Part 3: Treating Blocked Arteries Without Stents | Dr. Upul Wickramarachchi | ACCC’25 Day 1

Dr. Upul Wickramarachchi, Consultant Interventional Cardiologist at Lanka Hospitals, Colombo, Sri Lanka, delves into the practical techniques and decision-making behind Drug-Coated Balloon (DCB) angioplasty for stentless PCI. He explains how to approach different scenarios such as in-stent restenosis versus de novo lesions, highlighting the importance of meticulous lesion preparation, use of non-compliant balloons, and tailoring strategies to each patient.

The session offers guidance on managing coronary dissections using NHLBI criteria, ensuring optimal drug delivery, and overcoming the psychological barrier of leaving lesions unstented. Through practical tips, real-world imaging examples, and technical insights, Dr. Wickramarachchi equips interventionists with the confidence to achieve safe and effective stentless PCI.

Stay connected for advanced case discussions and real-world data in Part 4, covering long-term outcomes, left main and CTO interventions, and practical patient counseling for reducing stent burden in younger patients.

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