Q&A
Q.
Logistics must be hard for replacing a patient for a live case?
A.
That is correct as lot is done to prepare the case for live sessions along with explaining to the pt about the educational purpose of the event. Today’s case is almost similar to the eblast announcement case but much more challenging and educational.
Q.
Do you take consents for a live case?
A.
There is separate consent for the live case in which pt has to sign with a witness and brief description of the live case, is also mentioned.
Q.
Were able to manage a Heart Team review too?
A.
Yes pts with Syntax score of >32 usually needs CT surgery consultation outside the Cath lab room. Then final decision was made; which actually was done in today’s patient.
Q.
Regarding CME, why not have the window of doing feedback/answers be open for a longer period?
A.
Yes we have now extended the time period to 24 Hrs for the CME activity. Hope more participants will be able to use this opportunity.
Q.
Do we need to answer your three questions to get a CME?
A.
There is no need to answer 3 questions to get the CME certificate. Participants just need to attend the webcast and answer few journal questions to comply with the CME requirements.
Q.
You should make CME available for archived cases, as that is what we do in most cases
A.
Yes we are planning to add CME for the achieved cases also. Will update all once implemented.
Q.
What does the new trial mean for Orbital Atherectomy (OA)?
A.
In my opinion, Eclipse trial has put the last nail in the coffin of OA use. Current OA use of 2% in USA is likely to fall rapidly.
Q.
And for BVS?
A.
BVS is slowly and cautiously coming back with thinner struts (<100micron) and positive small RCTs with at least 3 yrs f/u.
Q.
In today's case, what provided a larger gain - IVL or Rotablation?
A.
Today’s case using RotaTripsy approach showed both devices were complimentary but still larger contribution to lumen gain was attributed to RA and IVL caused more calcium fractures.
Q.
How often, you downsize from 1.5 to 1.25 burr?
A.
In about 4-5% of cases we end up in downsizing the 1.5mm Rota burr to 1.25mm burr largely due to EKG changes during 1.5mm burr use and not able to cross the lesion in 5-6 attempts.
