Roundtable Discussion: Safety of Coronary Revascularisation Deferral Based on iFR and FFR Measurements in Stable Angina and ACS

Published: 13 June 2017

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Overview

During the "Advances in Coronary Physiology" course in London, (13th June 2017), Simple Education, in association with Radcliffe Cardiology, filmed a roundtable discussion focused around the impact of pooled analysis data from the DEFINE-FLAIR and iFR Swedeheart clinical trial results presented at EuroPCR 2017 in Paris, France.

This discussion was moderated by Dr Justin Davies (London, UK) who was joined by an expert group of physicians including Prof Javier Escaned (Madrid, ES), Prof Carlo di Mario (Florence, Italy) and Dr Bruce Samuels (Los Angeles, US).

The meeting comprised of four panel discussions on a range of topical issues related to all aspects of coronary physiology.

This educational activity is intended for an international audience, specifically interventional cardiologists and cardiologists. However, other healthcare professionals involved in the care of coronary artery disease (CAD) patients will also find this topical.

This roundtable discussion was sponsored by Philips Healthcare

Learning objectives

  • To increase awareness of the pooled-analysis data from DEFINE-FLAIR & iFR Swedeheart
  • To discuss the data in wider historical context
  • To discuss clinical implications of this data
  • To discuss implications of this data against existing guidelines
  • To summarise and debate future research to be conducted in this cohort

Panellists

  • Dr Justin Davies (London, UK)
  • Prof Javier Escaned (Madrid, ES)
  • Prof Carlo di Mario (Florence, Italy)
  • Dr Bruce Samuels (Los Angeles, US)

More from this programme

Part 1

SESSION 1

SESSION 1: POOLED ANALYSIS STUDY DESIGN & RESULTS

Part 2

SESSION 2

POOLED ANALYSIS - HOW SHOULD WE INTERPRET THE DATA?

Part 3

SESSION 3

SESSION 3: PRACTICAL IMPLICATIONS

Part 4

SESSION 4

SESSION 4: GUIDELINES & FUTURE RESEARCH

Faculty Biographies

Justin E Davies

Justin E Davies

Dr Justin Davies is a Senior Research Fellow and Consultant Cardiologist at Imperial College London. He also completed his undergraduate training and continued on to complete his PhD at Imperial after being awarded a British Heart Foundation research fellowship.

Now a leading clinical academic in the field of interventional cardiology, Dr Davies has pioneered several new techniques, including coronary wave intensity and instantaneous wave-free ratio (iFR). He is also published extensively in the field of hypertension and coronary and large artery physiology.

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Javier Escaned

Javier Escaned

Head of Interventional Cardiology

Prof Javier Escaned is Head of the Interventional Cardiology Section at Hospital Clinico San Carlos (Madrid, Spain). He trained as a cardiologist in the United Kingdom (Queen Elizabeth University Hospital, Birmingham and Walsgrave Hospital, Coventry) before moving to the Thoraxcenter/Rotterdam (The Netherlands), where he obtained his PhD degree in 1994.

He has authored over 300 scientific articles, books and book chapters on different aspects of interventional cardiology; his latest contribution is Coronary Stenosis. Imaging, Structure and Physiology, a large textbook endorsed by the European Association of Percutaneous Cardiovascular Interventions/European Society of Cardiology (EAPCI/ESC), with its latest edition published in 2015. His main interests in the field of interventional cardiology include intracoronary imaging and physiology, complex percutaneous coronary intervention including chronic total occlusion recanalisation, and acute coronary syndromes.

He…

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Carlos Di Mario

Carlos Di Mario

Full Professor of Cardiology

Prof Carlo Di Mario was born in Modena, Italy and graduated in medicine, specialising in cardiology, from the University of Padua. He trained in interventional cardiology and worked at the Erasmus University of Rotterdam, the Netherlands, where he completed his PhD. He became professor of cardiology at the University of Florence and director of structural interventional cardiology at the Careggi University Hospital, Florence, Italy.

He has previously served as research and clinical director for interventional cardiology at the University Vita-Salute of the San Raffaele Hospital in Milan and consultant cardiologist at the Royal Brompton and Harefield NHS Foundation Trust. Between January 2003 and November 2016, he was…

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Bruce Samuels

Dr Bruce Samuels (Los Angeles, US)

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