Complex PCI: Nothing Is Simple in Shock Patients!-Keeping Your Eyes Open: Role of Intravascular Imaging in Complex PCI, Dr. Hayder D. Hashim,

Keeping Your Eyes Open: Role of Intravascular Imaging in Complex PCI, Dr. Hayder D. Hashim,

Video Transcription

Video Summary

The speaker emphasizes the critical role of intravascular imaging in complex PCI cases, particularly for left main and bifurcation lesions, citing multiple trials and guidelines supporting its use. Despite skepticism and concerns about biases, European and US guidelines classify imaging as class 1A or 1B for complex lesions and acute coronary syndromes. A detailed case illustrates how imaging challenged initial assumptions, guided intervention strategy, and improved outcomes. The speaker advocates for redefining Medina classification and stresses that imaging simplifies complex procedures, recommending widespread adoption to enhance decision-making and patient care in interventional cardiology.

Keywords

intravascular imaging

complex PCI

left main lesions

bifurcation lesions

Medina classification