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ACI 2019 VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR INTERVENTION

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Page 1: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

ACI 2019

VIRTUAL PCI:PERFECT PLANNING FOR PROCEDURAL

SUCCESS

Dr Alan BagnallFreeman Hospital, Newcastle upon Tyne

ADVANCED CARDIOVASCULAR INTERVENTION

Page 2: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

MY CONFLICT OF INTERESTS ARE

Speaker Fees: PhilipsAdvisory Board/Proctor: Abbott Vascular, Abiomed

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION

Page 3: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

Uren NG et al. N Engl J Med 1994;330:1782-1788.

Resting Myocardial Blood Flow is Independent of Degree of Stenosis

Page 4: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION

Page 5: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

Images adapted from TCT 2018 presentation by Dr Nishima, Tsukuba Medical Centre

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION

Page 6: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

Images adapted from TCT 2018 presentation by Dr Nishima, Tsukuba Medical Centre

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION

Page 7: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

Uren NG et al. N Engl J Med 1994;330:1782-1788.

Resting Myocardial Blood Flow is Independent of Degree of Stenosis

Page 8: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION

Page 9: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 10: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 11: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 12: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 13: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 14: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 15: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR
Page 16: VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS€¦ · VIRTUAL PCI: PERFECT PLANNING FOR PROCEDURAL SUCCESS Dr Alan Bagnall Freeman Hospital, Newcastle upon Tyne ADVANCED CARDIOVASCULAR

Conclusions

Virtual PCI enables• Assessment of different stenting strategies with

single pullback• Identify maximal physiological gain for least

stent length• Identification of diffuse disease less suitable for

PCI

ACI 2019ADVANCED CARDIOVASCULAR INTERVENTION