.

5 sessions

• Introduction – James Spratt (Duration: 2 min 28 sec)

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• Importance of IVUS in defining the stent strategy – Kalaivani Mahadevan (Duration: 20 min 15 sec)

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• LM PCI case-based presentation: choosing the right strategy for durable results – Paolo Canova (Duration: 18 min 22 sec)

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• Key considerations in the treatment of bifurcation lesions – Gregor Leibundgut (Duration: 18 min 10 sec)

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• Summary – James Spratt (Duration: 2 min 43 sec)

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Live Session

Perfect your Practice: Live Session - IVUS in LM: from practice to data

Moderator Prof James Spratt is joined by an expert faculty of Prof José M de la Torre Hernández, Dr Gabriele Luigi Gasparini and Prof Stephane Carlier for an insightful broadcast focusing on the role of Intravascular Ultrasound (IVUS) in enhancing Left Main (LM) outcomes. This case-based session provides a strong understanding of the latest evidence supporting the use of IVUS to optimise treatment strategies, share practical insights and key lessons, and educational tools to reach optimal patient outcomes.

6 sessions

• Introduction and left main coronary disease – Why is it Important? - James Spratt (Duration: 4 min 24 sec)

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• LM PCI case based presentation: giving your patient the best chance | Part 1 – Gabriele Gasparini (Duration: 11 min 33 sec)

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• A stepwise systematic approach to LM IVUS – Jose Maria de la Torre (Duration: 12 min 32 sec)

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• LM PCI case based presentation: giving your patient the best chance | Part 2 – Gabriele Gasparini (Duration: 10 min 54 sec)

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• IVUS saves lives: what does the evidence say? – Stephane Carlier (Duration: 9 min 59 sec)

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• Lessons learnt and tools available – James Spratt (Duration: 6 min 4 sec)

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Live Cases Available

Live Case 1

The Process behind the procedure

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.

4 sessions

• Welcome and Introductions - Professor James Spratt and Dr Thierry Lefèvre (Duration: 3 min 8 sec)

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• Introduction to LM PCI Series - Professor James Spratt (Duration: 5 min 30 sec)

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• Clinical Data Overview - Dr Thierry Lefèvre (Duration: 6 min 59 sec)

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• Live Case from The Royal Victoria Hospital, Belfast (Duration: 23 min 28 sec)

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Live Case 2

Role of IVUS

In this session Professor James Spratt summarizes Live Case 1 from Belfast and is joined by Dr Joost Daemen and Dr Jose de la Torre to discuss IVUS driven strategy and optimization. Dr Colm Hanratty and Professor Robert Byrne take us through an IVUS led left main case from the Mater Private Hospital in Dublin.

4 sessions

• Live Case 1 Summary - Professor James Spratt (Duration: 5 min 41 sec)

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• Basics of IVUS Image Interpretation - Dr Joost Daemen (Duration: 6 min 43 sec)

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• Vessel Sizing and Optimizing the Results with IVUS - Dr Jose de la Torre (Duration: 13 min 17 sec)

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• Live Case from Mater Private Hospital, Dublin (Duration: 29 min 1 sec)

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Live Case 3

Approach to LMS & Choosing Stent Strategy

The third live case was focused on choosing stent strategy for left main bifurcations and features a broadcast from Clinique Saint Augustin in Bordeaux with Dr Oliver Darremont and Dr Nicolas Boudou. The patient had what appeared to be a very tight distal LMS trifurcation. Guidance of High Definition IVUS and the provisional approach resulted in a single stent from LCX to LM. Operators appreciated the extra strength and dedicated design of Synergy Megatron.

4 sessions

• Welcome and Introduction to Live Case 3 (Duration: 1 min 42 sec)

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• Practical Tips to Choose Bifurcation Stent Strategy - Dr Alaide Chieffo (Duration: 9 min 46 sec)

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• Complete Revascularization in MVD- Current Evidence - Dr Barbara Stähli (Duration: 5 min 29 sec)

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• Live Case from Clinique Saint Augustin (Duration: 46 min 35 sec)

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Live Case 4

Lesion Preparation

The fourth live case focussed on lesion preparation with a broadcast from Humanitas Research Hospital in Milan with Dr Bernhard Reimers and Dr Gabriele Luigi Gasparini operating with IVUS commentary by Dr Damiano Regazzoli Lancini. A very complex case was chosen with a subtotal occlusion of a very calcified and tortuous LAD and left main disease with many challenges trying to get into the distal LAD. The left main was assessed with IVUS. Eventually the subintimal track was dilated and the patient will be brought back in a few months for PCI.

3 sessions

• Crash Course In IVUS Assessment In Coronary Calcified Lesions - Professor Margaret McEntegart (Duration: 7 min 31 sec)

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• Rotablation - from Zero to Hero - Dr Claudia Cosgrove (Duration: 9 min 50 sec)

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• Live Case from Humanitas Research Hospital, Milan (Duration: 22 min 41 sec)

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Live Case 5

Provisional LM Stenting (Single Stent)

In Live Case 5 the operators used both physiology and IVUS to guide their decision making. Comet pressure wire in the circumflex showed negative DFR and FFR readings, and IVUS showed no disease at the circumflex ostium so they decided to go with a stepwise provisional strategy. They systematically used IVUS to plan the stent strategy (pullbacks in both LAD and LCX) and very thoroughly demonstrated how to assess “the 3 L’s - lesion, length, and landing zones”. A second stent was deployed and final angiographic result was excellent. A systematic, planned, clear, concise and expertly delivered case.

4 sessions

• Welcome and Introduction - Professor James Spratt (Duration: 1 min 53 sec)

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• Dr Alaide Chieffo - Update on EBC-MAIN trial (Duration: 14 min 54 sec)

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• Michelle Hannon - Design Considerations for Stents in Bifurcation and Ostial Lesions (Duration: 7 min 45 sec)

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• Live Case from Sahlgrenska Hospital, Sweden (Duration: 43 min 09 sec)

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Live Case 7

DK Crush

In this session Dr Thierry Lefèvre summarizes a Live Case from Szpital Kliniczny im. Heliodor Święcicki UM, Poznan, Poland and is joined by Dr Nieves Gonzalo and Prof Manuel Pan to discuss The evidence base for DK Crush. Prof Maciej Lesiak and Dr Sylwia Iwanczyk take us through an DK Crush procedure.

5 sessions

• Introduction / Prof Lefevre’s slides (Duration: 3 min 30 sec)

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• Live case - slides and case (Duration: 9 min 14 sec)

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• Dr Gonzalo presentation (Duration: 12 min 9 sec)

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• Prof Pan presentation (Duration: 43 min 37 sec)

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• DK Crush case presentation and close (Duration: 10 min 7 sec)

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Live Case 8

T and TAP Technique

In this session Prof James Spratt moderates an interesting discussion Live Case 8 from Netcare Sunninghill Hospital, South Africa and is joined by Dr Mirvat Alasnag and Dr Jacob Odenstedt to discuss T and TAP Techniques. Prof Farrel Hellig take us through a T and TAP Techniques procedure.

4 sessions

• Introduction - Prof Spratt’s slides (Duration: 31 min 3 sec)

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• T/TAP Technique - Dr Mirvat Alasnag presentation (Duration: 17 min 28 sec)

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• Imagine - Dr Jacob Odenstedt presentation (Duration: 9 min 13 sec)

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• Live case from Netcare Sunninghill Hospital in South Africa (Duration: 24 min 20 sec)

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Live Case 9

Physiology & the LM

Intro coming soon

5 sessions

• Introduction (Duration: 1 min 55 sec)

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• Live case from Hospital Clínic de Barcelona, Spain (Duration: 34 min 03 sec)

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• Physiology in Left Main: why, when, how - Dr Carlos Collet (Duration: 16 min 42 sec)

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• Physiology or imaging? The continuous debate - Dr Tom Johnson (Duration: 15 min 36 sec)

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• Final remarks (Duration: 7 min 44 sec)

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Live Case 10

The Role of Imaging in the Left Main

In Live Case 10 Prof James Spratt (St George’s University Hospital NHS Trust, London, UK) moderators a live broadcast on an important topic on Left Main PCI and 'The Role of Intravascular Imaging in the Left Main'. The broadcast starts with a live case from one of the major centres in Kuwait (Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, KW) where case operators Dr Abdullah Esmaiel, Dr Fahad Alhajri and Dr Ali Alsulaimi present a case with a 49-year-old male patient who has a history of CAD, HTN and HLD.

This expert panel examine their approaches and that they would use imaging, then the live case centre goes on further to discuss what their approach would be using IVUS to map out the case. Following the live case, Dr Kalaivani Mahadevan (Portsmouth Hospitals University NHS Trust) explains 'Overcoming the Barriers to Intracoronary Imaging in Left Main PCI'. Lastly, Dr Ahmed Waqar (King Fahad Armed Forces Hospital Jedda, SA) presents 'IVUS for LM Intervention'.

6 sessions

• Welcome & Case Presentation – Prof James Spratt and Mubarak Alkabeer Hospital – Cardiac Catheterization & Research Unit, Jabriya, Kuwait (Duration: 5 min 36 sec)

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• Live Case – Pre-stent IVUS & Lesion Assessment (Duration: 12 min 30 sec)

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• Overcoming Barriers in Left Main Imaging – Dr Kalaivani Mahadevan presentation (Duration: 18 min 48 sec)

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• Live Case – IVUS Guided Stent Deployment (Duration: 19 min 16 sec)

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• Imaging in Left Main: A Practical Approach – Dr Ahmed Waqar presentation (Duration: 6 min 50 sec)

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• Live Case – Post-stenting IVUS & Final Results (Duration: 8 min 17 sec)

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Live Case 11

Complication Management in Left Main PCI

Intro coming soon

9 sessions

• Welcome & Case Presentation – Prof James Spratt and Live From St. Georges’ Hospital (Duration: 6 min 29 sec)

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• The Importance of Lesion Assessment – The IVUS 123 Framework, Presentation by Dr Mirvat Alasnag (Duration: 7 min 17 sec)

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• Live Case – IVUS Guided Assessment and Rotablation of a Heavily Calcified Lesion – Part 1 (Duration: 11 min 30 sec)

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• Potential Complications in Left Main PCI, Presentation by Prof Alaide Chieffo (Duration: 11 min 34 sec)

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• Live Case - Rotational Atherectomy of a Heavily Calcified Lesion - Part 2 (Duration: 8 min 35 sec)

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• How Crucial Is a Proper Lesion Preparation to Prevent Complications, Presentation by Dr Joost Daemen (Duration: 9 min 33 sec)

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• Live Case – Post Rotational Atherectomy IVUS Assessment & Cutting Balloon Angioplasty (Duration: 6 min 06 sec)

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• Choosing the Proper Stent and Stent Technique, Presentation by Dr Carlos Collet (Duration: 11 min 52 sec)

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• Live Case – Final results (Duration: 8 min 22 sec)

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