267 results
How to manage complex calcified coronary disease in severe LV failure?
30 Jun 2026
An 83-year-old woman with multiple cardiovascular risk factors presented with non-ST-elevation myocardial infarction (NSTEMI) and severe left ventricular dysfunction with very low ejection fraction, complicated by haemodynamic instability in the setting of complex heavily calcified coronary disease.
How should such a high-risk case be managed?
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Intravascular lithotripsy in comparison to rotational atherectomy for calcified lesions: the ICARE OFDI randomised trial
01 Jun 2026
In patients with moderate-to-severe calcified coronary lesions, ICARE OFDI evaluates IVL versus rotational atherectomy as lesion preparation strategies, with OFDI-based assessment of stent results.
Reviewer
Modern approach to tackle rocky roads
02 Jun 2026
Complex PCI of a calcified vessel in a 72-year-old gentleman with NSTEACS and markedly reduced LV function.
This case highlights how to tackle a challenging access and a difficult coronary lesion in a patient with scarce hemodynamic reserve.
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Shockwave C2 Aero: Early experience in complex calcified coronary lesions
27 May 2026
Dr. Yousif Ahmad and Dr. Brett Wanamaker discuss how improved deliverability may influence calcium modification strategies in complex PCI.
In this case-based discussion, Dr. Yousif Ahmad and Dr. Brett Wanamaker share their early experience with Shockwave C2 Aero in complex calcified coronary anatomy. Through challenging real-world cases,...
TAVI in extensive valve calcifications - LIVE case
22 May 2026 – From EuroPCR 2026
An 88‑year‑old woman with a history of dual‑chamber PPM and prior radiotherapy for breast cancer presented with symptomatic aortic stenosis and preserved left ventricular function.
A 27 mm Navitor Vision valve was implanted under local anesthesia using dual arterial access (femoral and right radial arteries).
LIVE Educational Case...
Overcoming challenging anatomy in calcified lesion PCI
22 May 2026 – From EuroPCR 2026
This session focuses on overcoming the challenges posed by complex anatomical variations in calcified lesion PCI. Experts present advanced techniques and hybrid solutions for difficult bifurcation angles, aorto-ostial lesions, and other complex scenarios, emphasizing both innovative and simplified approaches to achieve procedural success.
Euro4C strides forward with a new president
21 May 2026
Euro4C – the Contemporary Care of patients with Calcified Complex lesions initiative – aims to improve clinical outcomes for patients with advanced, diffuse and calcified atherosclerotic CAD.
Breaking the calcium challenge: the power of Hertz with LithiX intravascular lithotripsy
20 May 2026 – From EuroPCR 2026
Calcified coronary lesions remain a major challenge in PCI, particularly when lesion rigidity limits device delivery and optimal stent expansion.
This EuroPCR 2026 session focuses on contemporary calcium modification strategies and the role of the Hertz contact intravascular lithotripsy (HC-IVL) system in simplifying treatment of complex calcified...
High definition IVUS-guided treatment strategies in calcified stenoses
20 May 2026 – From EuroPCR 2026
Severely calcified coronary stenoses remain one of the most challenging subsets in contemporary PCI, requiring precise lesion assessment and tailored treatment strategies.
This EuroPCR 2026 session focuses on how high-definition intravascular ultrasound (IVUS) is changing the way these lesions are approached in daily practice.
HD-IVUS enables detailed detection...
FFR- and IVUS-guided PCI of a long and calcified LAD lesion - LIVE case
19 May 2026 – From EuroPCR 2026
A 71‑year‑old man with hypertension and dyslipidemia presented with CCS class II angina and three‑vessel coronary artery disease. Functional assessment included CT‑derived micro‑FFR, angiography‑based FFR, and stress myocardial scintigraphy. The only hemodynamically significant lesion was a long, calcified lesion of the LAD.
Lesion preparation was performed with...
What is the future of intracoronary imaging for assessment of calcified lesions?
21 May 2026 – From EuroPCR 2026
In this conversation, Angela McInerney and Ziad Ali explore the evolving role of imaging in calcified coronary artery disease, the growing evidence supporting intracoronary imaging, particularly OCT and IVUS, and how detailed plaque characterisation and scoring systems can improve procedural planning and outcomes. Looking ahead, they...
How are the FRACTURE IDE trial results on laser-based intravascular lithotripsy going to impact the management of calcified lesions?
19 May 2026 – From EuroPCR 2026
Evald Christiansen and Margaret McEntegart review the results of the FRACTURE IDE trial which evaluated a novel optical laser-based intravascular lithotripsy (IVL) system for the treatment of severely calcified coronary lesions. The study demonstrated high rates of procedural success and safety, with low rates of clinically...
Calcium Skills Lab: EuroPCR 2026 highlights
19 May 2026 – From EuroPCR 2026
As the management of heavily calcified coronary lesions becomes increasingly complex, the need for practical, hands-on education continues to grow. At EuroPCR 2026, a brand-new initiative aims to address this challenge: the Calcium Skills Lab.
In this discussion, Angela McInerney and Mohamed Abdel-Wahab present this innovative programme...
Sharing the latest advances in calcium modification with intravascular lithotripsy
19 May 2026 – From EuroPCR 2026
Emanuele Barbato and Jan-Malte Sinning review the latest advances in calcium modification strategies, highlighting the growing role of intravascular lithotripsy (IVL) alongside traditional techniques such as rotational and orbital atherectomy. They discuss how new-generation IVL devices are improving deliverability, efficiency, and ease of use, enabling the...
Coronary calcification versus thrombus: a deceptive ambiguity revealed in the aftermath of embolisation
07 Apr 2026
Discriminating between coronary calcification and thrombus in acute settings remains a diagnostic challenge with significant implications for interventional decision-making.
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Intravascular lithotripsy or mechanical debulking in complex calcified coronary arteries: multicenter, prospective ROLLING STONE study
19 Mar 2026
The ROLLING STONE registry compares intravascular lithotripsy (IVL) and atherectomy (rotational and orbital) for treating heavily calcified coronary arteries, assessing real-world safety and effectiveness in percutaneous coronary interventions (PCI).
Reviewer
Contemporary approach in the treatment of calcified coronary artery disease
28 Feb 2026 – From Euro4C Annual Meeting 2026
Adopt a contemporary approach to managing calcified coronary artery disease by leveraging high-definition IVUS for lesion assessment and morphology evaluation. Learn to tailor calcium modification strategies based on IVUS findings and combine available tools to optimize treatment outcomes according to patient and lesion profiles.
Mechanical circulatory support protected PCI in complex calcified patients
28 Feb 2026 – From Euro4C Annual Meeting 2026
Explore the critical role of mechanical circulatory support with Impella in complex calcified patients undergoing PCI. This session delves into patient selection criteria, reviews the latest evidence, and discusses strategies to prevent and manage device-related complications, supported by case presentations focusing on imaging analysis, vascular access...
How to avoid and manage complications
28 Feb 2026 – From Euro4C Annual Meeting 2026
Build a comprehensive complication-management toolbox tailored for PCI in heavily calcified vessels. This session covers prevention and management techniques for complications arising from severely calcified lesions, illustrated by practical cases and expert insights into risky lesions and challenging devices.
Drug-eluting balloon in calcified lesions and complex lesions
28 Feb 2026 – From Euro4C Annual Meeting 2026
This session explores the application of drug-eluting balloons (DCB) in managing calcified and complex coronary lesions. Emphasis is placed on identifying appropriate lesions for a DCB-only strategy, the critical role of vessel preparation prior to drug delivery, and the long-term physiological assessment following treatment, supported by...
