About this event

  • Date and time Mon 5 Feb 2024 from 9:30am to 12:00pm
  • Location Online
  • Organised by Cardiology

Stent failure, which comprises in-stent restenosis (ISR) and stent thrombosis (ST), is a well-known complication of percutaneous coronary intervention (PCI). The factors associated with stent failure include neoatherosclerosis, neointimal hyperplasia, stent underexpansion, stent evagination, stent malapposition, geographical miss and stent fracture.

This training day aims to provide an overview of the field and facilitate a scientific discussion and an exchange of ideas on the management of stent failure. The use of a live case will encourage debate, and help illustrate a systematic, step-wise approach to the management of stent failure. The use of hands-on workstations for trainees to evaluate stent failure cases will greatly help with the application of this learning.

By attending this webinar, you will learn:

  • The importance of intracoronary imaging in stent failure and how to obtain high-quality image acquisition in stent failure cases
  • The different causes of in-stent restenosis in contemporary practice, and the interpretation of intracoronary images to differentiate underlying mechanisms of in-stent restenosis and stent thrombosis
  • To tailor in-stent restenosis treatment depending on the aetiology, based on intra-coronary imaging
  • To actively participate in breakout hands-on intracoronary imaging sessions, to gain experience in reviewing stent failure cases and planning treatment
  • To actively participate in a live intervention case to help consolidate learning of a systematic, step-wise approach to stent failure PCI

This webinar is available for on-demand viewing. The webinar recording will be available for registered delegates up to 60 days after the live webinar broadcast via Zoom. The link will be sent 24 hours after the webinar takes place. 

Follow us on:



View the programme

Welcome and introduction

Dr Rupert Williams, Consultant Interventional Cardiologist, Kingston Hospital NHS Foundation Trust

Pathophysiology and risk factors for instent restenosis and treatment algorithm for instent restenosis

Dr Rupert Williams

Questions and answers
Live stent failure case from St George’s Hospital

Dr Simon Wilson, Consultant Interventional Cardiologist, St George's University Hospitals NHS Foundation Trust and Dr Maciej Marciniak, Consultant Cardiologist, St George's University Hospitals NHS Foundation Trust 


Stent thrombosis: PRESTIGE, PESTO and Bern-registry data

Dr Nikesh Malik, Consultant Cardiologist, Epson and St Helier University Hospitals NHS Trust 

Questions and answers
The evidence for intracoronary imaging in stent failure

Dr Ganeev Malhotra, Interventional Cardiology Fellow, St George's University Hospitals NHS Foundation Trust

Questions and answers
Summary and lessons from stent failure cases

Dr Rupert Williams 

Close of meeting




Registrations for this webinar will 1 hour before the start time. Late registrations will not be accepted. 

The agenda is subject to change at any time  

All views expressed at this event are of the speakers themselves and not of the Royal Society of Medicine, nor the speaker's organisations. 

We are only able to share presentations that we have received permission to share. This is at the presenter and the RSM’s discretion. 

This event will be recorded and stored by the Royal Society of Medicine and may be distributed in future on various internet channels. 

Man searching computer

Join the RSM and get free access to digital learning resources

The RSM has an extensive digital learning and online e-resources platform. As a member you'll enjoy free access to a wealth of online  resources, including 5,000 subscription and open access e-journals, 2,000 e-books and 5 key medical databases, to support your clinical decision-making and research.

Become a member