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Key points Structural heart procedures include percutaneous valve replacement (or repair), left atrial appendage occlusion (or ligation), placement of devices across the intra-atrial or intraventricular septum, and placing plugs across spaces with perivalvular blood flow. Heart teams inclusive of interventional…

Key points Percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs) has become safer and more successful with the advent of improved, dedicated equipment and an algorithmic approach. The principal indication for CTO PCI is to improve angina and quality…

Key points Percutaneous coronary intervention (PCI) of bifurcation lesions can be complex requiring several equipment types and intraprocedural decision making. Various classification systems exist for bifurcations to guide treatment decisions, but the Medina classification is most commonly used. There are…

Open full size image Dr. Brilakis: Research support from the Department of Veterans Affairs (PI of the Drug Eluting Stents in Saphenous Vein Graft Angioplasty—DIVA trial and Merit grant—I01-CX000787-01) and from the National Institutes of Health (1R01HL102442-01A1); consulting fees/speaker honoraria…