PCI in Complex CAD: Imaging, Physiology & Patient-Centered Decision Making with Dr. Philippe Genereux, Dr. Joe Walsh, and Dr. Aidan Raney
What role should imaging and physiology play when tackling complex CAD?
In this condensed discussion, Dr. Philippe Genereux (Morristown Medical Center) shares his approach to optimizing PCI and balancing data, experience, and patient outcomes. Key takeaways include:
When to rely on FFR vs IVUS/OCT in PCI decision-making
Case selection pearls in left main and bifurcation disease
Insights on DK crush, provisional stenting, and simplicity vs complexity
Why lifetime management matters more than short-term results
How patient values and comorbidities shape the best strategy
Thoughts on consensus vs operator judgment in modern PCI
If you’re a cardiologist working with complex coronary disease, this session delivers concise, practical wisdom from one of the field’s most respected interventionalists.
Chapters:
00:00 – Welcome & topic overview
00:50 – Imaging vs physiology: where to start
03:00 – FFR insights in complex PCI
05:15 – Role of IVUS/OCT in left main & bifurcation disease
08:00 – Stenting strategies: DK crush vs provisional
10:30 – Balancing simplicity, complexity, and long-term planning
13:15 – Patient-centered decision making & comorbidities
15:00 – Consensus guidelines vs operator judgment
16:30 – Key takeaways & closing remarks
#PCI #InterventionalCardiology #IVUS #OCT #FFR
#ComplexPCI #Bifurcation #LeftMain #CoronaryArteryDisease #MurmurMD #Cardiology #Medical #Education