After completing this eLearning course, you will be able to:

• Analyze complex coronary lesion subsets (e.g. calcified lesions, bifurcations, left main, CTO, ostial lesions) and select appropriate interventional strategies
• Apply lesion-specific PCI techniques, including debulking (RA, OA, laser) and advanced balloon technologies (including IVL)
• Differentiate between one-stent and two-stent strategies in bifurcation lesions and justify the optimal approach based on anatomy and physiology
• Evaluate procedural outcomes using angiography and intravascular imaging, and optimize stent deployment accordingly
• Manage device failure scenarios (ISR, underexpansion, malapposition, stent thrombosis) using evidence-based interventional strategies
• Integrate advanced techniques for specific subsets such as left main disease, CTO interventions, and bypass graft PCI into clinical practice
• Formulate procedural strategies tailored to complex anatomical and clinical scenarios to improve patient outcomes

Prerequisites:

Participants should have:

• A solid understanding of coronary anatomy and physiology, including coronary flow, pressure-derived indices (e.g. FFR/iFR), and myocardial perfusion principles
• Knowledge of indications for PCI based on current ESC guidelines (ACS and CCS)
• Basic proficiency in coronary angiography interpretation, including lesion assessment (severity, morphology, calcification, bifurcation anatomy)
• Familiarity with standard PCI techniques, including guide catheter selection, wiring, balloon angioplasty, and stent implantation
• Understanding of intravascular imaging (IVUS/OCT) and its role in lesion preparation and stent optimization
• Experience in clinical decision-making in the cath lab, including patient selection and risk stratification