Coronary sinus reducer for the treatment of angina and coronary microvascular dysfunction

• Unmet clinical need
• Historical background and rationale
• Evidence
• Mechanism of action
• Where does CF Reducer fit in refractory angina managment?
• Take home messages

Dr Ranil de Silva is a consultant interventional cardiologist and leads the specialist angina service at Royal Brompton Hospital, where he treats private and NHS patients.

In 1995, he graduated with honours from King’s College London with a degree in medicine. Following that he completed his training in general medicine, general cardiology and interventional cardiology at Royal Brompton, Chelsea and Westminster, Hammersmith, and St Mary’s hospitals in London.

He conducted his PhD research at the Medical Research Council Cyclotron Unit, Hammersmith Hospital, London, and at the Research Institute for Brain and Blood Vessels in Akita, Japan.

In particular, his research areas include: refractory angina, coronary microvascular dysfunction, coronary plaque biomechanics, novel cardiac magnetic resonance imaging techniques for the study of adverse left ventricular remodelling.