The IJN Heart Summit 2025, organized by Medtronic Malaysia, brought together leading interventional cardiologists for two intensive days focused on Complex PCI and Hybrid Strategy PCI. Expertly chaired by Datuk Dr. Kumara Guruappan and Dato’ Dr. Azmee Mohd Ghazi, the programme featured high-impact live cases, technical discussions, and real-world strategy refinement for complex coronary interventions.

Day 1: Complex PCI Mastery with Datuk Dr. Kumara Guruappan
Day 1 opened with an in-depth exploration of the pearls and pitfalls of Complex PCI, followed by a full schedule of live case demonstrations.

Datuk Dr. Kumara showcased three important complex bifurcation cases:
- DK Crush technique – with stepwise precision and troubleshooting in challenging anatomy
- T-stenting technique – emphasizing optimal guidewire manipulation and stent positioning
- Provisional stenting strategy – reinforcing minimalist yet effective bifurcation management

Each session was enriched with practical insights, operator tips, and technical nuances that benefitted both seasoned and developing interventionalists.
Day 2: Hybrid Strategy PCI with Dato’ Dr. Azmee Mohd Ghazi
Day 2 focused on the increasingly essential Hybrid Strategy PCI, designed to optimize outcomes in complex lesions where multiple techniques may be required.

Your contribution added significant depth to the day’s learning, where two left main hybrid PCI cases were presented. These cases illustrated:
- Structured decision-making in complex LM bifurcation disease
- The integration of imaging, physiology, and real-time lesion assessment
- Switching between strategies to achieve optimal and safe revascularization
These hybrid LM cases were particularly well-received, highlighting the importance of flexibility, imaging-guided optimisation, and personalised lesion-specific technique selection.
Dato’ Dr. Azmee’s live cases further strengthened participants’ understanding of when and how to apply hybrid methodology in challenging coronary anatomy.

A Program That Elevated Real-World Practice
Across both days, attendees benefited from:
- High-quality live case transmissions
- Case-based discussions packed with actionable learning
- Expert step-by-step walkthroughs of advanced PCI techniques
- A collaborative environment where practical tips and real-world challenges were openly shared
The summit concluded with certificates, key takeaways, and enthusiastic discussions on how hybrid and complex PCI strategies continue to redefine interventional cardiology practice.
