BackTable Cardiology is a podcast for clinical and interventional cardiologists, cardiac surgeons, and other healthcare professionals involved in cardiovascular care. This show brings together expert voices from across the field to explore the latest in cardiology—from evolving guidelines and innovative devices to real-world case discussions and multidisciplinary collaboration. BackTable Cardiology delivers practical insights and forward-thinking conversations to keep you connected and current in a rapidly changing specialty.
All content for Backtable Cardiology is the property of BackTable Inc. and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
BackTable Cardiology is a podcast for clinical and interventional cardiologists, cardiac surgeons, and other healthcare professionals involved in cardiovascular care. This show brings together expert voices from across the field to explore the latest in cardiology—from evolving guidelines and innovative devices to real-world case discussions and multidisciplinary collaboration. BackTable Cardiology delivers practical insights and forward-thinking conversations to keep you connected and current in a rapidly changing specialty.
Ep. 17 Update in Intravascular Imaging for Optimal PCI with Dr. Erik Rafflenbeul
Backtable Cardiology
55 minutes
3 weeks ago
Ep. 17 Update in Intravascular Imaging for Optimal PCI with Dr. Erik Rafflenbeul
Intravascular imaging can provide invaluable intel on the coronaries, with OCT supplying bright ideas and IVUS giving sound judgement. Light-based and soundwave-based, respectively, mastery of these two imaging modalities can help you streamline routine PCI cases and overcome challenging ones. In this episode of BackTable Cardiology, the esteemed Dr. Erik Rafflenbeul from Schön Klinik in Hamburg, Germany joins host Dr. Hady Lichaa from Tennessee’s Ascension St. Thomas Heart to discuss intravascular imaging techniques for percutaneous coronary interventions.
---
SYNPOSIS
The conversation covers a wide range of topics, including the importance and benefits of using intravascular imaging, the differences and applications of intravascular ultrasound (IVUS) and optical coherence tomography (OCT) systems, recent intravascular clinical studies to know, and practical aspects of integrating these technologies into daily practice. Dr. Rafflenbeul emphasizes the value of proactive imaging and shares comprehensive insights for both seasoned and early-career interventional cardiologists.
---
TIMESTAMPS
00:00 - Introduction03:52 - Current State of Intravascular Imaging in Germany and Europe05:26 - Importance of Intravascular Imaging in PCI09:08 - Challenges and Adoption of Intravascular Imaging13:30 - IVUS vs. OCT: Which to Choose?17:06 - Practical Insights on IVUS and OCT Systems28:50 - Pre-Procedural Measurements and Techniques30:36 - Choosing Stent Diameters32:22 - Practical Aspects of Stenting36:40 - Post-PCI Assessment and Algorithm40:35 - Recent Intravascular Imaging Studies43:07 - Case Studies and Practical Tips47:16 - Advice for Early Career Interventionalists 51:54 - Concluding Thoughts and Wisdom
---
RESOURCES
Dr. Hady Lichaahttps://healthcare.ascension.org/find-care/provider/1336267533/hady-lichaa
Dr. Erik Rafflenbeulhttps://www.pcronline.com/Physicians/Erik-Rafflenbeul
European Association of Percutaneous Cardiovascular Interventions (EAPCI)https://www.escardio.org/Sub-specialty-communities/European-Association-of-Percutaneous-Cardiovascular-Interventions-%28EAPCI%29#
Optimal Intravascular Ultrasound-Guided Percutaneous Coronary Intervention in Patients With Multivessel Diseasehttps://www.jacc.org/doi/10.1016/j.jacasi.2022.12.009#:~:text=The%20OPTIVUS%20(Optimal%20IntraVascular%20Ultrasound)%2DComplex%20PCI%20study,infarction%20*%20Stroke%20*%20Any%20coronary%20revascularization
Intravascular imaging-guided coronary drug-eluting stent implantation: an updated network meta-analysishttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02454-6/abstract
Orbital Atherectomy vs. Conventional Balloon Angioplasty in Severely Calcified Coronary Arteries Prior to DES Implantation - ECLIPSEhttps://www.acc.org/Latest-in-Cardiology/Clinical-Trials/2024/10/25/04/32/eclipse
A Revised Optical Coherence Tomography–Derived Calcium Score to Predict Stent Underexpansion in Severely Calcified Lesionshttps://www.sciencedirect.com/science/article/abs/pii/S193687982401817X#:~:text=Lesions%20with%20severe%20calcium%20as,higher%20risk%20for%20stent%20underexpansion.
Intravascular Imaging vs Angiography Guidance for PCI of Severely Calcified Lesions: The ECLIPSE Trialhttps://pubmed.ncbi.nlm.nih.gov/41093451/#:~:text=The%20primary%20clinical%20outcome%20was,tomographic%20guidance%20and%20IVUS%20guidance.
Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents - ADAPT-DEShttps://www.acc.org/latest-in-cardiology/clinical-trials/2012/10/25/11/12/adapt-des
Backtable Cardiology
BackTable Cardiology is a podcast for clinical and interventional cardiologists, cardiac surgeons, and other healthcare professionals involved in cardiovascular care. This show brings together expert voices from across the field to explore the latest in cardiology—from evolving guidelines and innovative devices to real-world case discussions and multidisciplinary collaboration. BackTable Cardiology delivers practical insights and forward-thinking conversations to keep you connected and current in a rapidly changing specialty.
