Q&A
Q.
Is there a different process for claiming CME for live or archived cases?
A.
No difference the CME process and it just requires to go thru the archived webcast case and submit the CME claim form for 1.5 CME credit.
Q.
Can we watch cases from a year ago and claim CME?
A.
Actually CME process started in 2024, hence yes watching cases for 2024-25 will qualify to claim the CME.
Q.
In today's case, OCT was not considered due to LMCA disease?
A.
Yes OCT and IVUS can be exchanged for IVI with limitation of OCT in ostial LM and CKD pts. That’s why we preferred IVUS over OCt in today’s case.
Q.
Impella not considered for good LV function?
A.
Yes in pts with normal LV function and patent RCA, even in complex cases, Impella is usually not needed.
Q.
Has surgery been delayed or eliminated for this patient?
A.
Yes CABG is not in the horizon for this pt. Hence even if restenosis, then rePCI with reDES or DCB will be done.
Q.
You expect the LCX to heal without further intervention?
A.
Yes we believe proximal LCx will be ok with MT at this time and if restenose in future, Stenting can be done at a later date using TAP technique.
Q.
What is the rationale for a follow up angiography at 8 months, instead of 3, 6, or 12 months?
A.
Currently routine follow up angiography is not indicated after ULM intervention. In this pt, knowing the residual LCx lesions, f/u angiography for LM patency and then do the residual LCx lesions PCI, will be planned between 6-8mths. 3 months will be too early for restenosis and 12 months may be too late for restenosis detection.
Q.
If there was to be restenosis, which vessel would likely develop it?
A.
Restenosis of LCx is most likely to happen and if occurs, then can have Stenting at that time with TAP technique.
Q.
Would you continue DAPT for a longer duration in this patient?
A.
DAPT for one year after the last PCI will be appropriate.
Q.
Are you surprised with the Colchicine Trial results?
A.
Actually, I was not at all surprised by the Colchicine trial results as despite 2 positive beneficial trials earlier, my personal experience has been disappointing. Hence after a brief enthusiastic period, I stop prescribing Colochicie for CAD; ineffectiveness and GI side effects.
