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Chapter 1

A patient-centered approach

Know when you can perform PCI (and when you can’t). In this chapter, you’ll review the crucial factors that you’ll need to consider when deciding whether to perform PCI.
7 lessons
29m 32s
A patient-centered approach intro
33s
Deciding who should have percutaneous coronary intervention
6m 48s
Considering patient-specific factors
5m 1s
Administering periprocedural medications
5m 48s
Obtaining patient consent
5m 49s
Considering vascular access sites
5m 33s
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Chapter 2

Getting back to basics

In this chapter, you’ll refresh your knowledge of coronary anatomy, learn how to choose the best angiographic view, and learn to assess lesion severity and characteristics.
6 lessons
35m 15s
Getting back to basics intro
39s
Reviewing coronary anatomy
8m 27s
Identifying lesion severity
8m 50s
Diagnosing special lesion types
6m 23s
Making a plan
10m 56s
Getting back to basics quiz
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Chapter 3

Basic tools of the trade

Review the equipment used in performing a PCI. From selecting a guide catheter to choosing your coronary stent, this chapter will cover the essential kit needed to perform PCI.
7 lessons
31m 2s
Basic tools of the trade intro
45s
Selecting a guide catheter
7m 12s
Selecting a guidewire
2m 38s
Selecting a balloon
7m 2s
Choosing a coronary stent
6m 33s
Using miscellaneous kit
6m 52s
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Chapter 4

Performing percutaneous coronary intervention

It’s showtime! This chapter will help you master the PCI procedure, guiding you step-by-step through the process so you can learn to perform a PCI yourself.
13 lessons
58m 3s
Performing percutaneous coronary intervention intro
48s
Obtaining femoral artery access
5m 36s
Accessing the radial artery
6m 13s
Troubleshooting radial access
4m 41s
Seating the guide catheter
3m 22s
Wiring the lesion
5m 25s
Loading a balloon and pre-dilatation
8m
Selecting a stent
6m 39s
Positioning a stent
4m 38s
Deploying a stent and post-dilatation
3m 55s
Assessing success
4m 28s
Removing arterial sheaths safely
4m 18s
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Chapter 5

Assessing intermediate lesions

Figure out your next steps. Here, you’ll learn how to assess lesion significance using physiological measurements when it is unclear if there is a problem with coronary flow.
5 lessons
13m 50s
Assessing intermediate lesions intro
33s
Defining an intermediate lesion
2m 48s
Using a pressure wire
6m 26s
Performing a pressure wire study
4m 3s
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Chapter 6

Complex lesions

Some lesions will leave you scratching your head. This chapter covers more challenging situations like bifurcations, left main stem disease, calcified lesions, and vein graft PCI.
9 lessons
44m 31s
Complex lesions intro
43s
Dealing with branches and bends
5m 44s
Performing provisional stenting and T and protrusion
2m 47s
Utilizing the proximal optimization technique and kissing balloons
1m 30s
Employing dedicated bifurcation techniques
9m 39s
Managing calclfied vessels
4m 14s
Evaluating left main stem disease
11m 34s
Defining and treating a coronary chronic total occlusion (CTO)
8m 20s
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Chapter 7

Common procedural complications

What do you do when things go pear-shaped? In this chapter, you’ll cover the immediate intracoronary complications of PCI and how to deal with them.
9 lessons
35m 22s
Common procedural complications intro
22s
Recognizing and treating acute no-reflow
4m 20s
Managing acute side branch occlusion
2m 20s
Classifying and managing coronary dissection
6m 58s
Classifying and managing coronary perforation
4m 55s
Dealing with stent loss
7m 9s
Managing arterial access complications
3m 48s
Using the miscellaneous kit
5m 30s
Common procedural complications quiz
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Chapter 8

Post-procedure monitoring

In this final chapter, you’ll look at post-procedural care, hemostasis, identifying major post-PCI complications, and monitoring patients' ongoing medical treatment.
7 lessons
10m 22s
Post-procedure monitoring intro
52s
Caring for patients post-intervention
1m 38s
Treating post-intervention hypotension
1m 58s
Evaluating for visual or neurologic complications
3m 31s
Discharging patients on the appropriate medical therapy
1m 10s
Post-procedure monitoring quiz
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Percutanteous Coronary Intervention (PCI) Essentials outro
1m 13s
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Teachers of this course
Image of David G O’Brien, MD FRCP
David G O’Brien, MD FRCP
David is a Consultant Interventional Cardiologist and Clinical Director of Cardiology at the Lincolnshire Heart Centre in the UK, and is a passionate teacher.
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