Optima Education are proud to present

OPTIMAL Online 2020

4th & 5th and 11th & 12th November 2020


Optimal Online is a 2 week exposure, across 4 days, to Complex PCI and CTO techniques.

Join us for live cases and discussions on the 4th & 5th and 11th & 12th November.

Featuring live cases from Royal Victoria Hospital, Belfast, Bristol Heart Institute and McGill University Health Centre, Canada.


Day 1

4TH NOVEMBER 13:00 - 16:30
A focus on the Left Main Stem
1. Lies, damned lies & statistics
2. LMS - does CABG offer a mortality advantage issue?
3. LMS - explaining & setting end points (a patient's perspective)
Live case - Royal Victoria Hospital, Belfast
4. Left main ostial disease - specific challenges and solutions
5. Imaging and the LMS, the why & how
Summary & Learning Points

Trial design & interpretation
LMS controversy
Imaging in LMS
Ostial disease

Day 2

5TH NOVEMBER 13:00 - 16:35
Calcium, Imaging & LV Support
1. Intravascular imaging for complex CAC
Live case - Bristol Heart Institute, Bristol
2. Managing patients with depressed LV function
3. Live recorded case with Impella support
4. Still a role for rotablation?
5. Laser and calcium, firing blanks? An introduction to Lasershock
Summary & Learning Points

Calcium modification
Left ventricle support indications

Day 3

11TH NOVEMBER 13:00 - 16:30
Crossroads, Bifurcation, Imaging & Physiology
1. Bifurcation techniques - what can go wrong and how to avoid
Live case - Bristol Heart Institute, Bristol
2. Culotte V DK kiss
3. Managing the side branch in provisional strategy using physiology
4. Use of dual lumen catheter to facilitate safe, side branch access
5. Intravascular imaging is mandatory in bifurcation stenting?
Summary & Learning Points

Bifurcation physiology / flow dynamics
Bifurcation imaging
Use of dual lumen catheters

Day 4

12TH NOVEMBER 13:00 - 17:30
Current controversies in CTO
1. The sub intimal story, should I be worried?
Live case - McGill University Health Centre, Canada
Live case - Royal Victoria Hospital, Belfast
2. Management of in-stent CTO
3. Parallel wiring re-invented
4. Adjunctive intravascular imaging within CTOs - an A-Z
5. Advances in retrograde CTO PCI
Summary & Learning Points

Retrograde advances
In-stent CTO therapies
Intravascular imaging


Course Director

James C Spratt
James C. Spratt

James Spratt is a Professor of Interventional cardiology with a sub-speciality interest in complex PCI, intravascular imaging and CTO. He has an interest in medical education and the integration of new technology.

Course Organising Committee

Colm Hanratty
Colm Hanratty

Dr Colm Hanratty has global experience in training physicians in complex and CTO PCI. He has performed live cases across the world and is published widely in fields or CTO and complex PCI and he is the co-author of the antegrade iBook.

Simon Walsh
Simon Walsh

Dr Simon Walsh has significant expertise in live cases and proctoring physicians within CTO and complex PCI also working internationally as an educator, teaching advanced techniques. He has been a major contributor of evidence with both these fields, and is the co-author of the antegrade iBook.

Dr Jonathan Hill
Jonathan Hill

Dr Jonathan Hill is a Consultant Interventional Cardiologist, Chair Revascularisation Group at the Royal Brompton Hospital, London. He trained in Cambridge and Edinburgh Universities. He undertook interventional training at London Chest Hospital and Interventional research at the National Institute of Health. His specialist interests are imaging and vascular repair and healing following coronary intervention.

Simon Wilson
Simon Wilson

Interventional consultant at St Georges Hospital, London with a specialist interest in CTO PCI and the expanding role of intravascular imaging.

Julian Strange
Julian Strange

Julian has proctored across the globe, educating highly skilled physicians and multidisciplinary teams on the indications, advanced techniques and strategies to deliver optimal outcomes for patients with complex coronary disease.

Nieves Gonzalo
Madrid, Spain
Yoshifumi Kashima
Yoshifumi Kashima
Dou Kefei
Dou Kefei
Beijing, China
Paul Knaapen
Amsterdam, Netherlands
Dr. Kambis Mashayekhi
Kambis Mashayekhi
Dr. Margaret McEntegart
Margaret McEntegart
Glasgow, United Kingdom
Stéphane Rinfret
Montreal, Canada
Contributor Image Dr E Smith
Elliot Smith
London, United Kingdom
Ziad Ali
Ziad Ali
New York, United States
Khaldoon Alaswad
Khaldoon Alaswad
Detroit, United States
Ajay J Kirtane
Claudia Cosgrove
London, United Kingdom
Peter O'Kane
Peter O'Kane
Bournemouth, United Kingdom
Dr Tom Johnson Bristol Heart Institute
Tom Johnson
Bristol, United Kingdom
Rohin Francis
Rohin Francis
Essex, United Kingdom
Nick Curzen
Nick Curzen
Southampton, United Kingdom
Sundeep Kalra
United Kingdom
Adrian Banning
Adrian Banning
Oxford, United Kingdom
Divaka Perera
Divaka Perera
London, United Kingdom

To register for this event please click the link below that will take you to Eventbrite where you will be able to book your place.



A guide to mastering Retrograde and Antegrade CTO PCI