PCI Global Summit Module 1 Time is Up!Time is Up! 0 Hours 0 Minutes 0 Seconds 11- Based on the 2025 ACC/AHA ACS Guideline, which statement correctly synthesizes the recommendation levels for the two key procedural updates? A. Radial access is a Class IIa recommendation, and Intravascular Imaging (IVUS/OCT) is a strong recommendation for all lesions. B. Radial access is a strong recommendation, and Intravascular Imaging (IVUS/OCT) is a Class I recommendation in appropriate cases, specifically complex lesions. C. Both Radial access and Intravascular Imaging (IVUS/OCT) are Class I recommendations for all ACS PCI procedures. D. Radial access is recommended unless contraindicated, but Intravascular Imaging is only a Class IIb recommendation in complex anatomy 0 Hours 0 Minutes 0 Seconds 12- The EAPCI/ESC CTO Consensus (2024) suggests that a CT-based scoring system may outperform angiographic-based scores in predicting procedural difficulty. Which CT finding, when present, allows the operator to plan for use of specialized calcium modification tools like rotatioonal atherectomy? A. Occlusion length greater than 20 mm. B. Heavy calcification shown by Coronary CT angiography (CTCA). C. High J-CTO score despite low CT-RECTOR score. D. LGE transmurality less than 25%. 0 Hours 0 Minutes 0 Seconds 13- According to the EAPCI/ESC Consensus on High-Risk PCI (2025), what are the three primary components a Heart Team is mandated to evaluate regarding treatment strategy for a CHIP patient? A. Procedural success rate, potential for LVEF recovery, and need for post-PCI DAPT. B. Suitability for PCI vs. CABG, discussion of potential risks/benefits/functional gain, and alignment with patient preference/quality-of-life. C. SYNTAX score, renal function, and required type of Mechanical Circulatory Support (MCS). D. Operator experience, on-site surgical backup availability, and post-procedure ICU capacity. 0 Hours 0 Minutes 0 Seconds 14- For a TAVI patient presenting with profound cardiogenic shock (CS) or cardiac arrest, the EAPCI/ESC consensus specifies a type of Mechanical Circulatory Support (MCS) that provides full circulatory support. Which device is this? A. Intra-Aortic Balloon Pump (IABP) B. Impella (Percutaneous ventricular assist device). C. VA-ECMO (Veno-Arterial Extracorporeal Membrane Oxygenation) D. High-dose inotropes and vasopressors. 0 Hours 0 Minutes 0 Seconds 15- The Heart Team approach is considered mandatory in CHIP PCI and essential for optimizing timing in TAVI patients with cardiogenic shock. Which specialist is consistently listed as a required member of the Heart Team in both the CHIP and TAVI consensus documents? A. Anesthesiologist. B. Heart failure specialist. C. Imaging specialist. D. Cardiothoracic surgeon.
