Author Archives: Tim Larner

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Optical Coherence Tomography

Cardiologist Q&A: Do you believe Optical Coherence Tomography (OCT) will eventually become the gold standard for the assessment of coronary stenting results? Francesco Prati MD & Fabrizio Imola MD Interventional Cardiology, San Giovanni Hospital, Rome, Italy CLI Foundation, Viale Bruno Buozzi, 60, Rome, Italy The introduction of stents in clinical practice was initially burdened by…

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Primary PCI

Cardiologist Q&A: What have been some of the challenges for your department setting up a Primary PCI Service, and what improvements need to be implemented to ensure continued success in the future? Do you believe in the concept of designated ‘heart attack centres’, or do you believe that any Trust can set up a PPCI…

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Chest Pain Pathway

Cardiologist Q&A: What are the optimal diagnostic pathways in outpatients for the evaluation of chest pain, (i.e. patients who present to the Rapid Access Chest Pain Clinics and not acute chest pain patients)? Dr Peter O’Kane Consultant Interventional Cardiologist, Royal Bournemouth Hospital, Bournemouth, UK NICE are set to publish their guidance on assessment and diagnosis…

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Bifurcation Stenting

Cardiologist Q&A: With the presentation of the BBC-ONE and NORDIC trials, is there ever a role to intentionally use a complex strategy for treating bifurcations, and if so which would you choose? More Information: Trials Explained: BBC-ONE: The British Bifurcation Coronary Study: Old, New, and Evolving Strategies study showed provisional T-stenting using the Taxus stent…

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Left Main Coronary Artery Disease

Cardiologist Q&A: Do you think unprotected Left Main stenting should occur outside the setting of a trial? If so, when? DES or BMS? Routine angiographic follow-up? Also the length of clopidogrel? Dr Azfar Zaman Director, Interventional Cardiology, Newcastle Upon Tyne Hospitals NHS Foundation Trust Yes with caveats. We should move away from talking about just…

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