Euro4C: who we are

Euro4C is a group of interventional cardiologists standing for Contemporary Care of patients with Calcified Complex lesions

True to its core mission of serving the needs of each individual patient by helping the cardiovascular community share knowledge experience and practice, PCR has been welcoming and supporting communities’ initiatives all throughout its history.

It is within this spirit, and in response to a growing problem within the aging population treated by our community, that PCR welcomes Euro4C. This forum is open to all interventional cardiologists interested in providing their experience and expertise in the management of complex patients with calcified CAD.

A word from the Euro4C President Mohamed Abdel-Wahab (2026-2028): 

Mohamed Abdel-Wahab

Interventional cardiologist / Cardiologist

Heart Center Leipzig at Leipzig University - Leipzig, Germany

It is an honour and a privilege to take on the role and to build on the great work of Beatriz Vaquerizo, our outgoing president, who has led the group so well over the last 2 years. 

The initiative is still relatively young and the need to gather interested individuals together to standardise practice and promote education remains as important as ever for this growing group of patients who have distinct needs.

It was under Professor Vaquerizo’s leadership that Euro4C held its first Annual Meeting in February. Around 250 participants met in Madrid for a successful 2-day event organised by Professor Vaquerizo and Professor Flavio Ribichini. The main feedback received was related to how highly practical the event was. We have plans to hold a second Annual Meeting in November 2027 where we hope to attract even more participants. 

An aim of my presidency is to further support research efforts. For many years, the treatment of calcified CAD has been driven by expert opinion, and it was considered very difficult to conduct clinical studies. We now have established registries and scientific evidence is being generated to guide practice further. [...] 

Sharing expertise and gaining insights from fellow professionals enhances our practice, and the Euro4C group is always happy to have input from new members who share our vision to improve the treatment of patients with complex calcified lesions.

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The Euro4C scope

Euro4C stands for the Contemporary Care of patients with Calcified Complex lesions. The project has made it its mission to work on improving the clinical outcomes of complex patients with advanced, diffuse and calcified atherosclerotic CAD, often presenting in critical conditions and left ventricular dysfunction.

The Euro4C Project is concerned with the entire spectrum involved in the management of these complex disease states. Some of the challenges included in this scope are:

  • Severely calcified lesions    
  • Left main trunk stenosis
  • Severe left ventricular dysfunction requiring mechanical circulatory support and multidisciplinary Heart Team evaluation
  • Severe comorbidities including chronic renal failure, respiratory disease, frailty, etc

Euro4C activities and initiatives

True to its mission, Euro4C supports the sharing of experience and expertise between peers through a set of activities. These include:

  • Continuous medical education via seminars and Courses, Web-based interactions and consultation
  • Practical training on bench simulators and experimental models, and off-site facilitation
  • Proctoring of clinical cases by expert members of the group
  • Continuous monitoring of the clinical outcomes (through the implementation of clinical studies and prospective registries)
  • Development of new technologies in partnership with industry and other researchers