Hello everybody, this is Tanvir Raab, your host for the Sky Bifurcation Club webinar series and today we're talking about bifurcation PCI and cardionic shock and high-risk PCI sponsored by Sky. Next slide please. So our moderators are Tamara Atkinson from the West Coast and Saras from Brown. We are going to have three topics which are Impella-supported left-brain decay, Coulon and cardionic shock by Alex Truesdale, Amir Kakiz will talk about Impella ECP-supported bifurcation PCI and high-risk PCI cases and Sandeep will talk about ECMO-supported bifurcation PCI and cardionic shock. Next slide please. These are disclosures. Next please. This is supported by a renegotiation grant from Medtronic. So I'll move this to Saras and Tammy to moderate the session and I will have the first speaker which is Alex Truesdale to talk about his case. Thank you Alex. Wonderful. Thank you Dr. Raab. Thanks to Sky for hosting us and thanks to everybody for being here. My name is Saras Vallabhajoseela, I'm an interventional and a critical care cardiologist at Brown. I have the pleasure of having the wonderful Dr. Atkinson who I'd like her to introduce herself and then we'll get Dr. Truesdale going. Hi there, I'm Tammy Atkinson and I'm an interventional cardiologist at the Portland VA in Portland, Oregon and thank you for having us here and I look forward to a good session. With that we'll go ahead and have Alex get started on the first presentation.

bifurcation PCI

cardiogenic shock

Impella support

ECMO procedures

Medtronic grant